Editor's Note Evidence is mounting for the use of antibiotics as a valid alternative to surgery for acute appendicitis, including in pediatric cases, the Washington Post reported August 17. The article details how this treatment—described as a “dark secret” by one expert testifying to its use in the 1950s, prior…

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Editor's Note A needle-based technique that blocks sensory and motor function below the chest without intubation or general anesthesia makes surgery safer for pediatric patients, according to a July 15 report in Michigan Medicine. The University of Michigan's pediatric spinal anesthesia program, also implemented at University of Michigan-Sparrow Health Center,…

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Editor's Note New findings show that compared to standard anesthetic methods, a new high-flow oxygen technique is just as safe as during tubeless upper airway surgery in children.  Published in The Lancet Respiratory Medicine, the University of Queensland research-- the High-Flow Oxygen for Children's Airway Surgery (HAMSTER) trial—was the focus of…

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Editor's Note Measuring gene activity in blood samples could help determine whether a child is at risk of sepsis and organ failure, according to findings published March 18 in The Lancet Child & Adolescent Health.  It is often difficult for clinicians to diagnose sepsis because the symptoms are similar to…

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The Competency & Credentialing Institute (CCI) is excited to announce a new development in our certified perioperative nurse (CNOR®) certification program: the introduction of specialty designations. Now, perioperative nurses can specialize in cardiac, bariatric, orthopedic, or vascular surgery, just as RNs can choose oncology, pediatrics, or emergency. A specialty designation…

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Editor's Note In a recent study, black children undergoing emergency appendectomy had a four times greater risk of postoperative complications than white children, independent of socioeconomic status or type of appendicitis. Anaesthesia, the journal of the Association of Anaesthetists, published the findings February 22. Researchers note that this is the…

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Editor's Note What researchers say is the first systematic review and meta-analysis to report on bone health outcomes from pediatric bariatric surgery shows the procedure is highly effective at achieving weight loss amid a childhood obesity crisis of epidemic proportions. However, the surgery also could put patients at greater risk…

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Editor's Note An 8-year-old girl in the UK has been able to live a normal life without immunosuppressants following a kidney transplant in which both the organ and stem cells came from the same donor, The Independent October 12 reports. The patient was able to stop taking immunosuppressant drugs a…

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The OR is the financial motor of a hospital. As such, inefficiencies in this space adversely impact patient safety as well as the financial stability of the hospital and/or healthcare system. The first case on-time starts (FCOTS) metric is one of the primary benchmarks for assessing OR efficiency. The following…

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Editor's Note “What happens when two worlds collide?” asked one of the speakers when discussing the combination of the postanesthesia care unit (PACU) and the inpatient unit at Cohen Children’s Medical Center. The speakers were Cohen Children's Sharon Goodman, DNP, RN, NPD-BC, CPNP, director, pediatric service line; Kristen Martin, MSN,…

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