Surgery/Specialties
Unveiling ECRI’s 2024 top 10 health technology hazards list
What is the purpose of the top 10 health technology hazards list, released every year by ECRI? “Our number one goal at ECRI is to reduce preventable harm,” stresses Jason Launders, MSC, former director of operations, device evaluation, at ECRI. “We know that every healthcare provider has a lot they…
CNOR specialty designations distinguish uncommon skillsets
The Competency & Credentialing Institute (CCI) is excited to announce a new development in our certified perioperative nurse (CNOR®) certification program: the introduction of specialty designations. Now, perioperative nurses can specialize in cardiac, bariatric, orthopedic, or vascular surgery, just as RNs can choose oncology, pediatrics, or emergency. A specialty designation…
Study: Postop emergency appendectomy complications more likely for Black children
Editor's Note In a recent study, black children undergoing emergency appendectomy had a four times greater risk of postoperative complications than white children, independent of socioeconomic status or type of appendicitis. Anaesthesia, the journal of the Association of Anaesthetists, published the findings February 22. Researchers note that this is the…
Study: Bariatric surgery effective for pediatric weight loss, but may adversely affect bone health
Editor's Note What researchers say is the first systematic review and meta-analysis to report on bone health outcomes from pediatric bariatric surgery shows the procedure is highly effective at achieving weight loss amid a childhood obesity crisis of epidemic proportions. However, the surgery also could put patients at greater risk…
Study: Early postoperative endoscopy safe, effective for esophageal cancer patients
Editor's Note Using early postoperative endoscopy to detect anastomotic leakage after minimally invasive esophagectomy does not increase postoperative adverse events, according to a study published February 10 in the journal Surgery. Anastomotic leakage is one of the most severe adverse events of minimally invasive esophagectomy for esophageal cancer. Often deadly,…
Machine learning shows potential to prevent costly, ineffective back surgery
Editor's Note Although lumbar disc herniation surgery can alleviate symptoms of back pain and even prevent disability, the costs exceed the benefits for a sizeable minority of patients, researchers write in a study published February 7 in Jama Network. To address this concern, they investigated whether machine learning algorithms that…
Study: Intravascular imaging for stent guidance improves outcomes for heart disease patients
Editor's Note Using intravascular imaging to guide stent implantation during percutaneous coronary intervention (PCI) provides significantly better outcomes than angiography, according to findings published February 21 in The Lancet. In a study of 15,964 patients undergoing PCI from 22 trials in hundreds of centers from March 2010 to August 2023,…
Study questions use of fusion surgery for treating sacroiliac joint pain
Editor's Note A recent double-blind, randomized controlled trial could not prove that minimally invasive sacroiliac joint fusion was any more effective than sham surgery in treating severe sacroiliac joint pain. “With these findings, there should be discussion in the medical community whether an irreversible surgical procedure with related risks and…
Study: Intrathecal morphine reduces post-op opioid need in open prostate, kidney surgeries
Editor's Note A recent study suggests a single dose of intrathecal morphine provides long-lasting analgesia and reduces the need for postoperative systemic administration of opioids after painful open urological procedures. The Journal of PeriAnesthesia Nursing published the data January 31. Intrathecal opioid administration is an attractive technique in these surgeries…
Breaking down the surgical gown: Disposable versus reusable, latest innovations
There is movement happening in the world of surgical gowns. It is driven in part by the COVID-19 pandemic, which brought new focus to the need for adequate stockpiles of personal protective equipment (PPE)—and for PPE that works as intended. Staff need to know their gowns incorporate the latest technology…
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