Surgery
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…
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…
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…
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,…
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…
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…
FDA announces Class 1 recalls for upper airway stimulation system, MRI components
Editor's Note A manufacturing defect in a critical component of an upper airway stimulation (UAS) system and coils prone to overheating during magnetic resonance imaging scans (MRIs) prompted The US Food & Drug administration to issue two Class 1 recalls June 8. Class 1 is the most severe category, indicating…
Vasectomies, tubal ligations rise after Supreme Court actions
Editor's Note New research highlights sharp, nationwide increases in both male and female sterilization procedures since the Supreme Court overturned landmark decision Roe vs. Wade in 2022. Published in JAMA Health Forum, the research on how many 18- to 30-year-olds were getting sterilized before and after the ruling was the…
Standardized handoff protocol improves OR communication
Editor's Note Findings published in the Journal of the American College of Surgeons show how a standardized handoff protocol can improve OR communication and reduce the risk of error, Medical Xpress reported on June 19. The study focused specifically on SHRIMPS, a standardized handoff protocol developed by the quality improvement…
Study finds no link between anesthesia dose, postop delirium
Editor's Note Higher doses of anesthesia did not affect risk of postoperative delirium in a study of more than 1,000 heart surgery patients, according to a June 10 United Press International (UPI) article on study findings published in JAMA. The research included 1,140 heart surgery patients, half of whom had…
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- Legislation proposes to halt Medicare physician payment cuts
- Cigna ties executive pay to patient experience
- Proposed tax credit aims to bolster nurse preceptor ranks
- Study links financial conflicts of interest to favorable robotic bariatric surgery research
- Hospitals double down on ambulatory care expansion with major investments
- Study: Post-laparotomy incisional negative pressure wound therapy fails to reduce infection risk
- FDA announces multiple Class 1 recalls
- Study: ERAS protocol reduces opioid use after cardiac surgery
- Study: Prehabilitation reduces surgical complications, speeds recovery
- Commentary: Studies show how surgeon decisions follow the money