Surgical/Anesthesia

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May 2021
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COVID-19 has detrimental effect on surgical residents’ operative experience

Editor's Note This review study, led by researchers at the Harbor-University of California, Los Angeles Medical Center, Torrance, finds a significant negative effect of COVID-19 on general surgery residents’ operative experience. This retrospective review of 1,358 resident case logs from 16 general surgery programs in the US finds a 33.5%…

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By: Judy Mathias
May 3, 2021
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FDA: Class I recall of Alaris Infusion Pump Module 8100

Editor's Note The Food and Drug Administration, on April 30, identified the recall of the Alaris Infusion Pump Module 8100 as Class I, the most serious. The Pacific Medical Group (DBA Avante Health Solutions) is recalling the infusion pump because the front bezel components may crack or separate, leading to…

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By: Judy Mathias
May 3, 2021
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Emotional outcomes of intraoperative deaths on surgical teams

Editor's Note This study from Cedars-Sinai Medical Center, Los Angeles, finds that intraoperative deaths negatively affect surgical team members, with a considerable number experiencing feelings of anger and depression. Of 120 OR team members completing a survey, 82 (68.3%) said they had prior experience with intraoperative deaths, referencing more than…

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By: Judy Mathias
April 29, 2021
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Logistics, clinical outcomes associated with converting ORs into an ICU for COVID-19 patients

Editor's Note This study by researchers from the department of anesthesiology, Columbia University Irving Medical Center, and the department of perioperative services-nursing, New York-Presbyterian Hospital, both in New York City, describes how OR and anesthesia personnel converted 23 ORs into an 82-bed operating room intensive care unit (ORICU), ensured staff…

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By: Judy Mathias
April 21, 2021
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FDA issues Class I recall of certain Medtronic ICDs, CRT-Ds

Editor's Note The Food and Drug Administration (FDA), on April 12, identified the recall of Medtronic’s Evera, Viva, Brava, Claria, Amplia, Compia, and Visia implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy defibrillators (CRT-Ds) as Class I, the most serious. The recall was initiated because of an unexpected and rapid…

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By: Judy Mathias
April 19, 2021
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The Joint Commission's safety alert supports removal of surgical smoke

Surgical smoke is a complex issue that has not gained a lot of traction over the years. Legislation to mandate smoke evacuation was introduced more than 20 years ago, but the first law wasn’t passed until 2018, and only three US states thus far have enacted legislation. Release of The…

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By: Judith M. Mathias, MA, RN
April 19, 2021
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First assistants bring expertise and efficiency to the OR table--Part 1

Non-physician surgical first assistants (FAs) perform a variety of tasks—everything from closing an incision and inserting drains to harvesting veins for bypass procedures and preparing anterior cruciate ligament grafts. A significant benefit of FAs is shorter case times, which may help reduce patient morbidity and mortality and increase case volumes.…

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By: Cynthia Saver, MS, RN
April 19, 2021
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Studies assess use of Mako System in joint arthroplasty

Editor’s Note. This article presents value-based analyses on the use of Mako robotic technology in total knee, partial knee, and total hip arthroplasty. The authors are with Stryker Orthopaedics in Mahwah, New Jersey.   Joint arthroplasty is an effective procedure to treat advanced osteoarthritis of the hips and knees. It…

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By: Kevin Barga, MS, RN and Andrea Coppolecchia, MPH
April 19, 2021
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Collaborative anesthesia providers can help boost OR performance

Most high-performing ORs share something in common—an anesthesia group that is actively engaged in perioperative leadership, takes responsibility for organizational performance, and is fully invested in the success of the OR. Unfortunately, in many ORs, anesthesia providers focus narrowly on services and procedures, not the total performance of the surgery…

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By: Lee Hedman and Josh Miller, MD
April 19, 2021
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Strengthening ASC education programs in the age of COVID-19

Ambulatory surgery centers (ASCs) tend to operate in lean environments, a factor that can impact training and education, whether it’s a refresher for current employees or part of the onboarding process for new hires. Maintaining robust education programs during a global pandemic that has reduced in-person training and imposed restrictions…

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By: Jennifer Lubell
April 19, 2021
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