Editor's Note A blood management program at Johns Hopkins using a hemoglobin transfusion threshold of 7 g/dl in orthopedic surgical patients reduced blood use by 32.5% and resulted in similar or improved outcomes. Improved outcomes were primarily in patients 65 years of age or older. For this study, researchers evaluated…

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Editor's Note The Food & Drug Administration (FDA) on August 17 issued a Safety Alert for SynCardia Systems’ (Tucson, Arizona) Temporary Total Artificial Heart Companion 2 Driver System. Final results from a post-approval study indicate higher mortality and stroke rates for patients initially supported with the C2 Driver System compared…

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Editor's Note Led by Martin A. Makary, MD, MPH, a Johns Hopkins panel of experts developed the nation’s first set of opioid prescribing guidelines for 20 common surgical procedures in 8 surgical specialties. The guidelines are based on the premise that opioid prescribing should be based on the surgical procedure…

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Editor's Note Increased use of neuraxial anesthesia was associated with lower hospitalization costs for hip and knee replacements, but more studies are needed before considering neuraxial anesthesia as a marker of quality, this study finds. National data on 808,237 total knee and 371,607 total hip replacements were analyzed. Increasing frequency…

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Editor's Note Engineers and neurosurgical researchers at the University of Minnesota have created a 3D-printed device with living cells that could help patients with long-term spinal cord injuries regain some function, according to this August 9 report from the University of Minnesota. For the procedure, a 3D-printed guide, made of…

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Editor's Note Siemens Healthineers (Erlangen, Germany) and NuVasive (San Diego, California) have entered into a strategic partnership to create integrated 3D imaging, surgical automation technology, and navigation for minimally invasive spine procedures, the August 9 Becker’s Spine Review reports. The collaboration, called the “Spine Precision Partnership,” will integrate Siemen’s Cios…

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Editor's Note In this study, implementation of Lean interventions to redesign the workflow in the preoperative holding area of a large urban medical center was linked to significantly improved rates of elective first case on-time starts. Data from 23,891 surgical procedures performed over 415 days were examined−86 days before, 35…

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Editor's Note This study finds that irregularly shaped OR surfaces may require enhanced covering, cleaning, and monitoring protocols, compared to more regularly shaped surfaces. Researchers coupled ATP assays with traditional RODAC plate sampling and mass spectrometry to evaluate cleaning of five types of high-touch surfaces in the OR.  Whether surfaces…

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Editor's Note A recent Reaction Data survey of 254 physicians found that 21% believed electronic health records (EHRs) were the biggest determinant in burnout, followed by payers/preauthorization, regulatory compliance, and internal bureaucracy, the July 31 Healthcare Informatics reports. All factors had a common theme of consuming time and preventing physicians…

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Editor's Note The number of door openings in the OR and duration of procedure were significantly associated with increased colony-forming units (CFUs) in the OR overall and outside of laminar airflow (LAF), this study finds. In LAF conditions, however, only the number of OR personnel was significantly associated with increased…

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