Anesthesia

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October 2020
Home Surgical/Anesthesia > Anesthesia

Consider a PSH as a post-pandemic strategy

Across the US, surgical services are estimated to comprise around 20% of national health spending and typically generate up to 70% of total health system revenue.1, 2 That makes surgical services the largest revenue generator for a hospital, supporting access to numerous other healthcare services. Considering the average hospital has…

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By: Barbara McClenathan, MBA-HCM, BSN, RN, CNOR and Lisa Branding, MHSA
October 21, 2020
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Study finds significantly less risk of COVID-19 transmission from anesthetic procedures

Editor's Note In this study, researchers from the University of Bristol in the UK, find that intubation and extubation of patients during general anesthesia may produce only a fraction of the aerosols previously thought, much less than that produced during a regular cough. The researchers conducted real-time, high-resolution environmental monitoring…

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By: Judy Mathias
October 7, 2020
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COVID-19 testing of all children before anesthesia saves PPE

Editor's Note Universal COVID-19 testing of children before they have general anesthesia promotes efficient use of personal protective equipment (PPE), finds this study presented October 3 at the Anesthesiology 2020 annual meeting. Overall, 1,033 children who had anesthesia at Children’s Hospital of Philadelphia between March 26 and May 11, 2020,…

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By: Judy Mathias
October 5, 2020
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Efficacy of povidone-iodine nasal antiseptic for rapid inactivation of SARS-CoV-2

Editor's Note This controlled, in-vitro study investigates the minimum contact time for povidone-iodine nasal antiseptic to inactivate the SARS-CoV-2 virus. All laboratory work was conducted in biosafety level 3 laboratories at the Institute for Antiviral Research at Utah State University, Logan. Povidone-iodine was tested at diluted concentrations of 0.5%, 1.25%,…

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By: Judy Mathias
September 21, 2020
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FDA warns against use of protective barrier enclosures without negative pressure during intubation, extubation of COVID-19 patients

Editor's Note In an August 21 letter, the Food & Drug Administration (FDA) warns that the use of passive protective barrier enclosures without negative pressure when treating patients (such as during intubation, extubation) who are known or suspected to have COVID-19 may pose increased health risk to patients and healthcare…

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By: Judy Mathias
August 26, 2020
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Preoperative protocols enhance outpatient total joint outcomes

On January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) began reimbursing healthcare providers for total hip arthroplasty performed in outpatient hospital settings and total knee arthroplasty in ambulatory surgery centers (ASCs), thereby opening the floodgates for explosive growth in outpatient total joint arthroplasty (TJA). About a million…

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By: Catherine Spader, RN
July 22, 2020
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Panel issues guidelines for safe resumption of elective orthopedic surgery

Editor's Note An expert panel from the American Association of Hip and Knee Surgeons on July 15 issued guidelines that include recommendations for when hospitals and surgical centers can resume elective orthopedic procedures. A set of 30 recommendations are presented in four categories: General—includes criteria based on factors, such as…

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By: Judy Mathias
July 20, 2020
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CDC: Absenteeism increased in essential workers during March, April of COVID-19 pandemic

Editor's Note The Centers for Disease Control & Prevention (CDC) on July 10 reported that health-related workplace absenteeism rates were significantly higher than expected in March and April for some occupational groups in essential critical infrastructure categories. The following significantly exceeded their epidemic thresholds: personal care and services, including childcare…

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By: Judy Mathias
July 13, 2020
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Joint Commission revises position statement on preventing nosocomial COVID-19 infections

Editor's Note The Joint Commission announced June 24 that it has revised its position statement on preventing nosocomial COVID-19 infections as healthcare organizations resume regular care delivery. The Joint Commission supports the following positions: Continuing to follow Centers for Disease Control and Prevention’s recommendations for universal masking of staff, patients,…

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By: Judy Mathias
June 25, 2020
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Agile, data-driven strategy for managing the OR after COVID-19

As state authorities begin to ease restrictions imposed by COVID-19, physicians, nurse leaders, and administrators face a momentous challenge: resuming elective surgical procedures that have been postponed for several weeks or months. How will they accommodate the looming glut of elective surgery demand with limited infrastructure and staff who are…

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By: Derrick Bransby, MBA
June 17, 2020
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