Editor's Note This study of 8,503 middle-aged and elderly twins in the Netherlands found no clinically significant association of major surgery and anesthesia with long-term cognitive dysfunction. The findings suggest that preoperative cognitive functioning and underlying diseases have stronger influence on postoperative cognitive abilities. The study provided a powerful approach…

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Editor's Note An old drug, tranexamic acid (TXA), which has been used in heart surgery, to treat hemophilia, and to stop excessive uterine bleeding is now being used to reduce the need for blood transfusions during total joint replacements. Researchers from the Hospital for Special Surgery in New York City…

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Editor's Note The Food and Drug Administration (FDA) on February 25 issued a Safety Communication on neurosurgical head holders (skull clamps) and device slippage. From January 2009 to January 2016, the FDA received more than 1,000 reports of slippage or movement of skull clamps before and/or during surgical procedures. The slippage,…

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Editor's Note A meta-analysis of 11 studies showed a significant association between patients who had a colonoscopy with nonmalignant findings and reductions in colorectal cancer and mortality rates. Cancer rate reductions were greater for screening colonoscopy than for diagnostic colonoscopy, and results were similar for men and women. One explanation…

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Editor's Note The Food and Drug Administration (FDA) on February 23 updated its Safety Communication on the November 2015 recall of Custom Ultrasonics automated endoscope reprocessors. The update recommends that healthcare facilities transition to alternative methods to reprocess flexible endoscopes as soon as possible. In November, the FDA cited violations…

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Editor's Note Capnographic monitoring during outpatient colonoscopy with moderate sedation increased costs significantly and did not improve patient safety or satisfaction, this study finds. The analysis included 966 patients (465 without and 501 with capnography) who underwent colonoscopy at the Beth Israel Deaconess Medical Center, Boston. Patients and nurses reported…

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Editor's Note Though cancer rates have remained the same, the rate of women having mastectomies increased 36% between 2005 and 2013, according to new data released February 22 by the Agency for Healthcare Research and Quality (AHRQ). The analysis also showed the rate of double mastectomies more than tripling, and…

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Editor's Note The Food and Drug Administration (FDA) on February 19 announced that it had reviewed updated reprocessing instructions and validation data issued by Pentax Medical (Montvale, New Jersey) for its ED-3490 Video Duodenoscope. The FDA recommends that facilities train staff on the updated instructions and implement them as soon…

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Editor's Note Carotid artery stenting and surgery are equally effective at lowering the long-term risk of stroke, myocardial infarction, or death, finds this study led by researchers from the Mayo Clinic, Jacksonville, Florida. The risk of stroke after either stenting or surgery was about 7%, and the development of restenosis…

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Certain topics in OR Manager bear repeating, and high reliability is one example. The concept, put forth by the Joint Commission in 2013 to improve quality and safety of patient care, is slowly gaining traction as more facilities embrace its principles. Last March, we reported on high reliability practices at…

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