Ambulatory Surgery

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January 2025
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ACS releases new breast cancer standards

Editor's Note The American College of Surgeons (ACS) National Accreditation Program for Breast Centers (NAPBC), on April 19, released new breast cancer standards that put the individualized needs of the patients first and focus on shared decision-making. Previous standards addressed surgical care issues through an interdisciplinary lens, but they were…

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By: Judy Mathias
April 19, 2023
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FDA: Class I recall of Ivenix Infusion System

Editor's Note The Food and Drug Administration (FDA), on April 19, identified the recall by Fresenius Kabi USA of its Ivenix Infusion System as Class I, the most serious. The recall was initiated because of a leak in the system that allows fluid to enter the administration set loading area…

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By: Judy Mathias
April 19, 2023
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Single-use items contribute two-thirds of carbon footprint in the OR

Editor's Note In this study from the UK, researchers find that two-thirds of carbon contributions in the OR can be attributed to single-use items and one-third to reusable products used in five common surgical procedures. The mean average carbon footprint includes: 85.5 kg CO2e (carbon dioxide equivalents) for knee arthroplasty…

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By: Judy Mathias
April 18, 2023
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Female HCWs need better protection from ionizing radiation

Editor's Note In this British Medical Journal editorial, experts say that female healthcare workers (HCWs) need better protection of their breast tissue from routine ionizing radiation, and they urge implementation of more rigorous radiation protection standards. The experts make the following recommendations: reducing the duration of exposure increasing the distance…

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By: Judy Mathias
April 18, 2023
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FDA updates opioid prescribing information

Editor's Note The Food and Drug Administration (FDA), on April 13, updated prescribing information for all opioid pain medications, including requiring all packaging to have updated labeling and safety information. This includes stating that: for both immediate-release (IR) and extended release/long acting (ER/LA) opioid pain medications, the risk of overdose…

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By: Judy Mathias
April 18, 2023
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FDA issues Safety Communication on certain N95 respirators, surgical masks

Editor's Note The Food and Drug Administration (FDA), on April 12, issued a Safety Communication recommending that consumers, healthcare providers, and facilities not use certain surgical N95 respirators and to use caution with certain surgical masks and pediatric face masks, all manufactured by O&M Halyard. The FDA says it is…

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By: Judy Mathias
April 13, 2023
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Cardiac interventional procedures are shifting from hospitals to ASCs

Editor's Note At ACC.23 (the American College of Cardiology 2023 conference), Sunil Rao, MD, director of interventional cardiology at NYU Langone and president of the Society of Cardiovascular Angiography and Interventions (SCAI), spoke about the shift in interventional procedures from hospitals to ambulatory surgical centers (ASCs), Cardiovascular Business April 10…

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By: Tarsilla Moura
April 13, 2023
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The Joint Commission issues Quick Safety on preventing light source-related burns during surgical procedures

Editor's Note The Joint Commission, on April 10, released a new Quick Safety advisory on preventing patient burns from light sources used during laparoscopic or arthroscopic procedures. Burns from these light sources can go unnoticed because they typically do not produce smoke or charring, even of surgical drapes, The Joint…

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By: Judy Mathias
April 11, 2023
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Effect of percentage of overlapping surgery on patient outcomes

Editor's Note In this study, led by the University of Alabama at Birmingham, overlapping surgery was shown to reduce in-hospital mortality and to have similar patient safety indicators and readmission rates as nonoverlapping cases. Operative time was shown to increase with overlapping cases. A total of 87,426 cases were included…

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By: Judy Mathias
April 11, 2023
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Nonoperative vs operative management of acute appendicitis in older adults

Editor's Note This study from the University of Texas Southwestern, Dallas, finds that nonoperative management of acute appendicitis was associated with reduced complications in older but not younger patients. Included in the analysis was data from the Agency for Healthcare Research and Quality’s National Inpatient Sample on 474,845 patients with…

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By: Judy Mathias
April 6, 2023
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