Surgery/Specialties
COVID-19 patients have greatly increased risk of postop mortality
Editor's Note Patients having surgery after contracting COVID-19 are at greatly increased risk of postoperative death, this study finds. Researchers examined data for 1,128 patients from 235 hospitals in 24 countries. Overall 30-day postoperative mortality was 23.8%. Mortality was high across all subgroups including: elective surgery, 18.9% emergency surgery, 25.6%…
CMS to make some pandemic telehealth provisions permanent
Editor's Note The Centers for Medicare & Medicaid Services (CMS) administrator Seema Verma says use of telehealth has grown dramatically during the COVID-19 pandemic, and some provisions that were extended temporarily will be made permanent, the June 2 Becker’s Hospital Review reports. During the pandemic, CMS expanded access to telehealth…
Study: Response of cardiac surgery units to COVID-19
Editor's Note This study found reduced cardiac surgery activity, redeployed personnel, and curtailed educational and research activities in response to the COVID-19 pandemic. Survey respondents from 60 cardiac surgery centers in 19 countries said they had reduced their cardiac surgical procedures by an average of 50% to 75% in response…
Pediatric modification of scoring scale helps surgeons prioritize procedures during COVID-19
Editor's Note In this study, researchers found that a pediatric adaptation of the adult Medically Necessary Time-Sensitive (MeNTS) risk stratification system was a valuable decision tool that helped them prioritize surgical procedures in children during the COVID-19 pandemic. The researchers tested the pediatric MeNTS (pMeNTS) in 101 patients scheduled for…
CDC releases reopening guidelines
Editor's Note The Centers for Disease Control and Prevention (CDC) on May 20 posted two new resources to help states reopen. The first is a 60-page document that includes information on general and healthcare surveillance and continuing guidance on infection control, contact tracing, and testing. It also includes a standardized…
An agile, data-driven strategy for post-COVID-19 OR management
Editor's Note As states begin to ease restrictions imposed by COVID-19, physicians, nurse leaders, and administrators face a momentous challenge in resuming elective surgical procedures. Cincinnati Children’s Hospital Medical Center developed a model that made best use of available data (eg, case logs, forecasts, etc). Adoption of an agile methodology—a…
Readying your SPD for a post-COVID world
Editor's Note While responding to demands of the COVID-19 pandemic, perioperative leaders also are busy preparing staff and departments for life after the initial shock subsides. Chief among their preparations are strategies to address the increased demand for surgery because of postponement of elective and nonessential surgical procedures. The sterile…
OR leaders chart new territory for resuming elective surgery
Elective surgical procedures that were temporarily suspended in mid-March are now on the table—or soon will be—at some US facilities. The ban, announced on March 18 by the Centers for Medicare & Medicaid Services (CMS), was enacted to free up resources for facilities overwhelmed by surges of COVID-19 patients. On…
Children's hospital revises patient care criteria for COVID-19
The COVID-19 pandemic is having a major impact on all aspects of healthcare delivery worldwide. For children’s hospitals, the crisis has created unique challenges in ensuring patient and provider safety as well as helping to contain the spread of COVID-19 through their communities. According to the Centers for Disease Control…
Editorial
Coronavirus cases in the US topped 1 million in late April. Although total numbers of cases and deaths change daily and vary greatly among urban vs rural regions of the country, it’s safe to say we haven’t yet seen the last of the surges. Despite ongoing shortages of personal protective…
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- Borescope inspections reveal widespread contamination in lumened surgical instruments
- Nursing workforce faces high turnover despite signs of recovery
- FDA issues early alerts for intravascular catheters
- Market volatility threatens hospitals’ liquidity as tariff-driven costs rise
- Study: CT scan radiation could drive 5% of future cancer cases
- New studies, surgical feats advance organ transplant medicine
- Commentary: Cyberattacks threaten financial survival of surgical practices
- Tariffs strain supply chains, split medical manufacturing community
- Study: Systemic gender bias embedded in surgical practice
- Literature review: Endoscope disinfection failures highlight need for stronger sterilization practices