Surgery/Specialties Editor's Note In this study, researchers at UCLA Medical Center in Los Angeles applied machine learning to arterial pressure waveforms to develop an algorithm that predicted intraoperative hypotension 15 minutes before it occurred in 84% of cases. Two sets of data were used to build the algorithm. One set consisted…
Editor's Note Researchers at Rush University Medical Center, Chicago, have identified two protein biomarkers that indicate which total hip patients are likely to develop osteolysis. Osteolysis is the destruction of bone tissue around the hip joint that causes the implant to loosen and results in a revision surgery. The researchers…
Editor's Note The Food & Drug Administration (FDA) on June 5 updated its Safety Communication: “Recommendations to Reduce Surgical Fires and Related Patient Injury.” Among the recommendations: Perform a fire risk assessment before each surgical procedure. Encourage communication among anesthesia personnel, surgeons, and OR staff. Practice safe use and administration…
Editor's Note The Food & Drug Administration on June 6 identified the recall by Maquet Datascope Corp of its CARDIOSAVE Hybrid Intra-aortic Balloon Pump as Class I, the most serious. The recall was initiated because of a design issue that allows fluid to seep into the device, which can lead…
Editor's Note In this study, the use of radial-artery grafts for coronary artery bypass grafting (CABG) resulted in a lower rate of cardiac adverse events and a higher rate of patency at 5 years than saphenous-vein grafts. A total of 1,036 patients (534 radial artery, 502 saphenous vein) from six…
Editor's Note The Food & Drug Administration on June 1 identified the recall by Medtronic of its HeartWare Ventricular Assist Device (HVAD) system as Class I, the most serious. The recall was initiated because of the possibility for an interruption to occur in the electrical connection between the system’s power…
Editor's Note The American College of Surgeons on May 23 announced that a partnership between the Military Health System and civilian trauma institutions is underway to create the first fully integrated military-civilian trauma system. The system will train military surgeons before deployment, help surgeons retain skills while deployed, and bring…
Editor's Note Contrary to what some studies are suggesting, use of the local anesthetic liposomal bupivacaine as part of a multimodal approach to postoperative pain did not reduce in-hospital opioid use or opioid-related complications after total knee arthroplasty (TKA) in this study. Researchers analyzed data on 88,830 TKAs performed with…
Editor's Note A Hawaii statewide collaborative for surgical patient safety successfully reduced colorectal surgical site infections (SSIs) and improved patient safety culture, finds this study. Between January 2013 and June 2015, Hawaii’s 15 hospitals implemented the Agency for Healthcare Research and Quality’s (AHRQ’s) Comprehensive Unit-based Safety Program (CUSP) in addition…
To improve healthcare delivery and eliminate duplication, hospitals are banding together into systems in which specialties such as labor and delivery and smaller surgical cases are performed at satellite hospitals, and larger, more complex procedures are done at the main campus. This is the approach taken at the Cleveland Clinic,…
