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The Health IDEA

The Health IDEA

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Don't fear anesthesia when your child needs surgery

7/9/2018

 
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Don't fear anesthesia when your child needs surgery

As a parent, you want to be sure your child gets the best and safest care. Anesthesia’s effect on the developing brain is being researched continually, and you’ll be comforted to know that anesthesia provided during one brief surgery is considered safe by the experts at the American Society of Anesthesiologists (ASA).


(BPT) - When surgery is necessary, anesthesia ensures your child can safely receive life-saving or corrective treatment while managing the pain and discomfort of the procedure. Anesthesia’s effect on the developing brain is being researched continually, and you’ll be comforted to know that anesthesia provided during one brief surgery is considered safe by the experts at the American Society of Anesthesiologists (ASA).


“Parents should rest assured that surgery is only recommended when necessary and your child will be monitored during every minute of the procedure to ensure the safest and most effective care,” said Linda Mason, M.D., ASA president-elect and a pediatric physician anesthesiologist. “In an effort to continually improve anesthesia, physician anesthesiologists have been at the forefront of research on the effects of anesthesia on children — and adults — and continue to study this important issue.”


As a parent, you want to be sure your child gets the best and safest care. To that end, ASA offers the following guidance:


1. Don’t delay or avoid surgery: Work closely with your child’s surgeon and other physicians to determine if surgery is the right choice. In most cases, delaying or avoiding surgery may mean the child does not receive much-needed care. For example, if your child’s doctor recommends placing tubes to drain fluid in the ears and prevent ongoing infection, not doing the procedure increases the risk of delayed speech and language development, which can affect social and academic success.


2. Talk to the physician anesthesiologist: Highly trained to ensure safe, high-quality care, the physician anesthesiologist will monitor your child through the entire surgery so he or she stays warm, gets enough oxygen, has stable blood pressure and receives necessary fluids. Depending on the location and type of surgery, your child may have more than one anesthesia option. Be sure to ask the physician anesthesiologist about those options as well as any other questions you have, such as:
* How can I ensure my child has a successful surgery?
* How can I help my child prepare?
* Is anesthesia safe for my child?


3. Rest assured that limited exposure is considered safe: Experts note that a single, relatively short exposure to anesthesia and surgery is unlikely to have negative effects on behavior or learning. And most common surgeries in children require anesthesia for less than two hours. Research continues regarding the use of anesthesia in repeated or longer surgeries. But parents should be confident that physicians are aware of the concerns and will only recommend a surgery or procedure if necessary.


“ASA is committed to advancing research regarding this issue and its physician scientist members are active in cutting-edge research both in the laboratory and at the patient’s bedside,” said Dr. Mason. “Through the SmartTots program, ASA partners with the International Anesthesia Research Society and the U.S. Food and Drug Administration (FDA) to support funding to investigate the safety of anesthesia for infants and young children.”


Learn about preparing your child for surgery and questions to ask about anesthesia safety for your young child at asahq.org/kidschecklist. Additionally, download ASA’s companion coloring book for children who are about to undergo anesthesia and surgery.


The American Society of Anesthesiologists


Founded in 1905, the American Society of Anesthesiologists (ASA) is an educational, research and scientific society with more than 52,000 members organized to raise and maintain the standards of the medical practice of anesthesiology. ASA is committed to ensuring physician anesthesiologists evaluate and supervise the medical care of patients before, during and after surgery to provide the highest quality and safest care every patient deserves.
​

For more information on the field of anesthesiology, visit the American Society of Anesthesiologists online at asahq.org. To learn more about the role physician anesthesiologists play in ensuring patient safety, visit asahq.org/WhenSecondsCount. Like ASA on Facebook; follow ASALifeline on Twitter.

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New rotator cuff procedure helps tendons heal

4/12/2017

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(BPT) - The rotator cuff is one of the most important parts of the shoulder, as it consists of muscles and tendons that hold the shoulder in place and allow the body to lift the arm and reach for items.
Unfortunately, rotator cuff injuries are the most common source of shoulder pain and disability, affecting more than 4 million Americans annually, according to the American Academy of Orthopaedic Surgeons. A rotator cuff injury can greatly reduce quality of life, as it makes daily activities painful and difficult to do.

Those who suffer from rotator cuff disease often avoid surgery to repair the tear because they hear about painful, lengthy postoperative rehabilitation and time away from work. In addition, traditional procedures have focused only on biomechanical repair of the tendon without addressing the underlying biology, which can result in tears progressing and re-tears in the rotator cuff tendon after an initial repair.

A new technology is now available that helps tendons heal by stimulating the growth of new tendon tissue. The Rotation Medical Bioinductive Implant, which is about the size of a postage stamp, is inserted through a small incision during a short, minimally invasive procedure. Surgical staples hold the implant in place until fibers and tendons of the rotator cuff grow into the implant. The first-of-its-kind implant can provide a range of potential benefits, including shorter rehabilitation, faster recovery, prevention or slowing of disease progression, healing of partial-thickness tears, and decreased risk of developing a subsequent tear.

For people like Starr Boykin, a company executive of Mobile, Alabama, the implant can be life changing. Boykin, who is also involved in competitive fishing tournaments, was recovering from rotator cuff surgery in her right shoulder when, in physical therapy, her left shoulder began to hurt from what turned out to be another rotator cuff tear. Despite multiple surgeries on her left shoulder, pain persisted for over a year.

"My doctor told me there was nothing else they could do, that I needed reverse shoulder replacement," Boykin says. "Being a professional fisherwoman and having already undergone serious shoulder surgeries, this really upset me. I got a second and then a third opinion, and the two other doctors told me the exact same thing.”

After hearing about a physician in Florida who was using the Rotation Medical Bioinductive Implant, Boykin met with Dr. Christopher O’Grady at the Andrews Institute, who evaluated her case and told her shoulder replacement surgery was not her only option.

“Starr was a great candidate for the Bioinductive Implant because her injury wasn’t a technical problem, it was a biology problem,” Dr. O’Grady says. “The implant didn’t just temporarily repair her rotator cuff, it completely healed the injury and gave her the ability to achieve functional range of motion more quickly than a traditional, more invasive surgical treatment.”

Despite several previous failed rotator cuff surgeries, Boykin is making a full recovery and is back to competitive fishing.

“After the surgery I felt an immediate difference,” Boykin says. “After six months, I was back to fishing in tournaments and paddling in my kayak. I’m so grateful for the Rotation Medical technology, which gave me full use of my arm and shoulder and has given me my life back."

For more information about the Rotation Medical Bioinductive Implant or to find a surgeon near you, www.rotationmedical.com. For important safety information, visit http://rotationmedical.com/our-solution/risks/.


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Preparing for a Safe, Successful Surgery

7/28/2016

 
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Preparing for a Safe, Successful Surgery

Facing surgery can be a frightening, overwhelming experience. However there are things you can do prior to a procedure, such as doing research, selecting the right surgical team, asking questions, choosing a well-disinfected hospital or surgery center, selecting your surgery time and taking care of home obligations, that can go a long way toward easing your mind and avoiding post-surgery complications.


Preparing for a Safe, Successful Surgery

(Family Features) Facing surgery can be a frightening, overwhelming experience. Thousands of surgeries are performed every day and many result in the patient contracting a surgical site infection (SSI). According to the CDC, SSIs are the most common healthcare-associated infection (HAI), accounting for 31 percent of all HAIs among hospitalized patients. However there are things you can do prior to a procedure that can go a long way toward easing your mind and avoiding post-surgery complications.

Do Your Research. Learn about the procedure you will be having, including any short- or long-term side effects. Find out what the professionals recommend for the recovery process. Make sure you understand what your medical insurance covers and what your out-of-pocket responsibility will be.

Select the Right Team. Choose an experienced surgeon that specializes in the procedure you need. Do your homework on potential candidates, including learning their qualifications, specialties and amount of similar procedures performed. Pick a surgical team that you communicate well with, respects you and makes you feel at ease. Websites such as Yelp and HealthGrades can provide patient feedback on a surgeon’s performance.

Ask Questions. Since there are often several ways to perform a procedure, ask your doctor to explain the surgery. Discuss any risks, benefits and/or alternatives to the preferred method. Sometimes physicians will provide a reference patient who can tell you about their experience with the same procedure.

Choose the Hospital or Surgery Center. Check out the facility where you will have your procedure. Hospital cleanliness will play a major role in your chances of avoiding an SSI as infections develop in about one to three out of every 100 patients who undergo a procedure, according to the CDC. While antibiotics can be used for treatment, sometimes another surgery is required to treat the infection. Hospital infection rates are available at hospitalcompare.hhs.gov.

Contact the facility and ask about how they clean the operating rooms (ORs) and recovery areas – you want to go to the cleanest and most disinfected surgery center in your area. Just because an OR looks clean does not mean that dangerous microscopic superbugs aren’t lurking on surfaces in the room. Some hospitals use a Xenex LightStrike Germ-Zapping Robot, for example, that pulses xenon ultraviolet (UV) light to quickly destroy deadly germs and bacteria that can cause infections. Trinity Medical Center in Alabama reported a 100 percent decrease in joint (knee and hip) infections after it began using the robot to disinfect its ORs. Another hospital, Lowell General Hospital in Massachusetts, recently reported a 46 percent decrease in SSIs after utilizing a Xenex disinfection robot.

Select Your Surgery Time. Requesting a day early in the week, but not on Monday, and a time early in the day can decrease your odds of being exposed to germs and bacteria. ORs are deep cleaned each night, with quick cleans between each surgery. Since there are few surgeries on weekends, there may not be a cleaning crew available on Sunday night. Additionally, according to a UK study, the odds of death within 30 days after surgery were significantly higher the later in the week a surgery takes place.

Take Care of Home Responsibilities. Prior to surgery, get your home in order by cleaning, paying bills and running errands. Arrange for transportation to and from the hospital if anesthesia will be used.

Many factors influence the risk of getting an SSI, but patients have some control. To learn more about hospital acquired infections and how they can be prevented, visit Xenex.com/StopHAIs.

SOURCE:
Xenex


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