Editor's Note The American College of Rheumatology and the American Association of Hip and Knee Surgeons, on February 28, released a summary of their updated guideline for the “Perioperative Management of Antirheumatic Medication in Patients with Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty.” The guideline, which is…

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Each year, there are more studies raising concerns about infections associated with endoscopic procedures and the techniques used to clean and sterilize or high-level disinfect (HLD) endoscopic devices. In this article, in partnership with Boston Scientific, epidemiologist Cori L. Ofstead, MSPH, president and CEO of Ofstead & Associates, St Paul,…

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Editor's Note This pilot project, by epidemiologist Cori L. Ofstead, MSPH, and colleagues finds that routine reprocessing activities generate substantial splashing and droplet dispersal, and that currently recommended items of personal protective equipment (PPE) do not adequately protect personnel from exposure. The researchers found that: Droplets were generated during every…

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Editor's Note In this study, Centers for Disease Control and Prevention (CDC) researchers report on the comparative effectiveness of COVID-19 vaccines against hospitalization of US adults without immunocompromised conditions. Included in the case-control analysis were 3,689 adults aged 18 years and older who were hospitalized at 21 US hospitals between…

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Editor's Note The American Society of Anesthesiologists (ASA) and Anesthesia Patient Safety Foundation (APSF) on August 4 updated their guidance for perioperative testing for COVID-19 to say that all patients having anesthetics or surgical procedures with the potential to generate aerosols should have preoperative testing for COVID-19, regardless of their…

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Editor's Note The Centers for Disease Control and Prevention (CDC) on July 27 released new guidance recommending that “fully vaccinated people wear masks in public indoor settings” in areas with high COVID-19 transmission rates. The CDC cited data showing that some vaccinated people who tested positive for the Delta variant…

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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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Editor's Note This randomized controlled clinical trial led by German researchers finds a concern of mask-wearing causing hypercapnia (excessive carbon dioxide in the bloodstream) in children. In this analysis of 45 children, carbon dioxide levels were measured at baseline without a face mask and during inhalation and exhalation under surgical…

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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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Editor's Note The Joint Commission announced June 2 that Joint Commission Resources, Inc, (JCR) has launched a new subscription-based Digital Learning Center (DLC) to provide on-demand accreditation and compliance courses and content. In addition to JCR’s digital content, which includes webinars, videos, PolicySource, and digital newsletters and e-books, the DLC…

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