Surgery

Latest Issue of OR Manager
May 2024

Effect of surgeon gender on postop outcomes

Editor's Note This Canadian study examines whether surgeon gender is associated with long-term postoperative patient outcomes. A total of 1,165,711 patients (151,054 treated by female surgeons and 1,014,657 treated by male surgeons) were included in the analysis. Multivariate adjusted rates of adverse postoperative events (ie, death, readmission, or complication) showed…

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By: Judy Mathias
August 30, 2023
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SHEA updates CAUTI prevention recommendations

Editor's Note An update of the 2014 “Strategies to Prevent Catheter-Associated Urinary Tract Infections [CAUTIs] in Acute-Care Hospitals” was published August 25 by the Society for Healthcare Epidemiology of America (SHEA). The update, which is a collaborative effort led by SHEA, the Infectious Diseases Society of America, the Association for…

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By: Judy Mathias
August 30, 2023
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Sources, consequences of intraoperative stress in surgical teams

Editor's Note This study from the Minneapolis VA Healthcare System finds that intraoperative stress in surgical teams is common and has multiple sources, including adverse events. Researchers conducted 28 interviews with surgical team members on intraoperative stress and emotional and behavioral responses to stressors. The researchers then identified themes in…

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By: Judy Mathias
August 29, 2023
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Cleveland Clinic London surgeons perform TKA assisted by augmented reality

Editor's Note The Cleveland Clinic announced, on August 16, that surgeons at its London facility successfully performed a total knee arthroplasty (TKA) with the assistance of an augmented reality-based platform designed with artificial intelligence and machine learning. Augmented reality, which gives a 3D visualization of the joint, helps with planning…

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By: Judy Mathias
August 28, 2023
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Sociodemographic disparities in PONV

Editor's Note This study led by researchers at the University of Alabama at Birmingham examines the associations between sociodemographic factors and the incidence of postoperative nausea and vomiting (PONV) and clinician adherence to PONV prophylaxis protocols. A total of 8,384 patients were included in the analysis. When PONV prophylaxis protocols…

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By: Judy Mathias
August 23, 2023
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Study: Transitioning back to reusable surgical gowns

Editor's Note In this study, researchers from the University of California, San Francisco, examine the feasibility of transitioning back to reusable surgical gowns and the corresponding cost savings and reductions in solid waste. Disposable surgical gowns were replaced with polyester reusable surgical gowns with AAMI level III barrier protection that…

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By: Judy Mathias
August 22, 2023
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Effects of race on operative, nonoperative management of emergency general surgery conditions

Editor's Note This study from the University of Pennsylvania, Philadelphia, examines whether the decision to operate or not operate for an emergency general surgery condition affects Black and White patients differently. A total of 556,087 Medicare patients (59,519 Black and 496,568 White) were included in the analysis. Overall, 165,932 (29.8%)…

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By: Judy Mathias
August 21, 2023
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Study: Surgeon communication with patients on innovative procedures

Editor's Note This study from the UK finds that patients are not given sufficient information about innovative surgical procedures and their potential risks and uncertainties. Researchers collected data on seven cases, using preoperative interviews with surgeons, audio-recorded consultations during which innovative procedures were discussed between surgeons and patients, and postoperative…

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By: Judy Mathias
August 15, 2023
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Association of mobilization with postop complications

Editor's Note This study led by researchers at the Cleveland Clinic examines the association between postoperative mobilization after major elective surgery and a composite of primary postoperative outcomes (ie, myocardial injury, ileus, stroke, venous thromboembolism, pulmonary complications, and all-cause in-hospital mortality) and secondary outcomes (ie, hospital length of stay, cumulative…

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By: Judy Mathias
August 11, 2023
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FDA: Class I recall of Cardiosave Hybrid, Rescue IABPs

Editor's Note The Food and Drug Administration (FDA), on August 10, identified the recall by Datascope/Maquet/Getinge of its Cardiosave Hybrid and Rescue Intra-aortic Balloon Pumps (IABPs) as Class I, the most serious. The recall was initiated because the pumps may shut down unexpectedly due to electrical failures in the Power…

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By: Judy Mathias
August 11, 2023
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