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Home E-Weekly May 1, 2018

News & Notes

Published: May 1, 2018

  • Surgical headgear accord reached The heated debate over whether surgeons should wear bouffants or skull caps during surgery appears to be over after representatives from several professional organizations representing surgery, anesthesia, nursing and infection prevention decided the clinical evidence is insufficient to support mandating that surgeons wear bouffants to cover their ears. AORN, which was part of the multi-disciplinary team summit last February, is revising its surgical attire guideline based on the meeting's collaborative discussions and a study that suggests disposable bouffants are the least effective barrier to microbial shed among the head-covering options. The new recommendation will be available for public comment from Jan. 2 to Feb. 22, 2019, and published in April 2019.
  • Does anesthesia lowers intelligence in young children? A study by the Mayo Clinic of the long-term impact of anesthesia on children under 3 found that even repeated exposure does not lower intelligence. The study tracked 997 people of whom 411 had no exposure before age 3; 380 of whom had a single exposure; and 206 children who had multiple exposures to anesthesia. Subjects were given neuropsychological testing at ages 8-12 or 15-20. "The primary outcome of intelligence quotient did not differ significantly according to exposure status," the study concludes. However, one area of concern, children who received multiple — though not single — exposures were reported to have slightly decreased processing speed and motor skills as well as more likely to have behavior and learning problems as reported by parents.
  • Complications after rotator cuff surgeryFor older patients, 1 or 2 out of every 100 will experience complications following rotator cuff surgery a study from the Hospital for Special Surgery in New York finds. Infections were the leading complication that required additional surgery, while heart failure and dialysis were the common risk factors found in most readmitted patients.
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