While demand for OR services can be unpredictable, supply is largely fixed—well below the baseline for many hospitals and health systems. The ability to match supply and demand within perioperative services is critical to efficient ORs, as hospitals and health systems must operate with constrained staffing and anesthesia resources. On…

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Median Arcuate Ligament Syndrome (MALS) presents a challenge to anesthesiologists and surgeons alike in the OR. Clinicians often do not know how to identify and treat this condition, and it can go undetected for years. “I think the reason many anesthesiologists, even pain specialists, aren’t well versed or aware of MALS…

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Editor's Note A multidisciplinary cardiovascular intensive care unit (CVICU) team at Vanderbilt University Hospital in Nashville, Tennessee, recently conducted a bedside surgery simulation of a resternotomy to develop a new protocol for the lifesaving procedure, according to the June 15 VUMC Reporter. When a cardiac surgical patient starts bleeding postoperatively…

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Editor's Note The Food and Drug Administration, on June 12, identified the recall of the rechargeable Walnut Wearable Smart Thermometer as Class I, the most serious. BearCare, Inc, is recalling the thermometers after receiving reports of skin burns and irritation resulting from use of the device. The company reports five…

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Editor's Note In a June 5 letter to healthcare providers, the Food and Drug Administration (FDA) says it is aware of US healthcare facilities and providers experiencing supply constraints of nonsterile, single-use pneumatic tourniquet cuffs. The cuffs are used in elective limb surgeries and in emergency and trauma settings. During…

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Editor's Note The Joint Commission, on May 31, announced that it has added several new and revised elements of performance (EPs) for critical access hospitals (CAHs) that address restraint and seclusion, the complaint process, and unified and integrated structures for CAHs that are part of a multihospital system, effective June…

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Editor's Note The Food and Drug Administration (FDA), on May 24, identified the recall by Draeger Medical of the Seattle PAP Plus as well as VentStar and other breathing circuit/anesthesia kits as Class I, the most serious. The recall was initiated after finding that glued connections may loosen before or…

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Editor's Note According to the Bureau of Labor Statistics, the percent of employment growth from 2021 and projected to 2031 for nursing and operating room-related occupations include: Nurse practitioners—45.7% Physician assistants—27.6% Nurse anesthetists—11.8% Nurse midwives—7.5% Licensed practical and licensed vocational nurses—6.3% Registered nurses—6.2% Surgical technologists—5.9% Nursing assistants—4.7 Surgeons—3.4% Anesthesiologists—1.1%.

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Editor's Note Though the processes of care for emergency coronary artery bypass graft (CABG) surgery were altered by the COVID-19 pandemic, patient mortality did not change for COVID-19-negative patients; however, COVID-19 positive patients did have significantly higher mortality as well as infectious complications, finds this study presented May 6 at…

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Editor's Note This update to the 2014 "Strategies to Prevent Surgical Site Infections in Acute Care Hospitals" recommends that antibiotics be discontinued after a patient’s incision has been closed in the OR, even if drains are present. The expert panel members writing the update add that continuing antibiotics after closure…

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