Surgery

Latest Issue of OR Manager
August 2019

Is disruptive behavior inherent to the surgeon or environment?

Editor's Note Unclear policies and urgent competing responsibilities in the OR create stress, suggesting that the environment is the primary contributor to disruptive behavior by the surgeon, this study finds. Of 314 reports of disruptive behavior from surgical, medical, and other specialties, which included both the reporter account and involved…

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By: Judy Mathias
August 21, 2019
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New calculator predicts outcomes for metabolic, bariatric surgery patients

Editor's Note A new surgical risk/benefit calculator that can predict a bariatric/metabolic patient’s possibility of postoperative remission at 1 year for five weight-related comorbidities will soon be released by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), the American College of Surgeons (ACS) announced on August 20.…

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By: Judy Mathias
August 21, 2019
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Postop delirium linked to long-term decline in elderly

Editor's Note In this study, postoperative delirium in patients averaging 80 years old was linked to long-term detrimental outcomes after major orthopedic surgical procedures. Of 130 patients analyzed, 34 developed postoperative in-hospital delirium. Patients with postoperative delirium had a greater decline in activities of daily living at 2 to 3…

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By: Judy Mathias
August 13, 2019
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Effect of BMI on SSI risk

Editor's Note This study found a trend of increasing risk of surgical site infections (SSIs) for almost all surgery types when body mass index (BMI) increased from normal to morbidly obese. Of 387,919 patients analyzed in the Dutch national surveillance network PREZIES, 1% were underweight, 30% had normal weight, 40%…

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By: Judy Mathias
August 8, 2019
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Study links cancer center affiliation to lower postop mortality

Editor's Note Patients who had complex surgical procedures for cancer at community hospitals that were affiliated with top-ranked cancer hospitals were less likely to die within 90 days after surgery than patients treated at nonaffiliated hospitals, this study finds. Data for more than 14,000 Medicare patients showed 90-day mortality after…

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By: Judy Mathias
August 8, 2019
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Patient factors tied to postop opioid consumption

Editor's Note In this study of opioid-naïve patients having major surgery, researchers found a number of patient characteristics associated with greater opioid use in the first month after surgery. Of 1,181 patients analyzed, the following were significantly associated with increased postoperative opioid consumption: younger age nonwhite race lack of college…

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By: Judy Mathias
August 7, 2019
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Effect of oscillation and lung expansion on postop pulmonary complications

Editor's Note In this study, aggressive pulmonary treatment after surgery with oscillation and lung expansion (OLE) reduced the rate of postoperative pulmonary complications in high-risk patients having open thoracic, aortic, or upper abdominal surgery. A total of 419 patients (209 with OLE treatment and 210 without) were included in the…

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By: Judy Mathias
August 5, 2019
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Sleep deprivation in acute care surgeons

Editor's Note Acute and chronic sleep deprivation patterns are common in acute care surgeons and worsen on post-call day 2, finds this study. In this analysis of 1,421 nights for 17 acute care surgeons, the average amount of sleep was 6.54 hours, with 64.8% of sleep patterns categorized as acute…

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By: Judy Mathias
August 1, 2019
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Coffee lets colorectal surgery patients recover, go home faster

Editor's Note Postoperative coffee intake after elective laparoscopic colorectal resection leads to a faster recovery of bowel function and decreases hospital length of stay, this study from Switzerland finds. A total of 115 patients were randomly assigned to the intervention group (56) receiving coffee or the control group (59) receiving…

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By: Judy Mathias
July 30, 2019
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US News publishes 2019-2020 top hospitals list

Editor's Note The US News & World Report on July 30 released its 2019-2020 Best Hospitals Honor Roll. The top five are: Mayo Clinic, Rochester, Minn Massachusetts General Hospital, Boston Johns Hopkins Hospital, Baltimore Cleveland Clinic New York-Presbyterian Hospital/Columbia and Cornell, New York City. In the specialty rankings: University of…

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By: Judy Mathias
July 30, 2019
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