Surgical/Anesthesia

Latest Issue of OR Manager
February 2022
Home Surgical/Anesthesia

Anesthetic complications in children with COVID-19

Editor's Note This study by researchers from the University of Texas Southwestern and Children’s Health, Dallas, finds that children with nonsevere COVID-19 had higher rates of respiratory complications during and after general anesthesia than controls, but severe morbidity was rare and there were no deaths. A total of 99 patients…

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By: Judy Mathias
July 20, 2021
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Researchers raise the alarm on splashing during reprocessing--Part 2

Part 1 of this two-part series discussed the splashes and the potential for exposure to pathogens that personnel face daily in sterile processing and endoscopy departments, as well as the current guidelines and strategies for reducing exposures (OR Manager, July 2021, pp 1, 9-11, 15). These risks were derived from…

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By: Judith M. Mathias, MA, RN
July 20, 2021
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Dynamic block management: A COVID-19 recovery strategy

This year, the American Hospital Association reports that hospitals could lose between $53 billion and $122 billion in revenue. Public health and the healthcare sector faced severe physical, mental, and financial stressors in 2020. Although some pandemic-driven burdens are finally easing, US hospitals are expected to face enormous fiscal losses…

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By: Shawn Sefton, MBA, BSN, RN
July 20, 2021
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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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