Surgical/Anesthesia

Latest Issue of OR Manager
March 2020
Home Surgical/Anesthesia

Breathing easier in a smoke-free health system

Controlling electrosurgical smoke is a major challenge in many ORs. In 1996, the National Institute for Occupational Safety and Health published a policy on controlling smoke from lasers and electrosurgical procedures, and over the years, studies have linked adverse health effects with electrosurgical smoke exposure. Yet healthcare providers have differing…

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By: Judith M. Mathias, MA, RN
February 21, 2020
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Using project management principles to hardwire ERAS protocols

Implementation of Enhanced Recovery After Surgery (ERAS) at Virginia Commonwealth University (VCU) Health System in Richmond has been achieved through project and change management tools that transform the current state to the desired future state. To hardwire ERAS protocols in the OR as well as the ambulatory and acute care…

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By: OR Manager
February 21, 2020
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How prepared is your ASC to handle a surgical emergency?

Surgical errors and emergencies can happen at any time, at any facility. For ambulatory surgery centers (ASCs), a major challenge is finding official guidance on the topic. For the most part, it’s up to the individual facility to craft its own policies, competencies, and drills for OR emergencies. “The Association…

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By: Jennifer Lubell
February 21, 2020
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Using smartphones to capture patient differences in postop physical recovery

Editor's Note Metrics derived from smartphone accelerometer data can capture differences in postoperative physical recovery in surgical patients, this study finds. In this analysis of 62 patients, smartphone accelerometer data showed decreases in daily exertional activity in 17 who experienced a postoperative event (eg, complication, reoperation) up to 6 weeks…

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By: Judy Mathias
February 20, 2020
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Joint Commission: Texas hospital earns first Primary Heart Attack Center certification

Editor's Note The Joint Commission announced February 19 that the Texas Health Harris Methodist Hospital in Fort Worth has been awarded the first Primary Heart Attack Center (PHAC) certification by the Joint Commission and American Heart Association. The certification standardizes and improves coordinated systems of care for identification, assessment, monitoring,…

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By: Judy Mathias
February 20, 2020
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Association of geriatric-specific characteristics with postop readmissions

Editor's Note In this study from the University of Virginia, new geriatric-specific characteristics were found to raise the risk of elderly surgical patients having unplanned readmissions within a month of leaving the hospital. The four geriatric-specific risk factors for readmission include: cognitive impairment requiring another person to sign the patient’s…

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By: Judy Mathias
February 19, 2020
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Effect of AI early warning system for intraoperative hypotension

Editor's Note The use of an artificial intelligence (AI) early warning system, compared with standard care, resulted in less intraoperative hypotension in this preliminary study. This single-center, preliminary study from the Netherlands, which included 68 patients (intervention group, 34 and control group, 34) having elective noncardiac surgery, found that application…

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By: Judy Mathias
February 18, 2020
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AORN releases COVID-19 tool kit

Editor's Note AORN on February 14 released a new coronavirus (COVID-19) tool kit to support OR decision-making for the safety of healthcare workers and patients. The toolkit includes: World Health Organization updates Centers for Disease Control & Prevention updates ECRI Institute-Coronavirus Outbreak Preparedness Center resources Journal of the American Medical…

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By: Judy Mathias
February 18, 2020
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Association between ERAS and postop complications after total hips and knees

Editor's Note Increased adherence to an Enhanced Recovery After Surgery (ERAS) protocol after total hip arthroplasty (THA) and total knee arthroplasty (TKA) was associated with a decrease in postoperative complications in this study from Spain. However, only a few interventions were linked to decreased complications In this analysis of 6,146…

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By: Judy Mathias
February 13, 2020
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FDA authorizes marketing of first AI guided cardiac ultrasound

Editor's Note The Food & Drug Administration (FDA) on February 7 authorized marketing of software to assist in the acquisition of cardiac ultrasound images. The software, named “Caption Guidance,” uses artificial intelligence (AI) to help capture images of a patient’s heart from different angles, which are used to diagnose various…

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By: Judy Mathias
February 12, 2020
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