September, 2023

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Why surgeons who “get it” determine their own destiny

SurgicalPerformance

As surgeons, we have to know. It’s not meant to sound arrogant. But knowing is part of what we do. It’s our job, our responsibility. We know about our patients, their age, general medical health, past surgical and medical history. We know what procedure is required and how to do it. Not knowing anyone of those things puts the patient and you at risk.

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8 days in the ICU

Amanda Xi

Today’s inane image of the day : Hello from my office! You still work that many days? I’ve been asked whether my schedule is more “humane” or “manageable” now that I’m an attending. The answer is a resounding “yes!”… but , I still have blocks of long weeks. The work never stops being challenging for one reason or another.

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Maximizing Surgical Potential: Keys to Recruiting Top Surgeon Talent

LiveData

In today's healthcare environment, hospitals vie for the best surgical talent. This recruitment isn't just about improving the operating room; it influences patient care and outcomes, which are central to a hospital's mission.

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CRNA Program Admissions: The Challenge of High Demand and Intense Rivalry

The CRNA Chase

Securing admission into a Certified Registered Nurse Anesthetist (CRNA) program is no small feat. With a rapidly growing demand for CRNA professionals and a surge in applicants, the competition has become fiercer than ever before. In this blog post, we will dive into the challenges posed by high demand and intense rivalry in CRNA program admissions and explore strategies to overcome them.

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Meet the Parking Attendant Lifting Patients’ Spirits

Penn Medicine

Comfort often comes in unexpected places. At Penn Medicine’s 3600 Civic Center Boulevard parking garage, entrance greeter Tommy Barbieri’s friendly and calming presence is a comfort for the many patients and employees who pass through each day.

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STANFORD EMERGENCY MANUAL POCKET VERSION

The Anesthesia Consultant

CardioPulmonary Resuscitation in the Operating Room The Stanford Emergency Manual has become an essential reference for anesthesiologists. The manual lists diagnostic and therapeutic steps to follow in 26 different emergency scenarios. When a Code Blue or a dire change in vital signs occurs in an operating room, the Manual directs the resuscitation team to the correct order of action at a time when minds are racing, thoughts have become jumbled, and near-perfect intervention is required.

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Why a 350% increase in PROMS uptake is a win for patients and surgeons alike_

SurgicalPerformance

Surgeons’ uptake of PROMS in SurgicalPerformance has shot up by 350 percent in the last 12 months. This makes me smile. Because it means many more surgeons are now utilising PROMS surveys to capture the patient perspective compared to the same time last year. And that means that surgeons are starting to ‘get it’ “Get what?”, you may ask.

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The Fastest Path: Healthcare Startup Uses AI to Analyze Cancer Cells in the Operating Room

NVIDIA: Healthcare

Medical-device company Invenio Imaging is developing technology that enables surgeons to evaluate tissue biopsies in the operating room, immediately after samples are collected — providing in just three minutes AI-accelerated insights that would otherwise take weeks to obtain from a pathology lab. In a surgical biopsy, a medical professional removes samples of cells or tissue that pathologists analyze for diseases such as cancer.

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Convergent Procedure Returns AFib Patient to Her Active, Healthy Lifestyle

Cardiothoracic and Vascular Surgeons

A swimmer, hiker, and martial artist, you’d never guess 64-year-old Trisha McLaughlin struggled with an irregular heartbeat, congestive heart failure, and has undergone a number of heart procedures. She credits the Convergent Procedure performed by CTVS cardiothoracic surgeon Dr. Faraz Kerendi for helping her get back to her healthy and active life.

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Should Patients and Clinicians Embrace ChatGPT?

Penn Medicine

Researchers at Penn Medicine are studying conversational AI tools like ChatGPT to predict their future potential and understand how they can assist in diagnosis and guiding patients.

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Mepivacaine for Surgery 

Nashville Anesthesia Professionals

Mepivacaine is a local anesthetic that is used to block sensation and pain during surgery, often as spinal anesthesia. It is also used in dental surgery. There are several local anesthetics available that fulfill the same roles, such as bupivacaine, but each has a specific pharmacological profile. Research conducted by Schwenk et al. found that mepivacaine is superior to bupivacaine in hip arthroplasty (joint surgery of the hip).

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Lawmakers, staff experience “day in the life” of nurse anesthesia residents

PANA

Seeing is believing and several northeastern Pennsylvania lawmakers and staff got a firsthand look at just a few of the intensive education and training programs that students must master to become certified registered nurse anesthetists (CRNAs). Aaron J. Crowell, BSN, RN, SRNA , a nurse anesthesia resident at the University of Scranton School of Nurse Anesthesia , initially reached out to invite state Rep.

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Strategies for Effective Medical Staffing

Platinum Meidcal Staffing

Nurse shortages have become a growing concern in the healthcare industry. High patient numbers, long working hours, and low salaries have led many nurses to retire early or leave the profession altogether. The imbalance between the supply and demand of nurses has also led to negative impacts on the quality of patient care. In this blog, we’ll be discussing the impact of nurse shortages on healthcare and strategies for effective medical staffing.

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Surgical Technician vs. Surgical Technologist: Breaking Down the Differences

Pima Medical Institute

The fast-paced world of hospitals and surgery centers rely on the surgical team to ensure safe and successful outcomes. Two crucial roles are often confused due to their similar-sounding titles. Surgical Technologists and Surgical Technicians. While some of the responsibilities may overlap, they are distinct roles with unique qualifications, duties and career prospects.

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Scrub Tech Memes!

The Surgical Tech Student

Hey!! So, for scrub tech week I have been making some fun graphics. I decided to make some funny memes. If you have any you’d like me to make, give me a shout!! I’m having so much fun making them. Here are a few I have made so far… Enjoy! And have a wonderful week & upcoming weekend!!

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Meet the AI Expert Using Machines to Drive Medical Advances

Penn Medicine

César de la Fuente operates at the intersection of humanity, machines and medicine, using artificial intelligence to create biological advances, like discovering new antibiotics lurking in our past.

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The Richardson Retractor: A Vital Tool in Modern Surgery

Surtex Instruments

The Richardson Retractor is more than just a surgical instrument; it’s a vital tool that offers surgeons precision, control, and versatility during various medical procedures. In this blog post, we’ll explore the unique features and applications of this essential surgical tool.

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Hot Leader Spotlight – Interim Surgical Services Leader #169741 

HealthLinx: Surgical Services

Meet HealthLinx Surgical Services Department Interim Leader #169741 MSN & BSN Green Six Sigma certified leader with over 20 years of experience. This leader has held a VP level position for the last five years after being in both director and OR manager roles. If you are looking for a candidate with an extensive surgical services background, you do not want to miss this leader.

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New Tech Trends for Medical Staffing in Olney, MD

Platinum Meidcal Staffing

Medical Staffing in Olney, MD is constantly evolving and adopting new technologies to help improve patient care and outcomes. One major shift in recent years has been the incorporation of technology into medical staffing. This has brought about a range of changes in the healthcare workforce, impacting everything from recruitment and retention to the way healthcare professionals practice.

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Exclusive Interview: Insights from a Cybersecurity Expert on Healthcare Security

CNECT

The healthcare industry has a cybersecurity problem. In the first eight months of 2023 alone, 327 data breaches were reported and 40 million healthcare records were exposed. Those figures represented increases of 104% and 60% from the same period in 2022. Cyberattacks don’t just harm an organization’s reputation and its patients — it also has a huge financial impact.

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CaseCTRL - Digital Health Hub Foundation Digital Health Awards Quarterfinalist

CaseCTRL

Houston, September 8, 2023 — CaseCTRL, is thrilled to announce its selection as a quarterfinalist for the prestigious Digital Health Awards, presented by the Digital Health Hub Foundation. CaseCTRL was chosen as a quarterfinalist for the Best in Class in the Surgical Transformation category.

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How Penn Brings Early-Career Nurses to Home?Health Care

Penn Medicine

With more care being shifted to the home setting, Penn Medicine At Home established a new program to train the nurses who hit the road.

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Healthcare Provider Retention in Rural Areas

NexGen Surgical

Retention of healthcare professionals in rural hospitals has been a challenge with a significant impact on patient health. Many healthcare professionals shy away from working in rural healthcare facilities due to several factors. Also, with limited infrastructure, many patients are forced to seek healthcare services in urban areas that tend to have nearly, if not […] The post Healthcare Provider Retention in Rural Areas appeared first on NexGen Surgical.

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Happy Scrub Tech Week!!

The Surgical Tech Student

September 17-21 is Certified Surgical Technologist Week! I made some graphics in honor of our week! Happy Scrub Tech Week!!

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ASA Member Challenge – Win an Amazon Gift Card !

NSAA

Member Challenge Good Day! Members may enter to win an Amazon Gift card. See rules below: Members may guess the number of attendees ( complete number, members & nonmembers) for the ASA Fall Virtual Conference and email me your guesses at pamelajmilhorn@gmail.com. The person that comes closest to the actual number will win an Amazon Gift Card (donated).

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Shamblin Classification of Carotid Body Tumors

RK.MD

Carotid body tumors are vascular tumors arising from the carotid body’s paraganglion cells at the bifurcation of the internal and external carotid arteries ( ICA and ECA , respectively). The Shamblin classification is used to categorize these tumors based on their involvement with adjacent structures, namely the ICA, ECA, common carotid artery ( CCA ), superior laryngeal nerve ( SLN ), vagus nerve ( CN-X ), and hypoglossal nerve ( CN-XII ).

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Hospital Packing List

Surgimate

Believe it or not, many patients booked for surgery have no idea what to bring to the hospital on the day of surgery. No kidding. After all the consultations, bookings, tests, approvals, authorizations, patient letters , and phone calls — on the night before surgery day — your patient is at home staring into an empty travel bag not sure where to start.

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Less Paperwork, More ‘Peoplework’: Penn Makes Health Care Easier

Penn Medicine

Penn Medicine is using technology to eliminate administrative burdens and free employees to do more meaningful work.

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Featured Article Podcast: Intraoperative Methadone for Next-day Surgery

Anesthesiology Journal

Moderator: BobbieJean Sweitzer, M.D. Participants: Evan D. Kharasch, M.D., Ph.D., and Paul S. Myles, M.B., B.S., M.P.H., M.D., D.Sc., F.C.A.I., F.A.N.Z.C.A., F.A.H.M.S.

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It's Prostate Cancer Awareness Month! Learn More About the Treatment Options

USMD Health System

Robot-assisted prostate surgery offers precise, minimally invasive treatment, enhancing recovery and reducing risks. Find out more about this option.

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AEP Episode 7: Coagulation- Key Concepts for Exams

The Lay Medical Man

Visit the post for more.

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Permissive Hypercapnia

RK.MD

Permissive hypercapnia (PHC) is a deliberate and controlled elevation in carbon dioxide (CO2) during mechanical ventilation to limit over-distention of the lung and ventilator-induced lung injury (VILI) by reducing inspiratory pressures. This can often lead to a PaCO2 of 50-80 mmHg depending on the patient and situational factors with acute respiratory acidemia.

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Surgical Tray Setup for Effective Hormone Replacement Therapy

Trocar Supplies

Hormone replacement therapy (HRT) inserts are a convenient way to treat a wide variety of hormone deficiencies and related conditions. The insertion procedure is quick and easy for patients and requires less set up time than is needed for other procedures. Preparing your surgical trays in advance can help make the process go even smoother. Here's what to know about prepping the surgical field and how Trocar Supplies has the tools you need.

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CALL FROM THE JAILHOUSE REVIEW: “I LOVED HOW THE BOOK WAS CRAFTED.”

The Anesthesia Consultant

Yes, you can read entertaining fiction and learn about medicine at the same time. Rick Novak’s third novel, Call From the Jailhouse , a 5-star review from the San Francisco Book Review, is now available on Amazon: CALL FROM THE JAILHOUSE: NOW AVAILABLE ON AMAZON LINK: Call From the Jailhouse REVIEW FROM THE SAN FRANCISCO BOOK REVIEW : Call From the Jailhouse By Rick Novak Extasy Books, 331 pages, Format: eBook and paperback Star Rating: 5 / 5 Author Rick Novak, MD, does an exquisite job of

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October 2023 Editor-in-Chief Podcast

Anesthesiology Journal

Creator: James P. Rathmell, M.D., M.B.A. October 2023, Volume 139, Issue 4 Overview of October issue original studies.

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Ambu® SPUR® II Resuscitator Bag

RK.MD

Artificial manual breathing unit (“Ambu”) bags are seen throughout healthcare to facilitate mask ventilation or ventilation through an indwelling endotracheal/tracheostomy tube. Pictured is an adult Ambu® SPUR® II resuscitator bag. Based on the manufacturer’s specifications, this Ambu bag has a resuscitator (“bag”) volume of ~1547 mL (~600 mL delivered with one hand, ~1000 mL delivered with two hands), a pressure-limiting valve of 40 cm H2O, and a reservoir volume o

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Anisocoria After DuoNeb

RK.MD

DuoNeb is an inhalation solution combining ipratropium bromide (an anticholinergic) with albuterol sulfate (β2-agonist) to promote bronchodilation. During nebulization, aerosolized ipratropium can leak to the ipsilateral conjunctiva, causing the pupil to dilate ( mydriasis ). On exam, one would appreciate unequal pupils ( anisocoria ) with the blown pupil unreactive to light.

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