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ASA updates guidelines for preop fasting, drugs to reduce pulmonary aspiration risk

Editor's Note The American Society of Anesthesiologists (ASA) has published new “Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to health patients undergoing elective procedures.” The document updates its guidelines published in 2011. The guidelines are intended for use…

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By: Judy Mathias
January 6, 2017
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FDA classifies recall of IV Flush Syringes by Nurse Assist as Class I

Editor's Note The Food and Drug Administration (FDA) on January 4, 2017, classified the recall by Nurse Assist (Haltom City, Texas) of its IV Flush Syringes as Class I, the most serious. The recall was initiated because of a potential link to Burkholderia cepacia blood stream infections with the syringes.…

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By: Judy Mathias
January 6, 2017
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Ambulatory surgery PSH program linked to better outcomes

Editor's Note Introduction of the Perioperative Surgical Home (PSH) model for patients having ambulatory laparoscopic cholecystectomy at a Kaiser Permanente facility was associated with decreased length of stay and unplanned hospital admissions in this study. A total of 878 patients were included in the preimplementation period, and 1,082 in the…

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By: Judy Mathias
January 5, 2017
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Relationship between anesthesia service use and screening colonoscopy rates

Editor's Note No significant association was found between anesthesia service use and colonoscopy screening or colorectal cancer screening rates, suggesting that more evidence is needed to support the Centers for Medicare & Medicaid Services rule change that defined “screening colonoscopy” to include separately furnished anesthesia services, this study finds.           The…

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By: Judy Mathias
January 5, 2017
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FDA issues safety warning for battery-powered mobile medical carts

Editor's Note The Food and Drug Administration (FDA) on December 27 issued a warning to healthcare facilities of potential safety risks associated with battery-powered mobile medical carts. The FDA has received reports of explosions, fires, smoking, and overheating of the lithium and lead acid batteries in these carts that required…

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By: Judy Mathias
January 5, 2017
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Effect of ERAS, fast track protocols on postop infections

Editor's Note Enhanced recovery after surgery (ERAS) and fast track surgery protocols were associated with a significant reduction in postoperative lung, urinary tract, and surgical site infections, compared with conventional protocols in this study. ERAS and fast track protocols also were linked to a significant decrease in hospital length of…

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By: Judy Mathias
January 4, 2017
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Nurses again top Gallup poll for ethics, trustworthiness

Editor's Note Nursing remains the most-trusted profession in Gallup’s annual honesty and ethical standards survey for the 15th year in a row. A total of 84% of respondents rated nurses’ honesty and ethical standards as high or very high. Pharmacists and physicians were second and third in the ratings at…

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By: Judy Mathias
January 4, 2017
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FDA: Class I recall of Standard Offset Cup Impactor by Greatbatch Medical

Editor's Note The Food and Drug Administration (FDA) on December 20 classified the recall by Greatbatch Medical (Frisco, Texas) of its Standard Offset Cup Impactor with a POM-C handle as Class I, the most serious. The recall was issued because the Impactor failed sterility testing when sterilized in a dedicated…

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By: Judy Mathias
January 4, 2017
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FDA bans powdered gloves

Editor's Note The Food and Drug Administration (FDA) on December 19, 2016, published a final rule banning powdered surgeon gloves, powdered patient examination gloves, and absorbable powder for surgeon’s gloves, effective January 18, 2017. The FDA says it issued the ban because these products present unreasonable and substantial risks to…

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By: Judy Mathias
January 3, 2017
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New administration likely to intervene in bundled-payment initiatives

Editor's Note The Centers for Medicare & Medicaid Services (CMS) issued a final rule December 20, 2016, on its cardiac and orthopedic bundled-payment initiatives, but President-elect Donald Trump’s nominee for Health and Human Services secretary, Rep Tom Price (R-Ga) is likely to stop the cardiac mandatory initiative scheduled to start…

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By: Judy Mathias
January 3, 2017
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