Surgery/Specialties

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FDA updates device failure linked to Getinge’s Maquet/Datascope Intra-aortic Balloon Pumps

Editor's Note The Food and Drug Administration (FDA) on November 19 updated the device failure associated with Getinge’s Maquet/Datascope Intra-aortic Balloon Pumps (IABPs) in a letter to health care providers. Since 2017, the FDA has received more than 75 reports of the IABPs shutting down while running on battery. Five…

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By: Judy Mathias
November 20, 2019
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Preop patient frailty, operative stress linked to postop mortality

Editor's Note Even minor surgical procedures are associated with high risks for mortality in patients who are frail, finds this study. In this retrospective analysis of 432,828 patients in the Veterans Administration Surgical Quality Improvement Program, frailty was associated with increased 30-, 90-, and 180-day mortality across all levels of…

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By: Judy Mathias
November 19, 2019
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L&D overhaul may produce greater efficiency, satisfaction

A strong labor and delivery (L&D) department is a key driver of hospital success. L&D not only contributes significantly to hospital profitability, it plays an important role in establishing and cementing patient loyalty. And as hospitals increasingly take responsibility for community health, an effective birth program can make a measurable…

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By: OR Manager
November 18, 2019
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A primer for starting a total joint replacement program

Ambulatory surgery centers (ASCs) have increasing incentives to offer total joint replacements (TJR) as Medicare expands the list of covered procedures. However, there’s a lot to consider in this particular service line. “There are many things to arrange that aren’t required with other service lines, particularly as home care of…

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By: OR Manager
November 18, 2019
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FDA: Class I recall of Zimmer Biomet’s ROSA Brain 3.0 Robotic Surgery System

Editor's Note The Food & Drug Administration on November 7 identified the recall by Zimmer Biomet of its ROSA Brain 3.0 Robotic Surgery System as Class I, the most serious. The recall was initiated because of a software issue that incorrectly positions the robotic arm. The company has received five…

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By: Judy Mathias
November 14, 2019
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Preventive program reduces work-related musculoskeletal disorders in surgeons

Editor's Note In this multicenter study, a global program based on the application of ergonomics in the OR and specific physical exercises reduced work-related musculoskeletal disorders among surgeons. A total of 141 surgeons were randomized to either the preventive program (PP) group (65 surgeons) or the no preventive program (NPP)…

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By: Judy Mathias
November 14, 2019
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Postop infection linked to risk of long-term infection, mortality

Editor's Note Infection after surgery during postoperative days 0 to 30 is significantly associated with long-term infection and mortality, this study finds. In this analysis of 659,486 patients from the Veterans Health Administration, 3.6% had a 30-day infection, 6.6% had a long-term infection, and 3.8% died during follow-up. At any…

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By: Judy Mathias
November 12, 2019
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Improving prediction of adverse surgical outcomes with machine learning algorithm

Editor's Note In this study, a new machine learning Complexity Score algorithm outperformed three commonly used risk scores in predicting postoperative morbidity, 30-day readmission, 90-day readmission, and postoperative surper-use. Study patients underwent colectomy, abdominal aortic aneurysm repair, coronary artery bypass grafting, total hip or knee replacement, or lung resection. The…

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By: Judy Mathias
November 6, 2019
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Use of medical scribes improves workflow of surgeons, residents in an outpatient setting

Editor's Note Incorporating medical scribes into surgical practices to reduce time surgeons spend on patient documentation and managing electronic health records increases the number of patients seen by surgeons and residents in outpatient clinics, finds this study presented October 29 at the American College of Surgeons Clinical Congress 2019 in…

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By: Judy Mathias
November 5, 2019
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FDA: Class I recall of Abbott CentriMag Circulatory Support System

Editor's Note The Food and Drug Administration on November 4 identified the recall by Abbott of its CentriMag Circulatory Support System as Class I, the most serious. The recall was initiated because of a calibration system error resulting from electromagnetic interference that may cause the pump to slow or stop,…

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By: Judy Mathias
November 5, 2019
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