Surgery

Latest Issue of OR Manager
February 2025

Anesthetic complications in children with COVID-19

Editor's Note This study by researchers from the University of Texas Southwestern and Children’s Health, Dallas, finds that children with nonsevere COVID-19 had higher rates of respiratory complications during and after general anesthesia than controls, but severe morbidity was rare and there were no deaths. A total of 99 patients…

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By: Judy Mathias
July 20, 2021
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Researchers raise the alarm on splashing during reprocessing--Part 2

Part 1 of this two-part series discussed the splashes and the potential for exposure to pathogens that personnel face daily in sterile processing and endoscopy departments, as well as the current guidelines and strategies for reducing exposures (OR Manager, July 2021, pp 1, 9-11, 15). These risks were derived from…

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By: Judith M. Mathias, MA, RN
July 20, 2021
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Dynamic block management: A COVID-19 recovery strategy

This year, the American Hospital Association reports that hospitals could lose between $53 billion and $122 billion in revenue. Public health and the healthcare sector faced severe physical, mental, and financial stressors in 2020. Although some pandemic-driven burdens are finally easing, US hospitals are expected to face enormous fiscal losses…

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By: Shawn Sefton, MBA, BSN, RN
July 20, 2021
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COVID-19 driving the move to regional anesthesia

Cancellations of some surgical procedures during the COVID-19 pandemic and case rescheduling have been a major focus for perioperative leaders. But changes are also occurring in anesthesia practices. For many surgical procedures, the use of regional anesthesia or nerve blocks, coupled with light sedation, is reported to double if the…

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By: Steven C. Eror
July 20, 2021
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New term clarifies instrument point-of-use treatment

What exactly is required to prepare instruments for transport to the decontamination room after a surgical procedure? Point-of-use cleaning, which may also be referred to as precleaning, has been used to describe instrument preparation at the point of use after a surgical procedure. But both point-of-use cleaning and precleaning have…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
July 20, 2021
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ENT leaders share innovative ideas to calm pediatric patients

Advancements in technology have made it easier to distract children and ease their fears when they are undergoing surgery, but managing this patient population presents unique challenges. To guide parents and children through the surgery experience, leaders at some ambulatory surgery centers (ASCs) have turned to child life specialists, innovative…

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By: Jennifer Lubell
July 20, 2021
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ACS launches new breast cancer skills program

Editor's Note The American College of Surgeons (ACS) on July 9 announced a new breast cancer skills program for breast cancer patients. Patients have access to evidence-based knowledge, checklists, and skills training to support them from preoperative preparation through postoperative recovery. Given in advance of surgery, the ACS Surgical Skills…

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By: Judy Mathias
July 12, 2021
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Utility of COVID-19 testing of asymptomatic patients before ambulatory, inpatient surgical procedures

Editor's Note In this study by researchers at the Yale School of Medicine, New Haven, Connecticut, mass COVID-19 preprocedure testing detected positive asymptomatic patients who were missed by clinical screening alone. The median test turnaround time was 7.8 hours. Of 75, 528 preprocedure tests performed: 318 (0.4%) patients tested positive…

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By: Judy Mathias
July 1, 2021
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Researchers raise the alarm on splashing during reprocessing--Part 1

Does it really matter if surgical instruments are submerged in cleaning solution when technologists or nurses scrub them after a case? Is there a reason for the 3-foot separation between dirty and clean areas? Do germs stop at the red line? During the COVID-19 pandemic, much attention has been focused…

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By: Judith M. Mathias, MA, RN
June 22, 2021
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ISMP introduces perioperative Medication Safety Self Assessment

Editor's Note The Joint Commission announced on June 16 that the Institute for Safe Medication Practices (ISMP) has launched a new Medication Safety Self Assessment for perioperative settings to gauge how well organizations are doing in protecting surgical patients from medication errors. The new tool, which is for hospitals, ambulatory…

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By: Judy Mathias
June 17, 2021
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