Inadvertent Perioperative Hypothermia.
Garceau C, Cosgrove M, Gonzalez K. Inadvertent Perioperative Hypothermia. AANA Journal 2023, 91: 303-309. PMID: 37527171.Peer-Reviewed Educational MaterialsConceptsInadvertent perioperative hypothermiaPerioperative periodAmbient operating room temperaturePreoperative risk factorsSurgical site infectionOperating room temperatureCore body temperatureWorld Health OrganizationHospital stayReadmission ratesSite infectionPerioperative hypothermiaPreoperative exposureRisk factorsRegional anesthesiaSkin exposurePhysiologic responsesGreater riskWashout solutionSkin preparationHealth OrganizationBody temperatureLonger lengthPatientsHypothermiaThe Administration of Tranexamic Acid For Complex Spine Surgery.
Jockel K, Lee A, Cosgrove M, Reilly D, Wijesekera S. The Administration of Tranexamic Acid For Complex Spine Surgery. AANA Journal 2023, 91: 63-70. PMID: 36722785.Peer-Reviewed Educational MaterialsConceptsComplex spine surgeryPerioperative blood lossBlood lossTranexamic acidSpine surgeryExtensive vascular networkHigh-dose tranexamic acidLow-dose tranexamic acidUse of TXASubstantial intraoperative blood lossMultilevel spine surgeryBlood product utilizationIntraoperative blood lossMajor blood lossExcessive blood lossInstrumented spinal surgeryAntifibrinolytic medicationsTransfusion requirementsHospital lengthPerioperative morbidityPostoperative morbidityPerioperative periodBlood transfusionSpinal surgeryTopical administration