What happens when a surgeon uses the monopolar instrument set on 30-W coagulation mode to create an upper midline incision in a patient with a pacemaker? Pacemaker function is interrupted, causing a heart block that results in hemodynamic instability—or at least, this is what could happen without taking the necessary…

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Stem cell therapy is poised to revolutionize regenerative medicine. As these therapies advance, they may alter or even replace certain invasive surgical procedures. Already undergoing advanced clinical trials, orthopedic applications are likely candidates for attracting the earliest adopters. Results so far indicate significant potential for providing alternatives to implants, grafts,…

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Perioperative leaders are entering a time of uncertainty after 2024 proved to be transformative for inpatient and outpatient surgical care. Last year saw important updates from The Joint Commission and the Centers for Medicare & Medicaid Services (CMS) that emphasized improvements alongside ongoing challenges in safety, workforce shortages, reimbursement, and…

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Data is collected everywhere, from what we click online to whether we run a red light to how many steps we take each day. There is power in data. When leveraged effectively, data reveal patterns, insights, behaviors, and other potentially actionable intelligence. It stands to reason that data would be…

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Takeaways • Visual management (VM) tools support Lean efforts, leading to improved quality and efficiency. • VM boards provide an overview of processes, facilitate problem solving, and promote staff-manager collaboration. • Other VM tools such as color coding and customized instrument trays can help reduce errors and save money. Lean…

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Editor's Note Preliminary research shows removing breasts or ovaries can significantly improve survival and reduce recurrence risk in young breast cancer patients with BRCA mutations, HealthDay reported December 13. The findings were presented this week at the San Antonio Breast Cancer Symposium. According to the article, researchers analyzed data from…

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Editor's Note Findings from The ARRC II study show using advanced recovery room care (ARRC) for medium-risk surgical patients significantly reduces 18-month postoperative mortality compared to standard ward care. As detailed in a December 11 research letter in JAMA Surgery, this benefit appears linked to minimizing early postoperative complications, which…

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Editor's Note Bariatric surgery programs nationwide have reported a 20-25% decline in surgical volumes over the past year amid the rising use of glucagon-like peptide-1 (GLP-1) medications for obesity, OR Management News reported Dec 2. Although the connection between the decline and the popularity of the drugs cannot be definitively…

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Editor's Note Older cancer patients undergoing major abdominal procedures at Roger Williams Medical Center in Providence, Rhode Island, significantly benefitted from the American College of Surgeons (ACS) Geriatric Surgery Verification (GSV) program, Medical Xpress reported December 10. Citing a study published in the Journal of the American College of Surgeons,…

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Editor's Note A 53-year-old woman with end-stage kidney failure became the first living person to receive a genetically modified pig kidney in a milestone surgery at NYU Langone Health, NPR reported December 17. Although the experimental procedure marks significant progress toward addressing organ shortages, it also drew commentary on ongoing…

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