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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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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Navigating contracts with anesthesia when anesthesiology services are suffering from workforce shortages and high costs is often tricky and complex. The biggest mistake ambulatory surgery centers (ASCs) make is that they do not know what they want when entering a contract negotiation with an anesthesia provider. As a result, ASCs…

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Editor's Note This study from Vanderbilt University Medical Center, Nashville, Tennessee, finds that increased time from COVID-19 diagnosis to having a surgical procedure was linked to decreased odds of experiencing major postoperative cardiovascular (CV) complications. A total of 3,997 adult patients who had a previous diagnosis of COVID-19 and underwent…

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Editor's Note In this study, researchers from Yale School of Medicine, New Haven, Connecticut, find that mortality after major surgery is elevated in older adults who are frail or who have probable dementia. A total of 1,193 major surgical procedures in 992 Medicare beneficiaries were analyzed. Among the findings: Overall,…

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Editor's Note The Food and Drug Administration (FDA) on November 29 posted Exela Pharma Sciences’ expansion of its recall of Sodium Bicarbonate Injection, USP, 8.4%, 50 mEq/50 mL vial, 20-count carton. The product poses a safety concern because of vial breakage with flying glass when pressurized while preparing the product for…

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Editor's Note This prospective Danish study finds that transfer to a postanesthesia care unit (PACU) immediately after elective hip and knee arthroplasty might be unnecessary in low-risk patients. A total of 696 total knee (274), total hip (287), and unicompartmental knee (135) arthroplasty patients were analyzed. Of those, 307 bypassed…

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Editor's Note Overall healthcare employment in the US was up in November to a seasonally adjusted 16,623,800 workers, the Bureau of Labor Statistics reported on December 2. That’s up 44,700 since October. Hospital employment also was up by 11,000 jobs. The overall unemployment rate for November was 3.7%, for a…

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The Ann & Robert H. Lurie Children’s Hospital in Chicago has a mission: to successfully serve children with complex airway disorders requiring pulmonary, upper digestive tract, sleep, voice, and swallowing evaluations. As a 360-bed facility ranked among the country’s top children’s hospitals by US News & World Report and housing more than 1,800…

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The St Elizabeth Healthcare organization in northern Kentucky has eight facilities, including two surgery centers. The flagship hospital on the Edgewood campus has 534 beds and 22 ORs and typically performs some 14,000 surgical procedures per year. Robots help manage the volume. The Edgewood, Florence, and Ft Thomas hospitals have…

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