Surgery

Latest Issue of OR Manager
October 2024

Anesthesiologists sound alarm on wildfire smoke, surgical outcomes

Editor's Note The rising frequency of wildfires has anesthesiologists concerned about potential for adverse surgical outcomes to exposed patients, according to an article in the Online First edition of Anesthesiology,  the peer-reviewed journal of the American Society of Anesthesiologists (ASA). As of an August 6 report from ASA, nearly 100…

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By: Matt Danford
August 9, 2024
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Study: COVID infection negatively impacts surgical outcomes

Symptomatic SARS-COV-2 patients undergoing surgical procedures experience significantly higher 30-day in-hospital mortality, ICU admission, longer ICU and hospital stay, and pulmonary complications, according to a study published August 1 in the Journal of PeriAnesthesia Nursing. Researchers analyzed a year’s worth of records of 102 infected surgical patients and those who…

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By: Matt Danford
August 7, 2024
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EHR ‘nudge’ reduces unnecessary axillary surgery in older breast cancer patients

JAMA (healthcare publication) Network logo

Editor's Note An electronic health record (EHR)-based nudge could significantly reduce low-value axillary surgeries in older women with early-stage breast cancer, researchers reported July 17 in JAMA Surgery. Conducted across eight clinical settings, the initiative significantly cut the rates of low-value sentinel lymph node biopsies (SLNB) by nearly 50% over…

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By: Matt Danford
August 5, 2024
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Study: Video-based assessment shows promise for assessing non-technical surgical skills

JAMA (healthcare publication) Network logo

Editor's Note Automated surgical video analysis could enhance evaluation of an OR team’s nontechnical skills, according to a study published July 31 in JAMA Network Open. Conducted between January 2021 and May 2022, the cross-sectional study involved 30 cardiovascular surgical teams at a teaching hospital in Boston, Massachusetts. Using OpenPose,…

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By: Matt Danford
August 1, 2024
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Study reveals puzzling paradox on bilateral mastectomy, breast cancer survival outcomes

Editor's Note Medical professionals have long accepted that bilateral mastectomy does not improve survival outcomes for breast cancer patients. However, a study published in JAMA Oncology reveals a puzzling finding: Those who develop a second cancer in the other breast have a higher risk of death. As detailed in a…

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By: Matt Danford
July 31, 2024
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ASC management is a skill: A day in the administrator role

The administrator of an ambulatory surgery center (ASC) wears many hats, doing every odd job in the book to keep their free-standing center safe, compliant, and operational. But what does “wearing many hats” mean exactly? OR Manager spoke with Nyleen Flores, CPMSM, CPCS, CPCO, CASC, chief administrative officer at Lake…

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By: Tarsilla Moura
July 31, 2024
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The US News journey to introduce a new ‘best’ ASCs ranking

Some 800,000 knee replacements and 550,000 hip replacements are performed in the US each year. Factoring in the ever-expanding aging population, projections show the figure for knee replacements alone will explode to 3.5 million procedures being done annually by 2030—and that is just one type of procedure within a single…

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By: Tarsilla Moura
July 31, 2024
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Less-invasive anesthesia technique improves pediatric surgery safety, patient experience

Editor's Note A needle-based technique that blocks sensory and motor function below the chest without intubation or general anesthesia makes surgery safer for pediatric patients, according to a July 15 report in Michigan Medicine. The University of Michigan's pediatric spinal anesthesia program, also implemented at University of Michigan-Sparrow Health Center,…

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By: Matt Danford
July 25, 2024
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High-flow oxygen deemed safe for pediatric tubeless airway surgery

Editor's Note New findings show that compared to standard anesthetic methods, a new high-flow oxygen technique is just as safe as during tubeless upper airway surgery in children.  Published in The Lancet Respiratory Medicine, the University of Queensland research-- the High-Flow Oxygen for Children's Airway Surgery (HAMSTER) trial—was the focus of…

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By: Matt Danford
July 22, 2024
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Research reveals surgery not limited to humans

Editor's Note Researchers recently observed an unprecedented behavior in Florida carpenter ants (Camponotus floridanus): Unlike most ant species that treat injured limbs with antimicrobial substances, these ants perform amputation by biting off the injured limb. The journal Science reported the news July 2. Multiple experiments confirmed the amputation behavior, Science…

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By: Matt Danford
July 11, 2024
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