Editor's Note The American College of Surgeons (ACS) on October 31 announced a new initiative to improve the knowledge and management of pain in surgical patients, with a focus on opioid risks and non-opioid alternatives. The initiative, titled, “Opioids and Surgery: Use, Abuse, and Alternatives,” will encompass the following: evidence-based…

Read More

Editor's Note The US Department of Health and Human Services (HHS) in October announced new targets for reducing healthcare associated infections (HAIs) in acute care hospitals. The new targets are part of the agency’s "National Action Plan to Prevent Health Care-Associated Infections: Road Map to Elimination." The targets use data…

Read More

Editor's Note A study by Duke University researchers, which followed 40 ICU nurses, found 22 cases in which at least one of five drug-resistant bacteria was transmitted from the patient or the room to the nurse’s scrubs or from the patient to the room. The study was presented October 27 at…

Read More

Editor's Note Patient level factors dominated the increased readmission risks after colorectal surgery at minority-serving hospitals, while hospital factors were less contributory, this study finds. Patient factors accounted for 65% of the increase in odds for readmission, and hospital-level factors accounted for 40%. Inpatient mortality was significantly greater at minority-serving…

Read More

Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) on October 28 recognized 60 of 603 participating hospitals for achieving meritorious outcomes in surgical patient care in 2015. The recognition program commends a select group of hospitals for achieving a meritorious composite score that is…

Read More

Editor's Note On-pump and off-pump coronary artery bypass grafting (CABG) are equally safe and effective, this study finds. At 5 years there was no significant difference between on-pump and off-pump CABG in combined rates of death, stroke, myocardial infarction, renal failure, or subsequent revascularization procedures (23.6% vs 23.1%). There also…

Read More

Editor's Note In this study, bariatric surgery for obese adolescents was shown to be cost-effective if assessed over a time period of 5 years, but not in shorter time frames. The incremental cost-effectiveness ratio of bariatric surgery vs no surgery was $155,000 per quality-adjusted life year (QALY) when assessed over…

Read More

Editor's Note Total knee patients in enhanced recovery after surgery (ERAS) programs have less pain and recuperate faster, finds this study presented October 23 at the Anesthesiology 2016 annual meeting. The study, from Rush University Medical Center (Chicago), included 243 total knee patients, who were provided a combination of postoperative…

Read More

Editor's Note Patients were more likely to take their regularly prescribed medications correctly before surgery when they were provided a simple instruction sheet, finds this study presented October 24 at the Anesthesiology 2016 annual meeting. For the study, 48 patients were given verbal instructions and 57 were given a new,…

Read More

Editor's Note In a study on mice, Johns Hopkins researchers have shown that a coating made with antibiotic-releasing nanofibers can prevent bacterial infections after total joint surgery. After 14 days, mice that received implants without the antibiotic coating all had bacteria in infected tissue around the joint, and 80% had…

Read More