Surgical/Anesthesia

Latest Issue of OR Manager
December 2021
Home Surgical/Anesthesia

COVID-19 driving the move to regional anesthesia

Cancellations of some surgical procedures during the COVID-19 pandemic and case rescheduling have been a major focus for perioperative leaders. But changes are also occurring in anesthesia practices. For many surgical procedures, the use of regional anesthesia or nerve blocks, coupled with light sedation, is reported to double if the…

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By: Steven C. Eror
July 20, 2021
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New term clarifies instrument point-of-use treatment

What exactly is required to prepare instruments for transport to the decontamination room after a surgical procedure? Point-of-use cleaning, which may also be referred to as precleaning, has been used to describe instrument preparation at the point of use after a surgical procedure. But both point-of-use cleaning and precleaning have…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
July 20, 2021
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ENT leaders share innovative ideas to calm pediatric patients

Advancements in technology have made it easier to distract children and ease their fears when they are undergoing surgery, but managing this patient population presents unique challenges. To guide parents and children through the surgery experience, leaders at some ambulatory surgery centers (ASCs) have turned to child life specialists, innovative…

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By: Jennifer Lubell
July 20, 2021
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Diversity of US healthcare workers

Editor's Note In this study, researchers from David Geffen School of Medicine at the University of California, Los Angeles, and Harvard Medical School, Boston, quantify the current representatives of the US healthcare workforce and changes during the past 2 decades. Among the findings: The percentage of White men among physicians…

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By: Judy Mathias
July 19, 2021
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ACS launches new breast cancer skills program

Editor's Note The American College of Surgeons (ACS) on July 9 announced a new breast cancer skills program for breast cancer patients. Patients have access to evidence-based knowledge, checklists, and skills training to support them from preoperative preparation through postoperative recovery. Given in advance of surgery, the ACS Surgical Skills…

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By: Judy Mathias
July 12, 2021
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Utility of COVID-19 testing of asymptomatic patients before ambulatory, inpatient surgical procedures

Editor's Note In this study by researchers at the Yale School of Medicine, New Haven, Connecticut, mass COVID-19 preprocedure testing detected positive asymptomatic patients who were missed by clinical screening alone. The median test turnaround time was 7.8 hours. Of 75, 528 preprocedure tests performed: 318 (0.4%) patients tested positive…

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By: Judy Mathias
July 1, 2021
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FDA: Class I recall of DeRoyal surgical procedure packs

Editor's Note The Food and Drug Administration (FDA), on June 25, identified the recall of DeRoyal Industries’ surgical procedure packs as Class I, the most serious. The recall was initiated because the packs contain 1% lidocaine that had been mislabeled as 0.5% bupivacaine. The procedure packs are used for cardiac…

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By: Judy Mathias
June 28, 2021
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AMA survey shows 96% of physicians vaccinated

Editor's Note The American Medical Association (AMA) has released a new survey of 301 US practicing physicians that shows 96% have been fully vaccinated against COVID-19. Of those not yet vaccinated, 45% plan to do so. Vaccination rates did not differ across: primary care physicians (98%) or specialists (95%) regions—North…

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By: Judy Mathias
June 22, 2021
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Researchers raise the alarm on splashing during reprocessing--Part 1

Does it really matter if surgical instruments are submerged in cleaning solution when technologists or nurses scrub them after a case? Is there a reason for the 3-foot separation between dirty and clean areas? Do germs stop at the red line? During the COVID-19 pandemic, much attention has been focused…

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By: Judith M. Mathias, MA, RN
June 22, 2021
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Patient care improves when leaders push for a culture of safety

Many ingredients go into the recipe for patient safety, and culture is one ingredient that is often overlooked. If the perioperative culture penalizes those who call out patient safety issues and doesn’t commit to continuous quality improvement (QI), it’s likely only a matter of time before a serious error occurs.…

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By: Cynthia Saver, MS, RN
June 22, 2021
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December 2021
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