Surgery/Specialties Editor's Note A new, optional advanced certification program for total hip and total knee replacement is now available from the Joint Commission. The program will help accredited hospitals, critical access hospitals, and ambulatory surgery centers provide a consistent approach to patient care that reduces the risk of error and improves…
Editor's Note Very low pressure irrigation with saline is an acceptable, low-cost alternative for irrigating open fractures, this study finds. Managing open fractures requires wound irrigation and debridement, but the effectiveness of various pressures and solutions remains controversial. Researchers investigated the effects of castile soap versus normal saline irrigation delivered…
Editor's Note Cardiac complications are the leading cause of death within 30 days after noncardiac surgery. This article reviews what is known about perioperative cardiac complications (ie, from induction of anesthesia to within 30 days after surgery), preoperative methods of predicting complications, perioperative cardiac interventions, and postoperative monitoring. The researchers…
Editor's Note The Joint Commission and AABB (formerly known as the American Association of Blood Banks) have announced a partnership to provide a joint hospital certification program for patient blood management. The voluntary certification will be available in 2016 and is based on the AABB Standards for a Patient Blood…
Editor's Note New clinical practice guidelines from the Society of Thoracic Surgeons recommend the use of arteries from the chest and forearm rather than using veins from the leg for coronary artery bypass grafting. The left internal thoracic artery is considered the gold standard conduit for coronary bypass and has…
Editor's Note Boston Scientific Corporation is recalling RotaWire Elite core wires because they may crack and separate from the rest of the Rotablator Rotational Atherectomy System and cause serious injury such as tamponade, myocardial infarction, and migration of wire fragments, the Food and Drug Administration reported November 27. Boston Scientific…
Editor's Note In this study, patients with psychiatric disorders (PsDs) requiring psychopharmacological treatments had an increase in postoperative morbidity after fast-track total hip and total knee arthroplasties, regardless of treatment type and preoperative comorbidities. Among PsD patients: Pain, postoperative anemia, and pulmonary complications were the most frequent causes of length…
Editor's Note This study from Johns Hopkins Bayview Medical Center, Baltimore, found a significant relationship between OR door openings and room pressure. The OR door was opened, on average, once every 2.5 minutes of surgery. For 77 of 191 knee and hip arthroplasties, the doors were open long enough for…
Editor's Note The Centers for Medicare and Medicaid Services (CMS) has finalized the rule that will require hospitals in 67 geographic areas to participate in a test of bundled payments for hip and knee replacements, Modern Healthcare reports. Medicare's average bundled payment ranges from $16,500 to $33,000 for surgery, hospitalization,…
Editor's Note In patients requiring long coronary stents, the use of intravascular ultrasound (IVUS)-guided vs angiography-guided drug-eluting stent implantation resulted in a significantly lower rate (2.9% absolute reduction, 48% relative reduction) of major adverse cardiac events at 1 year, finds this study. These differences were mainly driven by the reduction…
