Editor's Note Washington University School of Medicine, on July 12, announced that a team of its surgeons performed the first robotic liver transplant in the US in May at Barnes-Jewish Hospital, St Louis. The patient, a man in his 60s who needed a transplant because of liver cancer and cirrhosis…

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Editor's Note The Food and Drug Administration (FDA), on July 17, identified the recall by Quidel Cardiovascular Inc of its Quidel Triage Cardiac Panels as Class I, the most serious. The recall was initiated because of reports of inaccurate tests showing lower than expected troponin levels in samples. A falsely…

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Editor's Note The Joint Commission, on July 12, announced that it and the American Heart Association (AHA) have revised requirements for the Advanced Certification in Heart Failure program to align with the latest clinical practice guidelines for heart failure, effective January 1, 2024. Requirements for interdisciplinary team members have been…

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Editor's Note This study, led by researchers at Boston Children’s Hospital and the American College of Surgeons, finds that a small number of surgical procedures account for a disproportionate number of surgical site infections (SSIs) in elective pediatric surgery. This multicenter analysis included SSI data from 90 hospitals and 11,689…

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Editor's Note In a June 27 letter, the American Hospital Association (AHA) urged the Environmental Protection Agency (EPA) “to avoid disrupting healthcare delivery through the unintentional fracturing” of the medical device supply chain with its proposed ethylene oxide (EtO) standards. The EPA proposes: reducing EtO emissions by 80% adding new…

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Editor's Note This multi-center study led by Humana Inc, Louisville, Kentucky, finds that a bundled payment program offered by a Medicare Advantage insurer for lower extremity joint replacements was associated with reduced spending without changes in quality. A total of 23,034 lower extremity joint replacement surgical episodes (6,355 bundled, 16,679…

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Editor's Note Because of recent studies, the evolving nature of COVID-19, and widespread vaccination, the American Society of Anesthesiologists (ASA) and Anesthesia Patient Safety Foundation (APSF) on June 20 released a joint statement providing updated recommendations for the timing of elective surgery and anesthesia after COVID-19 infection. The recommendations include:…

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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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Editor's Note A multidisciplinary cardiovascular intensive care unit (CVICU) team at Vanderbilt University Hospital in Nashville, Tennessee, recently conducted a bedside surgery simulation of a resternotomy to develop a new protocol for the lifesaving procedure, according to the June 15 VUMC Reporter. When a cardiac surgical patient starts bleeding postoperatively…

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Editor's Note This study led by researchers at Stanford University School of Medicine, Palo Alto, California, examines annual pediatric surgical site infection (SSI) rates among 287 US hospitals between 2015 and 2018. Overall, 27,433 surgical procedures were included in this study. The average annual SSI rates were highest for colon surgery…

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