Editor's Note This study from Baptist Health-Fort Smith, Arkansas, finds that the low-energy consumption ventilation system specified for in US operating rooms produces different zones of sterile protection from airborne microbe carrying particles (MCP) during total joint arthroplasties. The predominant source of MCPs are from personnel in the OR—an average…

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Takeaways Rural hospital purchases by larger health systems should improve access to surgical treatment in remote areas, but some acquisitions have resulted in decreased care quality and reduced access to services, as shown by recent examples. Despite challenges, rural hospital acquisitions can lead to expanded services, enhanced perioperative support, and…

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Access to quality care in rural areas has been making headlines since the pandemic began. The issue of ensuring appropriate access to services in rural and community hospitals is not a new concern. But with the unprecedented number of shutdowns—not only of certain departments and service lines but also total…

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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 This study, led by Boston University and VA Boston Healthcare System, finds a large variation in mortality across Veterans Health Administration (VHA) facilities during the COVID-19 pandemic. A total of 11.4 million VHA enrollees during 2016 and 2020 were included in the analysis. Among the findings: VHA-enrolled veterans…

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Editor's Note This study from the Centers for Medicare and Medicaid Services (CMS) Office of the Actuary (OACT) estimates that US healthcare spending will grow by 5.4% per year on average from 2022 to 2031, now that the COVID-19 public health emergency has ended. Rising from $4.4 to $7.17 trillion,…

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Editor's Note Pfizer alerted the Food and Drug Administration (FDA) on June 12 that its supply of two forms of injectable penicillin—Bicillin L-A and Bicillin C-R—may run out by the end of this month, the June 13 The Hill reports. Pfizer cited a combination of factors for the shortage, including…

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Editor's Note A new study led by researchers at Massachusetts General Hospital (MGH) finds reduced opioid administration during surgery unintendedly increased postoperative pain and opioid use. The retrospective cohort study included 61,249 individuals who underwent noncardiac surgery with general anesthesia from April 2016 to March 2020. The maximal pain score…

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Editor's Note This study from the Centers for Disease Control and Prevention, Atlanta, finds that standardized infection ratios (SIRs) were significantly higher during COVID-19 than during the prepandemic period, and the incidence of healthcare associated infections (HAIs) was elevated during periods of high COVID-19 hospitalizations. The analysis revealed elevated incidence…

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