Intraoperative Pressure Injury Prevention.

Pressure injury (PI) prevention in the operating room (OR) has unique considerations based on the patient, procedure, position for the surgical procedure, and available positioning devices. Patient-specific factors contribute to their risk of incurring an intraoperative PI from the American Society of Anesthesiologists classification, sex, body mass index, comorbidities, age, and nutritional status. Additionally, there are surgery-specific risk factors such as length of procedure, intraoperative hypotension, lack of normothermia, and intraoperative blood loss.

Building a Culture of Support at a Pediatric Surgery Center Through Multidisciplinary Peer Support.

Introduction: Surgeons and perioperative staff experience high rates of burnout manifesting as exhaustion, depersonalization, and lack of achievement. Consequences include increases in errors and adverse patient events. Little data exist regarding the effectiveness of multidisciplinary peer support systems in combatting burnout.

Use of Pressure Mapping to Compare Two Operating Room Surfaces in the Supine With Bent Knees Position and the Supine in Lithotomy Position.

Introduction: Hospital-acquired pressure ulcer/injury (HAPU/I) often occurs postoperatively despite preventative interventions. The authors recently found an increasing incidence of HAPU/I in patients having prolonged operating room (OR) procedures in both the bent knee and lithotomy positions.

Objective: The aim of this study was to measure and compare 2 different OR surfaces in both the supine with bent knees position and the supine in lithotomy position.

Pediatric biliary disorders: Multimodality imaging evaluation with clinicopathologic correlation.

The spectrum of pathologies affecting the biliary tree in the pediatric population varies depending on the age of presentation. While in utero insults can result in an array of anatomic variants and congenital anomalies in newborns, diverse acquired biliary pathologies are observed in older children. These acquired pathologies display different presentations and consequences than adults.