Surgical/Anesthesia

Latest Issue of OR Manager
July 2019
Home Surgical/Anesthesia

Intervention to reduce low-value preop tests before cataract surgery

Editor's Note Reducing low-value testing before cataract surgery was associated with cost savings for financially capitated healthcare systems, but it was also associated with losses for fee-for-service healthcare systems, which could be a barrier to eliminating low-value care, this study finds. Of 1,054 patients (469 intervention, 585 controls) included in…

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By: Judy Mathias
May 7, 2019
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Use of TAVR in low-risk patients

Editor's Note In this study of low-risk patients with severe aortic stenosis, outcomes were significantly better at 1 year follow-up with transcatheter aortic-valve replacement (TAVR) than surgical aortic-valve replacement. In 1,000 patients at 71 centers who were randomized to undergo either TAVR or surgical aortic-valve replacement, the rate of the…

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By: Judy Mathias
May 2, 2019
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Trends, factors linked to physician burnout

Editor's Note Physician burnout has reached a critically high level, fueled by regulatory, compliance, and technology demands, but health system leaders at the Massachusetts General Hospital in Boston are working to address and relieve burnout and bring the joy back to the practice of medicine with centrally and locally designed…

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By: Judy Mathias
April 30, 2019
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FDA: Class I recall of Miller and Fogarty Atrioseptostomy Dilation Catheters

Editor's Note The Food & Drug Administration (FDA) on April 26 identified the recall of Edwards Lifesciences' Miller and Fogarty Atrioseptostomy Dilation Catheters as Class I, the most serious. The recall was initiated because of reports of difficulty in balloon deflation after deployment, which may lead to balloon fragmentation or…

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By: Judy Mathias
April 30, 2019
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Improving hand hygiene compliance among anesthesia providers

Editor's Note Education and monitoring of hand hygiene among anesthesia providers in the OR improved hand hygiene compliance in this study from the Duke University School of Nursing, Durham, North Carolina. Anesthesia providers were educated on the World Health Organization’s five indications for hand hygiene, and their access to hand…

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By: Judy Mathias
April 29, 2019
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FDA issues Safety Communication for Stryker Wingspan Stent System

Editor's Note The Food and Drug Administration (FDA) on April 25 issued a Safety Communication on use of the Stryker Wingspan Stent System outside of approved indications. The Wingspan Stent System is used to open narrowed arteries in the brains of patients with intracranial stenosis who are experiencing repeated strokes.…

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By: Judy Mathias
April 29, 2019
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Transplanting hearts, lungs from HCV-infected donors into recipients without HCV infection

Editor's Note In patients without HCV infection who received a heart or lung transplant from HCV-infected donors, treatment with a 4-week antiviral regimen prevented establishment of HCV infection, this study finds. Of 44 patients enrolled in the study, 36 received lung transplants and 8 received heart transplants. All of the…

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By: Judy Mathias
April 25, 2019
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Increased duration of surgical antimicrobial prophylaxis linked to adverse events

Editor's Note In this multi-center study, longer durations of surgical prophylaxis did not result in further reductions in surgical site infections (SSIs) but were associated with increasing adverse events. Of 79,058 surgical patients in the VA healthcare system, SSI was not associated with duration of prophylaxis, but odds of acute…

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By: Judy Mathias
April 25, 2019
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Joint Commission announces updates to E-dition

Editor's Note The Joint Commission on April 24 announced that it will be posting spring 2019 updates to the E-dition® of its accreditation and certification manuals in May. The changes, which can be viewed on an organization’s Joint Commission Connect® extranet site, will go into effect July 1 unless otherwise…

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By: Judy Mathias
April 25, 2019
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Off-label use of simethicone, lubricants, and tissue glue contributes to endoscope reprocessing failures

Editor's Note The off-label use of defoaming agents, lubricants, and tissue glue is common, and these insoluable substances are not removed during reprocessing, this study finds. Of 69 fully reprocessed endoscopes examined in four hospitals, microbial cultures were positive for 50% or more. The researchers, led by Cori Ofstead, MSPH,…

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By: Judy Mathias
April 23, 2019
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