Anesthesia

Latest Issue of OR Manager
August 2020

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: Cynthia Saver, MS, 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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Pre-COVID initiatives pave way for successful crisis management

Proactive leadership, early preparation, and ongoing planning and communication have helped mitigate COVID-19 threats at Tampa General Hospital in Tampa, Florida. As a result, resuming elective surgical cases in early May was a relatively seamless process thanks to process improvements made before the pandemic hit. “We started working on COVID-19…

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By: Elizabeth Wood
June 17, 2020
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Anesthesiologists’, intensive care providers’ exposure to COVID-19 and development of antibodies

Editor's Note Within 6 to 8 weeks of the COVID-19-outbreak, a small proportion of anesthesiologists and intensive care providers reported COVID-19 symptoms after a work-related exposure, and fewer had detectable COVID-19 antibodies, this study finds. Of 105 anesthesiologists and intensive care providers at New York City’s Columbia University Irving Medical…

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By: Judy Mathias
June 11, 2020
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OR leaders chart new territory for resuming elective surgery

Elective surgical procedures that were temporarily suspended in mid-March are now on the table—or soon will be—at some US facilities. The ban, announced on March 18 by the Centers for Medicare & Medicaid Services (CMS), was enacted to free up resources for facilities overwhelmed by surges of COVID-19 patients. On…

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By: Elizabeth Wood
May 12, 2020
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Children's hospital revises patient care criteria for COVID-19

The COVID-19 pandemic is having a major impact on all aspects of healthcare delivery worldwide. For children’s hospitals, the crisis has created unique challenges in ensuring patient and provider safety as well as helping to contain the spread of COVID-19 through their communities. According to the Centers for Disease Control…

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By: Judith M. Mathias, MA, RN
May 12, 2020
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ASCs following new rules for safety during pandemic

Coronavirus Disease 2019 (COVID-19) is a global pandemic that led the United States to declare a national emergency and implement a ban on all elective diagnostic and therapeutic procedures, as well as elective surgery in inpatient and outpatient settings. On March 19, the Ambulatory Surgery Center Association (ASCA) released guidance…

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By: Judith M. Mathias, MA, RN
May 12, 2020
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Hospital-wide ERAS adoption hinges on leadership support

Enhanced Recovery After Surgery (ERAS) is arguably the greatest advancement in surgery in the last 20 years. But even healthcare leaders who support the use of ERAS to achieve better outcomes can find it daunting to implement the protocols throughout their hospital systems. Standardizing practices across areas that have historically…

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By: OR Manager
May 12, 2020
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FDA announces actions taken in response to COVID-19 pandemic

Editor's Note: The Food & Drug Administration (FDA) on March 25 announced several actions it has taken in its response to the COVID-19 pandemic. These include: In response to the demand for hand sanitizers and their active ingredient, alcohol, the FDA issued guidance to alcohol manufacturers on how to incorporate…

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By: Judy Mathias
March 26, 2020
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Overcoming common obstacles to implementing a perioperative surgical home

Over the last 5 years, the perioperative surgical home (PSH) model has attracted increasing interest from OR directors, anesthesiologists, and surgeons. This team-based, patient-centered approach coordinates all phases of surgical care, from preoperative assessment through intraoperative care and postdischarge recovery. According to the American Society of Anesthesiologists, PSH initiatives have…

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By: OR Manager
March 16, 2020
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