Surgery

anesthesia

An overview of neuraxial anesthesia

Please visit the ANA’s website to take the CE: https://www.nursingworld.org/continuing-education/an-overview-of-neuraxial-anesthesia/ Understand the basics so you can effectively manage your patients. Takeaways: Neuraxial anesthesia is the administration of medication into the subarachnoid or epidural space to produce...

Wound dehiscence

Detect and report warning signs to save lives. Takeaways: Dehiscence of abdominal surgical wounds is a medical emergency and requires immediate action to reduce further complications. Knowing who is at risk and the early signs...

Efficiency: ASCs vs. hospital outpatient departments

A recent study from The American Journal of Surgery analyzes the efficiency of operating rooms in hospital-owned ambulatory surgical centers (ASCs) and hospital outpatient departments (HOPs). The study examined 220 procedures performed in the researchers’...

New research in the prevention of venous thromboembolism

By American Nurse Today Editorial Staff Research Objective A recent study examines the use of intermittent pneumatic compression (IPC) to prevent venous thromboembolism (VTE) in patients who are at high-risk for the condition after surgery. Methodology The open, blinded, randomized...

Innovative end-to-end total arthroplasty care

An improvement project reduces surgical site infections. Takeaways: Establishing an end-to-end care process involves collaboration with the patient, clinical coach (family/support system), the multidisciplinary team, and all the facilities involved. Reducing surgical site infections starts...
fda robotic surgery device

FDA clears new robotically-assisted surgical device

On Oct. 13, the U.S. Food and Drug Administration (FDA) cleared the Senhance System, a new robotically-assisted surgical device (RASD) that can help facilitate minimally invasive surgery. Read more via Fda.gov.

Strategies for managing “weekend effect” of surgeries

According to a study in Annals of Surgery, the following resources can help address the fact that patients who undergo urgent surgeries on weekends to experience longer hospital stays and higher mortality rates and...
perioperative nursing surgery center

Preventing surgical-site infections

  Surgical-site infections (SSIs) can lead to increased postoperative stays, higher readmission rates and healthcare costs, and poorer health outcomes. In a 2014 study, SSIs tied with pneumonia as the most common infection in hospitals,...

Protocol reduces complications for complex spinal surgery

A team approach reduces rates of major complications for complex spinal reconstructive surgery by two thirds, according to a report in Spine Deformity. The three main features are: two spine surgeons in the OR,...

Quality-improvement initiative: Classifying and documenting surgical wounds

Interprofessional collaboration promoted a successful initiative to improve wound classification.

Study: High patient satisfaction not linked to surgical quality processes

A study of 31 hospitals in JAMA Surgery found that patient satisfaction was not associated with performance of surgical process measures such as antibiotic prophylaxis, appropriate hair removal, and deep vein thrombosis. Satisfaction also...

Study: Surgical checklist reduces 30-day morbidity

Using a surgical safety checklist, including providing comprehensive training on it, significantly decreases 30-day morbidity, according to a study in the Journal of the American College of Surgeons. Read more.

Moving the Sharps Safety Agenda Forward: Consensus Statement and Call to Action

Note: This Consensus Statement and Call to Action was drafted by members of the steering committee* for the conference "Tenth Anniversary of the Needlestick Safety and Prevention Act: Mapping Progress, Charting a Future Path,"...