There’s no question the invention of video laryngoscopes changed the way providers tackled the critical issue of airway management. But for years after these game-changing devices hit the market, usage was limited only to those...

Standardization is often the common denominator among successful total joints programs. Take Knoxville Orthopaedic Surgery Center (KOSC), which opened in December 2009 and has had a total joints service line...

The movement of gynecology cases to same-day surgical spaces is being driven by physicians who want to perform procedures on carefully selected patients in comfortable and safe environments, according to...

Anesthesia providers who excel in the outpatient setting have mastered the art and science of using local anesthetics to numb pain during increasingly complex procedures. They also understand how to...

The origin story of total shoulders moving to outpatient ORs begins with sports medicine surgeons, who performed complex rotator-cuff repairs in the same-day...

Healthy patients fearful of COVID-19 exposure in a hospital are flocking to ambulatory surgery centers and specialty hospitals for their hip and knee replacements, creating...

Pre-op anxiety in patients is a common medical concern that is often ignored. Reducing preoperative anxiety is a key indicator of postoperative outcomes. When a patient feels anxious, their hormone levels...

The admittedly strong-armed tactic from orthopedic surgeon Randy G. Delcore, MD, to the anesthesiologists who practice at Cedar Orthopaedic Surgery Center came in 2013. “I essentially issued a mandate and said, ‘You’re not coming to my facility..."

In a world turned upside-down by COVID and dizzying rates of staff turnover, live, team-based training on how to quickly respond to an instance of the rare but potentially fatal phenomenon of malignant hyperthermia (MH) is...

Your surgical team just successfully completed a total hip replacement with robotic assistance on a 70-year-old woman. The anesthesia provider administered ondansetron, a serotonin 5-HT3 receptor antagonist,...

Injecting a nerve cluster with a local anesthetic can provide patients with days of pain relief following orthopedic, abdominal or spine surgery. Regional anesthesia means...

How did you wind up in Ukraine providing medical services and training? I went over there as part of a non-governmental organization called Global Surgical and Medical Support Group (GSMSG),...

Preventing inadvertent perioperative hypothermia, a complication that can cause a host of problems such as vasoconstriction, tissue hypoxia and an increased likelihood of...

The most difficult airway is the unanticipated one. Those eight words of advice that Robert W. Simon, DNP, MS, CRNA, CHSE, CNE, heard repeatedly throughout his...

Mo Halawi, MD, grew up in Lebanon, where he remembers his grandmother receiving acetaminophen to manage her pain after a major surgery. When he began practicing...

Anesthesia providers often make everything look easy — perhaps too easy. When staff walk into an OR during a surgical case, it can appear like we’re not doing much at all. But anyone who has ever worked in this field will tell you...

About 45 minutes before surgery, Joseph Nessler, MD, will stop by pre-op to mark the correct surgical site of his total joint patients. He’ll say hello, note his initials where he intends to cut and ask if the patient has any last-minute questions....

Regional anesthesia has evolved into a game-changer for performing joint replacement procedures. The improved ability to block pain signals around the surgical area...

If you asked your colleagues to define postoperative delirium and the symptoms to look out for, do you think they could answer you with confidence? Believe it or not, the condition is widely misdiagnosed because its symptoms...

I have been a surgical nurse for more than 30 years and a patient numerous times. I’m fully aware, from both sides of the table, of the importance of safe surgical care. There are numerous factors that go into protecting...