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The American College of Surgeons (ACS) has issued a statement on proper dress for surgeons, whether in the operating room or interacting with families or the public outside. ACS Executive Director David B. Hoyt, MD, said the refresher statement is meant to provide evidence-based consensus on appropriate head coverings and when scrubs must be changed. […]
Read MoreAnesthesia & Analgesia: August 9, 2016 AUTHORS: Hattler, Judith MD et al BACKGROUND: Combined spinal-epidural labor analgesia has gained popularity, but it is unclear whether this technique is associated with a higher incidence of nonreassuring fetal heart rate (FHR) tracings compared with epidural analgesia. Our meta-analysis aimed at comparing the incidence of nonreassuring FHR tracings […]
Read MoreResearchers have devised what they hope is a more accurate system for predicting in-hospital mortality in patients undergoing major surgery (Anesthesiology 2016;124:570-579). The number of patient deaths during or after surgery may be small, but the rate among some subgroups can be as high as 10%, making accurate predictions of in-hospital mortality crucial, according to the […]
Read MoreAnesthesia & Analgesia: August 9, 2016 AUTHORS: Bowdle, Andrew MD, PhD, FASE et al BACKGROUND: Imaging the guidewire with ultrasonography in the internal jugular vein during central venous catheterization often is used to verify proper guidewire placement and to aid in prevention of inadvertent arterial catheterization. It is known, however, that inadvertent arterial catheterization can […]
Read MoreThere’s a lot to do in and around the OR between cases. In an effort to improve the efficiency of our room turnovers, and to bring their monthly average times down, we implemented a “parallel process” at our director’s recommendation. Every surgical team member was assigned specific, standardized tasks to carry out simultaneously, based on […]
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