US News & World Report releases best hospital rankings
Editor's Note US News & World Report on July 27 released its best hospital rankings for 2021-2022, with the Mayo Clinic in Rochester, Minnesota, earning the top spot for the 6th year in a row. Rounding out the top five in the Honor Roll were: Cleveland Clinic UCLA Medical Center…
COVID-19 as possible cause of orbital cellulitis
Editor's Note In this case study, craniofacial surgeons from Brazil describe their experience with a 28-year-old COVID-19-positive man who developed orbital cellulitis, requiring surgical intervention. A few weeks before, the man had a mild illness with fatigue and loss of smell and taste. He didn’t seek medical care until he…
ACS strongly opposes Medicare cuts to surgical patient care
Editor's Note In a July 14 news release, the American College of Surgeons (ACS) said the proposed Medicare physician fee schedule for CY 2022 poses a threat to surgical patient care. The proposed rule from the Centers for Medicare & Medicaid Services (CMS) maintains cuts to surgical care that Congress…
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…
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…
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…
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…
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…
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…
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…
