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Operating Opinions
A forum for discussion on recent news regarding OR nurses.
Thursday, March 19, 2015

A new weight loss surgery technique, known as primary obesity surgery endolumenal (POSE), is far less invasive than traditional bariatric surgery, allowing most patients to return to work only two or three days after the operation. POSE involves folding the stomach into creases, which in turn prevents expansion for food; the procedure is performed with a tube that is passed down the throat and is completed within 45 minutes.

Dr. Thomas Lavin, of The Surgical Specialists of Louisiana, who is leading the new trial, says, "It could mean tens of thousands of patients may have an incredibly compelling new option to consider if they’ve struggled to lose weight with diet and exercise, but aren’t candidates for, or are not prepared to accept the risk of, traditional bariatric surgery."

This surgery is not intended for the standard bariatric patient, as these patients need to lose 25 to 50 or 60 pounds -- not 100 or 200. Be sure to check out the video, which further details the new procedure.


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Thursday, February 19, 2015

On a return flight from Paris for her birthday weekend, nurse practitioner April Lopez jumped into action when the pilot asked for a medical professional's assistance. The American Airline's flight from Dallas to the Rio Grande Valley was forced to make an emergency landing in Austin when a gentleman suffering internal bleeding locked himself in the plane's restroom; Lopez had airline staff break the door open to assess the situation. The man was seated on the toilet passing blood.

“I ran to the front, and there was a guy that was about 6'6". He looked like a foreign guy, and he was completely soaked in sweat. I identified myself as a family nurse practitioner. I said ‘sir, how are you doing?’ He said, ‘I need to use the restroom.’ Usually what happens with these guys, they go to the restroom and they have a myocardial infarction in the bathroom and they die. I said, ‘Sir, I'm going to give you ten seconds.’”

Lopez, who has years of experience as an emergency room nurse, instructed the airline staff that the man was in immediate need for surgery and that he could not be helped on the plane, as he was suffering from cirrhosis of the liver. After the emergency landing, the man was taken to a hospital, the plane was evacuated, and Lopez had a hazmat crew clean up. Lopez believes that there is a lesson that can be learned from this emergency experience: Do not get on a plane if you are sick. 

“He just kept saying, ‘I don't want to die like this. I don't want to die this way.’ I looked at him I said sir, you're not going to die on my shift," Lopez added.


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Tuesday, February 03, 2015

According to a new study, surgery patients wind up back in the hospital most frequently due to incision infections that don't appear until the patient has gone home. Among six common surgeries, hysterectomies accounted for just under 4%, while artery surgeries to reroute blood flow to the legs accounted for almost 15% of readmissions.

Researchers looked at 2012 data from 346 hospitals associated with an American College of Surgeons quality improvement program. The study notes that hospital readmissions are currently a nationwide focus in an effort to reduce costs and improve the quality of patient care.

"Most of these things are clearly related to the surgery, well-known accepted complications that we all try to reduce," said Dr. Karl Bilimoria, the study's senior author and director of the surgical quality improvement center at Northwestern University's Feinberg School of Medicine.

Surgical site infections are generally caused by bacteria entering the incision area from either the patient's body or from non-sterilized surgical tools.


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Tuesday, January 13, 2015

Nurses now have a revamped set of rules to consider when it comes to ethics. The American Nurses Association (ANA) has updated their code of ethics for the first time since 2001 and have dubbed 2015 as the "year of ethics." The ANA also plans on having numerous activities to support this theme.

“The public places its faith in nurses to practice ethically. A patient’s health, autonomy and even life or death, can be affected by a nurse’s decisions and actions,” said ANA President Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN. “ANA believes it’s important that all nurses practice at the highest ethical level, and therefore, we will be offering a full range of activities to inform and support nurses to achieve that goal in a stressful and ever-changing health care environment.”

The new code of ethics (revised as of January 1) is the result of a four-year revision process based on a review of thousands of comments from nurses. The ANA says that the new code “reflects modern clinical practice and evolving conditions, and fully addresses transformations in health care," with a goal to make the code more efficient. Ethics will also be the theme of National Nurses Week (May 6 to 12).

The code can be found here.

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Tuesday, December 16, 2014

UCLA researchers are now able to access previously unreachable areas of the head and neck with an advanced robotic surgical technique used in tandem with chemotherapy or radiation. The new approach, developed  by Dr. Abie Mendelsohn, UCLA Jonsson Comprehensive Cancer Center member and director of head and neck robotic surgery at UCLA, facilitates operating in the parapharyngeal space, which is lined with several large blood vessels, nerves, and complex facial muscles, making access to this area highly invasive or impossible.

“This is a revolutionary new approach that uses highly advanced technology to reach the deepest areas of the head and neck,” said Mendelsohn. “Patients can now be treated in a manner equivalent to that of a straightforward dental procedure and go back to leading normal, healthy lives in a matter of days with few or even no side effects.”

Mendelsohn was able to refine and advance transoral robotic surgery via the da Vinci Surgical Robot, allowing 3D imaging tools the ability to reach the parapharyngeal space along with other areas of the head and neck previously difficult to reach.

Source: [BioSciTech]
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About the Author

Elizabeth M. Thompson
Elizabeth M. Thompson is the Editor-In-Chief of OR Nurse 2012. She is also a Nursing Education Specialist at the Mayo Clinic in Rochester, Minnesota.