Tag: Preoperative Care

Antibiotics gaining acceptance as potential alternative to pediatric appendectomy

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Editor's Note Evidence is mounting for the use of antibiotics as a valid alternative to surgery for acute appendicitis, including in pediatric cases, the Washington Post reported August 17. The article details how this treatment—described as a “dark secret” by one expert testifying to its use in the 1950s, prior…

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By: Matt Danford
August 21, 2024
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Smart knee’s advance heralds future of proactive postop care

Takeaways Transmitting health metrics directly from a surgical implant reduces the need for in-person followup and offers more objective data on recovery than patient-reported measures. This technology’s potential extends beyond knees. Whatever the nature of the treatment, postop monitoring is critical. Patient education is essential for setting up the data…

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By: Matt Danford
July 31, 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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OR Manager Conference offers perioperative research presentation opportunities

Editor's Note The 2024 OR Manager Conference Poster Gallery provides a forum for presenting completed research, in progress initiatives with preliminary results, or a new approach to a concept to solve a problem related to perioperative leadership. We strive to promote communication and collaborative research among nurses, provide a setting…

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By: Lindsay Botts
July 12, 2024
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Povidone iodine noninferior to chlorhexidine gluconate for preoperative skin antisepsis

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Editor's Note Amid continued debate about the best choice of preoperative skin antiseptic, findings published in JAMA June 17 show that povidone iodine in alcohol offers similar outcomes to chlorhexidine gluconate when used in alcohol. The randomized clinical trial included 3,360 patients in 3 tertiary care hospitals in Switzerland, 2,187…

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By: Matt Danford
June 28, 2024
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State of the huddle: The barriers to and benefits of preop meetings

Complex problems do not always require complex solutions. Consider the surgical safety checklist. In 2020, more than a decade after the World Health Organization (WHO) started advocating that every hospital use the checklist, research from PSNET found that more than 90% of ORs in countries with a high human development…

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By: Maya Ber-Lerner
June 24, 2024
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Study: Combined preoperative, postoperative chemotherapy improves esophageal cancer outcomes

US news and world report

Editor's Note In esophageal cancer, combining preoperative and postoperative chemotherapy lead to better outcomes, fewer deaths, and higher likelihood of complete tumor regression than preoperative chemotherapy alone, according to a randomized clinical trial. US News and World Report reported the news June 4. Led by Dr. Jens Hoeppner from the…

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By: Matt Danford
June 12, 2024
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How will you mark AORN’s National Time Out Day?

Editor's Note AORN encourages perioperative leaders to speak up and reach out in honor of National Time Out Day, an annual recognition of the critical safety practice scheduled for June 12. The annual day of recognition draws attention to the need for everyone on the surgical team to pause before…

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By: Matt Danford
June 10, 2024
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Study: standard preoperative fasting guidelines safe for GLP-1 patients

Editor's Note Preoperative use of GLP-1 receptor agonists (RA) medications such as Ozempic and Wegovy is safe, according to a study published in the June issue of the American Journal of Gastroenterology. Controversy has swirled around these drugs due to the risk of slowed stomach emptying increasing a patient’s odds…

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By: Matt Danford
June 7, 2024
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Study: Preoperative weight loss offers little benefit for bariatric surgery patients

Editor's Note Research shows perioperative weight loss does not consistently improve outcomes or OR times in patients undergoing primary bariatric procedures, including laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (RYGB). The findings were published in the June issue of the Journal of the American College of Surgeons. Using…

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By: Matt Danford
June 3, 2024
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