Ambulatory Surgery

Latest Issue of OR Manager
January 2025
Home Ambulatory Surgery

Smart sutures prevent infection, monitor patient recovery

Editor's note Researchers at Australia-based RMIT University have developed a new antimicrobial suture material that can reduce infections and simplify postoperative monitoring. Laboratory testing on the surgical suture finds it is easily visible in CT scans and that it has strong antimicrobial properties, killing 99% of highly drug-resistant bacteria after…

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By: Judy Mathias
February 2, 2023
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FDA: Class I recall of Medtronic Mahurkar Acute Dual Lumen High Flow Hemodialysis Catheters

Editor's Note The Food and Drug Administration (FDA) on January 30 identified the recall by Medtronic of its Mahurkar Acute Dual Lumen High Flow (13.5 French) Hemodialysis Catheters (Mahurkar QPlus) as Class I, the most serious. The recall was initiated because of a potential catheter hub defect that may cause…

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By: Judy Mathias
February 1, 2023
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Pediatric patients benefit from calming, quiet OR environment

Takeaways • Children are not small adults. Greater attention should be paid to their fears and anxiety, and equipment and medication should be tailored to meet their needs. • All staff should have Pediatric Advanced Life Support (PALS) certification. • ASCs can use toys and games as distractions to ease…

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By: Jennifer Lubell
January 19, 2023
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Strategies for preparing and surviving a CMS survey

The Centers for Medicare and Medicaid Services (CMS) develops conditions of participation (CoPs) and Conditions for Coverage (CfCs) that healthcare organizations must meet in order to participate in Medicare and Medicaid programs. Payers, including government payers, require facility certification or accreditation for reimbursement. “Reimbursement is the critical piece,” says Becky…

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By: Judith M. Mathias, MA, BS, RN
January 19, 2023
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ASA updates preop fasting guidelines

Editor's Note The American Society of Anesthesiologists (ASA) has updated its 2017 guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration. The new 2023 guidance focuses on topics not addressed in the previous guideline, including ingestion of carbohydrate-containing clear liquids with or…

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By: Judy Mathias
January 18, 2023
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ERAS patients are prescribed fewer postdischarge opioids

Editor's Note This study by researchers at the Massachusetts General Hospital, Boston, finds that patients participating in an Enhanced Recovery after Surgery (ERAS) program were prescribed significantly fewer opioids at discharge, compared to patients before ERAS was instituted. A total of 3,983 patients were included (1,929 pre-ERAS and 2,054 post-ERAS).…

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By: Judy Mathias
January 12, 2023
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FDA issues warning letters to endoscope manufacturer

Editor's Note The Food and Drug Administration (FDA) on January 10 announced that it had recently issued two warning letters to Olympus Medical Systems Corporation and one of its subsidiaries, Aizu Olympus Co, Ltd, after facility inspections. The letters addressed violations related to medical device reporting (MDR) requirements and quality…

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By: Judy Mathias
January 12, 2023
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Effect of state order curtailing elective surgery on volume during COVID-19

Editor's Note This study from the University of Michigan, Ann Arbor, finds that the introduction and removal of Michigan’s executive order curtailing elective surgery during COVID-19 lagged behind the ramp-down and ramp-up of elective surgery volume. Hospitals had already achieved a 91.7% reduction in case volume before the executive order…

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By: Judy Mathias
January 11, 2023
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The Joint Commission raises healthcare equity standard to NPSG

Editor's Note The Joint Commission on January 10 announced that it had elevated the Leadership (LD) Standard LD.04.03.08, which addresses healthcare disparities as a quality and safety priority, to a National Patient Safety Goal (NPSG), effective July 1, 2023. Current requirements for accreditation will not change, and the intent behind…

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By: Judy Mathias
January 11, 2023
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Study: Patient perceptions of surgeons linked to color of scrub attire

Editor's Note This study from the University of North Carolina at Chapel Hill finds that scrub color is a valuable identification tool, and it is associated with patients’ perceptions of surgeons. An electronic survey was administered to patients and visitors at the University of North Carolina Medical Center in Chapel…

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By: Judy Mathias
January 11, 2023
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