Surgical/Anesthesia

Latest Issue of OR Manager
July 2019
Home Surgical/Anesthesia

Effect of incentive spirometer patient reminder after CABG

Editor's Note An incentive spirometer reminder after coronary artery bypass grafting (CABG) improved patient adherence and, in turn, improved the atelectasis severity score and multiple subsequent clinical outcomes, this study finds. In this study of 212 patients who had CABG surgery, 145 were randomized by hourly reminder SpiroTimer “bell on”…

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By: Judy Mathias
July 18, 2019
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FDA: Class I recall of Neonatal ConchaSmart Breathing Circuit

Editor's Note The Food & Drug Administration (FDA) on July 17 identified the recall by Teleflex of its Neonatal ConchaSmart Breathing Circuit with Dual Heated Limb and ConchaSmart Column as Class I, the most serious. The recall was initiated because of complaints of cracks in the swivel wye adaptors, which…

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By: Judy Mathias
July 18, 2019
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Duration, type of surgical prophylaxis linked to adverse events

Editor's Note The risk of adverse events increases with each additional day of surgical antimicrobial prophylaxis, and extended duration does not lead to additional surgical site infection (SSI) reductions, finds this study. In this study of 79,058 patients having surgical procedures in the VA healthcare system, increasing the duration of…

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By: Judy Mathias
July 18, 2019
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Sleep disorders linked to more healthcare visits, higher costs for back pain

Editor's Note Many patients with low back pain also have sleep disorders, which are linked to more healthcare visits and higher costs for back pain treatment, this study finds. In this analysis of 757 patients with low back pain attending self-management classes at a US military hospital, 195 had a…

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By: Judy Mathias
July 10, 2019
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Applications, limitations of AI for fracture detection, classification

Editor's Note Preliminary experience in the automated detection and classification of fractures using artificial intelligence (AI) shows promise, and AI may enhance processing and communicating probabilistic tasks in orthopedic surgery, this study finds. For fracture detection, researchers compared the human findings in 10 studies with AI findings. In two studies,…

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By: Judy Mathias
July 9, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Be a Bridge Builder: Close the Knowledge Gap of Who You Report To

After this session you’ll be able to: Develop a collaborative relationship with your direct report., Explain how transparency is not just lip service., Provide data to equip your director to make sound decisions for your PACU., Why this is important: Do you ever find yourself thinking: “I wish my OR…

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FDA: Class I recall of Edwards Lifesciences’ IntraClude Intra-Aortic Occlusion Device

Editor's Note The Food and Drug Administration on July 1 identified the recall by Edwards Lifesciences (Irvine, California) of its IntraClude Intra-Aortic Occlusion Device as Class I, the most serious. The recall was initiated because of a risk of balloon rupture during use in patients undergoing cardiopulmonary bypass. The company…

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By: Judy Mathias
July 9, 2019
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Preop opioid, benzodiazepine use linked to postop mortality, opioid consumption

Editor's Note Use of opioids and benzodiazepines 6 months before surgery was associated with increased short- and long-term mortality and an increased rate of persistent postoperative opioid consumption, this study finds. In this analysis of 41,170 noncardiac surgical cases in 27,787 patients in Iceland, preoperative prescriptions for opioids only were…

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By: Judy Mathias
June 27, 2019
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Predictive model for determining LOS after total hip

Editor's Note In this study, a predictive model that can help identify patients at higher odds for not requiring a prolonged hospital length of stay (LOS) after total hip arthroplasty was developed and validated and a point-based calculator was designed. The calculator included nine variables: age, opioid use, metabolic equivalents…

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By: Judy Mathias
June 27, 2019
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Outpatient surgery occupies big stage at OR Manager Conference

Editor's Note Ambulatory surgery center (ASC) administrators and managers trying to keep pace with the rapid growth in their facilities will not want to miss the robust outpatient surgery education offered at the 2019 OR Manager Conference. On Tuesday, September 17, Beverly Kirchner, BSN, RN, CNOR, CASC, chief compliance officer…

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By: ewood@accessintel.com
June 27, 2019
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Influence of age, weight on oxygenation impairment during anesthesia

Editor's Note Oxygenation was impaired by anesthesia more often in patients with greater age or body mass index, this study finds. This retrospective analysis of data from two hospitals found key contributors to impaired oxygenation were low ventilation/perfusion ratios because of airway narrowing and closure in the elderly and atelectasis-induced…

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By: Judy Mathias
June 27, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

MH SWAT Team: The Unassuming Threat of Malignant Hyperthermia Inside and Outside of Surgical Services

After this session you’ll be able to: Identify areas of your hospital at risk for malignant hyperthermia., Create a malignant hyperthermia intervention process specific to your hospital needs and resources., Develop a plan to conduct mock drills to measure the effectiveness of your malignant hyperthermia process in any hospital area.,…

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