Editor's Note The American College of Surgeons and American Geriatrics Society on January 4 released a new best practice guideline for optimal care of older adults before, during, and after surgery. The new guideline, “Optimal Perioperative Care of the Geriatric Patient,” addresses the care of surgical patients 65 years old…

Read More

Editor's Note New clinical practice guidelines from the Society of Thoracic Surgeons recommend the use of arteries from the chest and forearm rather than using veins from the leg for coronary artery bypass grafting. The left internal thoracic artery is considered the gold standard conduit for coronary bypass and has…

Read More

Editor's Note Since publication of the Appropriate Use Criteria for Coronary Revascularization in 2009, the number of nonacute percutaneous coronary interventions (PCIs) has declined significantly (89,704 vs 59,375). The proportion of nonacute PCIs classified as inappropriate has also declined (26.2% vs 13.3%), although hospital-level variation persists. These findings indicate that…

Read More

Editor's Note A heating, ventilating, and air conditioning task force on September 28 issued interim guidance to help health care facilities maintain appropriate temperature and humidity in ORs and sterile processing departments, AHA News reports. The interim guide was developed as the task force is working to achieve consensus on…

Read More

Editor's Note The release of 2002 guidelines on preoperative testing by the American Society of Anesthesiologists, American College of Cardiology, and American Heart Association was associated with a reduction in routine ECG testing but not of x-rays, hematocrit, urinalysis, or cardiac stress testing, in this study. Because routine preoperative testing…

Read More

Editor's Note After a review of 128 case histories, Johns Hopkins researchers find that financial penalties imposed by federal and state agencies on Maryland hospitals based solely on the total number of patients who suffer venous thromboemboli (VTEs) fail to account for those that occur despite the consistent and proper…

Read More

Editor's Note The Society for Healthcare Epidemiology of America and the Infectious Diseases Society of  America have updated the 2008 Strategies to Prevent Surgical Site Infections in Acute care Hospitals. The evidence-based recommendations include 15 strategies for SSI prevention and a special section on implementation that emphasizes a team-based approach…

Read More

Editor's Note The Food and Drug Administration has issued a draft guidance to describe its premarket regulatory requirements and performance testing needed to support liquid barrier claims for gowns used in health care settings. In the past, a number of terms have been used to refer to gowns intended for…

Read More

Editor's Note Work-hour restrictions for surgical resident, revised nationally 4 years ago to protect patients against fatigue-related errors, have not had the desired effect of lowering postoperative complication rates, according to this new study. Researchers from the American College of Surgeons found no significant difference in surgical outcomes between 1…

Read More

Recent highly publicized outbreaks of infections linked to improper reprocessing of flexible endoscopes have raised concerns about infection prevention in gastrointestinal endoscopy procedures. Because of the headlines, legislatures are hearing from their constituents that they are fearful of being exposed to infections, and legislatures are getting involved. The Society of…

Read More