Coronavirus Disease 2019 (COVID-19) is a global pandemic that led the United States to declare a national emergency and implement a ban on all elective diagnostic and therapeutic procedures, as well as elective surgery in inpatient and outpatient settings. On March 19, the Ambulatory Surgery Center Association (ASCA) released guidance…

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Enhanced Recovery After Surgery (ERAS) is arguably the greatest advancement in surgery in the last 20 years. But even healthcare leaders who support the use of ERAS to achieve better outcomes can find it daunting to implement the protocols throughout their hospital systems. Standardizing practices across areas that have historically…

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Editor's Note In this experimental study from Australia, researchers investigate the effect of ventilator splitting on system variables (ie, inspiratory pressure, flow, and volume) and the possibility of different ventilation targets for each limb. Connecting two patients to the same ventilator presents many challenges: ventilation requirements are different for different…

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Editor's Note During the first 3 weeks of the COVID-19 outbreak in the Seattle area, the most common reasons for ICU admission were hypoxemic respiratory failure leading to mechanical ventilation and/or hypotension requiring vasopressor treatment, and mortality was high in these critically ill patients, this study finds. In this analysis…

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Editor's Note Specialists like cardiac and orthopedic surgical teams as well as anesthesiologists and cardiologists are being redeployed in hospitals to help treat the rising number of COVID-19 patients, the March 30 Modern Healthcare reports. What used to be the heart team at Manhattan’s Mount Sinai Morningside is now a…

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Editor's Note California Gov Gavin Newsom is calling for retired physicians, nurses, and medical and nursing students to help staff emergency hospital sites, the March 30 Modern Healthcare reports. These sites could include the Los Angeles Coliseum and other sports arenas that will be converted to field hospitals to handle…

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Over the last 5 years, the perioperative surgical home (PSH) model has attracted increasing interest from OR directors, anesthesiologists, and surgeons. This team-based, patient-centered approach coordinates all phases of surgical care, from preoperative assessment through intraoperative care and postdischarge recovery. According to the American Society of Anesthesiologists, PSH initiatives have…

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Editor's Note This retrospective, multicenter study from four hospitals in Wuhan, China, found that Novel Coronavirus 2019 (COVID-19) specific guidelines for emergency surgical procedures in patients with confirmed or suspected COVID-19 infection can effectively prevent cross-infection in the OR. The guidelines include: negative pressure ORs level 3 protective measures for…

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Editor's Note The Food & Drug Administration (FDA) on February 27 identified the recall by King Systems of its King Vision Video Laryngoscope Adapter (size ½) as Class I, the most serious. The recall was initiated because all devices from the affected lots show a reversed image on the display,…

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Editor's Note The use of an artificial intelligence (AI) early warning system, compared with standard care, resulted in less intraoperative hypotension in this preliminary study. This single-center, preliminary study from the Netherlands, which included 68 patients (intervention group, 34 and control group, 34) having elective noncardiac surgery, found that application…

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