Surgery
COVID-19 driving the move to regional anesthesia
Cancellations of some surgical procedures during the COVID-19 pandemic and case rescheduling have been a major focus for perioperative leaders. But changes are also occurring in anesthesia practices. For many surgical procedures, the use of regional anesthesia or nerve blocks, coupled with light sedation, is reported to double if the…
New term clarifies instrument point-of-use treatment
What exactly is required to prepare instruments for transport to the decontamination room after a surgical procedure? Point-of-use cleaning, which may also be referred to as precleaning, has been used to describe instrument preparation at the point of use after a surgical procedure. But both point-of-use cleaning and precleaning have…
ENT leaders share innovative ideas to calm pediatric patients
Advancements in technology have made it easier to distract children and ease their fears when they are undergoing surgery, but managing this patient population presents unique challenges. To guide parents and children through the surgery experience, leaders at some ambulatory surgery centers (ASCs) have turned to child life specialists, innovative…
ACS launches new breast cancer skills program
Editor's Note The American College of Surgeons (ACS) on July 9 announced a new breast cancer skills program for breast cancer patients. Patients have access to evidence-based knowledge, checklists, and skills training to support them from preoperative preparation through postoperative recovery. Given in advance of surgery, the ACS Surgical Skills…
Utility of COVID-19 testing of asymptomatic patients before ambulatory, inpatient surgical procedures
Editor's Note In this study by researchers at the Yale School of Medicine, New Haven, Connecticut, mass COVID-19 preprocedure testing detected positive asymptomatic patients who were missed by clinical screening alone. The median test turnaround time was 7.8 hours. Of 75, 528 preprocedure tests performed: 318 (0.4%) patients tested positive…
Researchers raise the alarm on splashing during reprocessing--Part 1
Does it really matter if surgical instruments are submerged in cleaning solution when technologists or nurses scrub them after a case? Is there a reason for the 3-foot separation between dirty and clean areas? Do germs stop at the red line? During the COVID-19 pandemic, much attention has been focused…
ISMP introduces perioperative Medication Safety Self Assessment
Editor's Note The Joint Commission announced on June 16 that the Institute for Safe Medication Practices (ISMP) has launched a new Medication Safety Self Assessment for perioperative settings to gauge how well organizations are doing in protecting surgical patients from medication errors. The new tool, which is for hospitals, ambulatory…
Short-term effects of canceled surgical procedures during COVID-19 pandemic in VA Healthcare System
Editor's Note In this study, from the Department of Veterans Affairs (VA), Menlo Park, and Stanford University, both in California, researchers found that the pause in elective surgical procedures during the COVID-19 pandemic was not associated with short-term adverse outcomes in VA hospitals. A total of 3,326 surgical procedures canceled…
Remote monitoring for ambulatory surgery patients reduces postop ED visits
Editor's Note This study by researchers at Memorial Sloan Kettering Cancer Center’s ambulatory surgery center, New York City, finds that remote measurement of patient-reported symptoms after surgery can improve outcomes and reduce postoperative urgent care and emergency department (ED) visits. The researchers developed an electronic platform and alert system, called…
Risk of COVID-19 transmission via electrocautery plume
Editor's Note In this Canadian experimental study, SARS-CoV-2 was not detectable in aerosolized electrocautery plume generated from any of the conditions investigated. The researchers mimicked surgery by applying electrocautery at 25 W using three different methods (monopolar cut, monopolar coagulate, and bipolar electrocautery) for 1 minute on raw chicken breast.…
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