Surgical/Anesthesia

Latest Issue of OR Manager
March 2020
Home Surgical/Anesthesia

Association of LVAD vs IABP with mortality, bleeding

Editor's Note The use of an intravascular microaxial left ventricular assist device (LVAD) vs an intra-aortic balloon pump (IABP) in patients with acute myocardial infarction (AMI) complicated by cardiogenic shock was associated with worse in-hospital clinical outcomes in this study. Of 3,360 propensity-matched patients undergoing percutaneous coronary intervention for AMI,…

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By: Judy Mathias
February 11, 2020
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Aviation-style, large-screen computerized checklist operated by anesthesia provider improves performance

Editor's Note The implementation of an aviation-style computerized surgical safety checklist displayed on a large, centrally located screen and operated by the anesthesia provider improved checklist performance in this study. A total of 671 cases were observed before and 547 cases after implementation of the computerized checklist system. The proportion…

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By: Judy Mathias
February 10, 2020
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Frailty as a predictor of postop mortality, new disability

Editor's Note In this Canadian study, older patients with frailty were significantly more likely to die or experience a new disability within 90 days after surgery. This prospective multicenter study included 702 patients, 65 years or older, having elective noncardiac surgery; 645 patients completed follow up. Frailty status was determined…

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By: Judy Mathias
February 6, 2020
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FDA: Class I recall of GE Healthcare CARESCAPE Respiratory Modules, Airway Gas Option

Editor's Note The Food and Drug Administration (FDA) on February 4 identified the recall by GE Healthcare of its CARESCAPE Respiratory Modules and Airway Gas Option as Class I, the most serious. The recall was initiated because of a manufacturing issue that may cause the devices to display incorrect oxygen…

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By: Judy Mathias
February 6, 2020
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Standardized pathway for outpatient ambulatory fracture surgery

Editor's Note In this study, an outpatient fracture pathway greatly improved the efficiency and timeliness of care, and it reduced costs. A total of 187 patients during the preintervention period and 308 patients during the intervention period were eligible for the ambulatory pathway. Those managed as outpatients increased from 1.6%…

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By: Judy Mathias
February 3, 2020
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Joint Commission: R3 Report details changes for total joint certification program

Editor's Note The Joint commission on January 29 announced a new R3 report detailing changes to the Advanced Certification for Total Hip and Total Knee Replacement program. Effective July 1, there will be 11 new and 11 revised elements of performance (EPs) that will be applicable to all accredited ambulatory…

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By: Judy Mathias
February 3, 2020
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Cardinal Health recalls more than 9 million surgical gowns

Editor's Note Cardinal Health is voluntarily recalling 9.1 million potentially contaminated surgical gowns, 7.7 million of which were distributed to 2,807 facilities across the country, the January 22 Becker’s Hospital Review reports. The company took the action after learning of unsanitary environmental conditions at a plant in China that manufacturers…

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By: Judy Mathias
January 23, 2020
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Medicare may overpay for postop care

Editor's Note Medicare may be overpaying surgeons for postoperative care they provide to patients, according to a new Rand Corporation analysis in the January 23 New England Journal of Medicine. The authors of the analysis suggest that federal officials should incorporate ways to more objectively measure the amount of postoperative…

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By: Judy Mathias
January 23, 2020
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Examining timing of TKA

Editor's Note The timing of total knee arthroplasty (TKA) is important to optimize its benefits, but 90% of patients are waiting too long to have it and getting less benefits, and some 25% of patients are having it prematurely when the benefits are  minimal, this study finds. Of 3,417 knees…

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By: Judy Mathias
January 23, 2020
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Study: Circadian rhythm involved in healing from surgery

Editor's Note The effectiveness of non-steroidal anti-inflammatory drugs (NSAIDs) in managing pain, healing, and recovery after bone fracture depends on when you take them, this study from McGill University finds. The researchers found that NSAIDs are most effective in promoting postoperative healing when taken during the active phase of the…

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By: Judy Mathias
January 22, 2020
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