Effect of surgeons, anesthesiologists on OR time
BACKGROUND: Variability in operating room (OR) time causes overutilization and underutilization of the available ORs. There is evidence that for a given type of procedure, the surgeon is the major...
View ArticleTotal joint Perioperative Surgical Home program at 2 years
BACKGROUND: Previously, our group successfully established one of the nation's first Perioperative Surgical Homes (PSHs) aimed at coordinating services to patients undergoing primary total hip...
View ArticleOrthopedic surgeons join Perioperative Surgical Home program
Chicago - The American Academy of Orthopaedic Surgeons (AAOS), the world's largest association of musculoskeletal specialists, is participating in the development of the Perioperative Surgical Home...
View ArticleDefining the anesthesia provider’s role in pathogen dispersion
Editor’s Note Double gloving by anesthesia providers was associated with less spread of oral inoculum to the workstation but was not uniformly protective in this simulation study. Between-case cleaning...
View ArticleOptimizing pain control and rehab after total knee
BACKGROUND: This randomized trial compared (1) continuous femoral nerve block (cFNB), (2) single femoral nerve block (sFNB), and (3) local infiltration analgesia (LIA) with respect to analgesic and...
View ArticleAnesthesia patient satisfaction hinges on safety, comfort, and communication
Is it possible to adequately capture the experience of patients undergoing anesthesia when their awareness and perceptions are typically altered by their very experience? A 5-year study of anesthesia...
View ArticlePSH model improves postop outcomes
CHICAGO - Decreasing the number of tests, blood transfusions and length of time in the hospital, while improving patients' pain management and communication with physicians were the results of...
View ArticleSimple instruction sheet helps patients take medications before surgery
CHICAGO - Patients may be more likely to take their regularly prescribed medications for chronic conditions such as diabetes and hypertension correctly before surgery when provided a simple instruction...
View ArticleERAS patients have less pain after total knee replacements
CHICAGO - Enhanced recovery after surgery (ERAS) programs, an important component of the Perioperative Surgical Home (PSH), are helping patients better prepare for surgery and recuperate faster...
View ArticleEffectiveness of PSH model in pediatric settings
BACKGROUND: The Perioperative Surgical Home (PSH) is a patient-centered, team-based approach that aims to improve the value of perioperative care. We implemented a PSH for patients with adolescent...
View ArticleNew data show enhanced surgical patient care lessens pain, length of stay
Comprehensive surgical patient care models are associated with better outcomes, according to studies presented at Anesthesiology 2016 in October. In a study of 1,356 patients undergoing total knee,...
View ArticleNew RBC treatment may reduce transfusion side effects
Abstract Background: Transfusion of packed erythrocytes stored for a long duration is associated with increased pulmonary arterial pressure and vascular resistance. Prolonged storage decreases...
View ArticleEffectiveness of SAS in predicting emergency surgery outcomes
BACKGROUND: With current literature quoting mortality rates up to 45%, emergency high-risk abdominal surgery has, compared with elective surgery, a significantly greater risk of death and major...
View ArticleInterplay between surgeon, anesthesiologist affects productivity
doi: 10.1213/ANE.0000000000001672 Research Report: PDF Only Abstract BACKGROUND: Team performance has been studied extensively in the perioperative setting, but the managerial impact of...
View ArticleTotal joint PSH helps meet patient satisfaction goals
When leaders at Memorial Healthcare, a 154-bed community hospital in Owosso, Michigan, wanted to get a jump on preparing for bundled payments, they chose to focus on total hip and knee surgery....
View ArticleAutomated intraop glucose monitoring linked to reduction in SSIs
Abstract Background: Diabetic patients receiving insulin should have periodic intraoperative glucose measurement. The authors conducted a care redesign effort to improve intraoperative glucose...
View ArticleAmbulatory surgery PSH reduces LOS, hospital admission
Abstract BACKGROUND: The aim of this study is to describe the design, implementation, and associated outcome changes of a Perioperative Surgical Home (PSH) for patients undergoing ambulatory...
View ArticleCauses, characteristics of ICU deaths
Critical Care Medicine Causes and Characteristics of Death in Intensive Care Units: A Prospective Multicenter Study From the Réanimation Polyvalente et Surveillance Continue, Hôpital Pasteur 2, Centre...
View ArticleEffect of PSH elements on total joint outcomes
BACKGROUND: The Perioperative Surgical Home (PSH) seeks to remedy the currently highly fragmented and expensive perioperative care in the United States. The 2 specific aims of this health services...
View ArticleKetamine doesn’t affect postop delirium, pain
A single subanaesthetic dose of ketamine did not decrease delirium in older adults after major surgery, and might cause harm by inducing negative experiences. More » The post Ketamine doesn’t affect...
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