Tag: Preoperative Care

Use of telemedicine to preoperatively evaluate bariatric surgery patients

Editor's Note This study from the University of Pittsburgh finds that telemedicine can be used safely and effectively for bariatric surgical patients’ preoperative care. A total of 1,182 patients (telemedicine visit group, 257 vs in-person visit controls, 925) were included in the analysis. The telemedicine group was found to be…

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By: Judy Mathias
February 15, 2023
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Effect of liberal preop fasting policy on fasting duration and patient well-being, safety

Editor's Note This study, led by researchers at the University Medical Center Utrecht in the Netherlands, finds that a liberal preoperative fasting policy allowing adults scheduled for general anesthesia to drink clear fluids until arrival in the OR was associated with reduced fasting duration and improved patient well-being with regard…

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By: Judy Mathias
January 5, 2023
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Tracking orientation, competencies, and skillsets in the OR—Military style

GENERAL Disclaimer: The views expressed in this article are those of the author(s) and do not necessarily reflect the official policy of the Department of Defense or the US Government. Developing OR nurses for the future is a goal of all OR managers. Orientation programs can vary depending on the…

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By: Judith M. Mathias, MA, BS, RN
April 22, 2022
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Effect of perioperative fall prevention intervention on postop falls, quality of life

Editor's Note This study from Washington University School of Medicine, St Louis, finds that a multicomponent safety intervention, consisting of patient education, home medication review, and hazard identification in the home environment, was not associated with reductions in falls during the first year after an elective inpatient surgical procedure, but…

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By: Judy Mathias
March 14, 2022
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Providing preoperative virtual education to providers, patients

The American Academy of Orthopaedic Surgeons projects that total hip replacement (THR) and total knee replacement (TKR) procedures will increase to 635,000 and 1.28 million, respectively, by 2030. That leads to a tremendous amount of Episode of Care opportunities. How can we as clinicians ensure the best possible experience for…

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By: Nina Ramos, BSN, RN, ONC
January 20, 2022
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Takeaways and lessons learned from OR Manager Conference

After more than a year in hiatus, OR Manager Conference was held in October 2021 in Chicago, bringing together hundreds of attendees, speakers, and exhibitors. After the live conference, OR Manager sat down with Cindy Kildgore, education coordinator for the OR Manager Conference; Amy Bethel, education coordinator for the OR…

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By: Tarsilla Moura
December 16, 2021
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County-level social vulnerability linked to worse postop outcomes, especially in minority patients

Editor's Note This study from the Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, Ohio, finds that patients residing in vulnerable communities characterized by a high social vulnerability index (SVI) had worse postoperative outcomes, and the impact was most pronounced in Black/minority patients. In this analysis…

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By: Judy Mathias
December 9, 2021
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Lay groundwork for strong start to new year with quick win in OR efficiency

The new year is just around the corner, and it will bring new challenges for OR leaders as well as fresh opportunities to improve clinical, financial, and operational performance. The typical surgery department is a “target-rich environment”: low utilization, long turnover times, inefficient charge capture, poor documentation, high supply costs,…

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By: Michael Besedick, MS and Kartik Bhatt, MPH
November 17, 2021
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Supportive system synergizes presurgical patient optimization

The better a patient’s overall health prior to undergoing surgery, the more likely a good surgical outcome. Research has demonstrated the benefits of prehabilitation and Enhanced Recovery After Surgery protocols, and many healthcare facilities have embedded such practices into their surgical patient care pathways. At UPMC Central Pennsylvania Region in…

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By: Judith M. Mathias, MA, RN
August 19, 2021
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Preop COVID-19 isolation precautions linked to postop lung complications

Editor's Note This study by researchers with the University of Birmingham, England-led COVIDSurg-GlobalSurg Collaboratives (global partnerships of more than 15,000 surgeons) finds that patients who isolate before their surgical procedures to protect themselves from COVID-19 have a higher risk of postoperative pulmonary complications than those who don’t isolate. Researchers analyzed…

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By: Judy Mathias
August 10, 2021
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