Historically, there has not been a great understanding about the “obesity paradox,” which suggests that overweight and obese patients may have better outcomes than normal weight patients. Our newly published research confirms that while overweight and mildly obese patients do experience less blood transfusion and post-surgical bleeding than patients of normal weight, much of the observed reduction in transfusion rates in obese patients can be accounted for by other known confounds.
When I learned of a concern regarding Nontuberculous Mycobacteria (NTM) infections from use of LivaNova’s (previously Sorin) 3T heater-coolers and a change in their Instructions for Use (IFUs), I brought it to the attention of my OR Director at Memorial Medical Center. The situation has led to the development of best practices in team collaboration and infection control.
There’s good reason why I don’t roof my own house or fly my own plane. I rely on others for their specialized skills, experience, and economies of scale—knowledgeable people focused on specific activities that ensure quality and safety, keep costs in check, and know the codes and regulations that must be followed. Today, more than ever, we rely on specialization to get things done. Healthcare is no different. In fact, healthcare may be one of our best examples of an industry that can benefit significantly from specialized teams.
One of the most significant trends facing our industry today is the severe shortage of perfusionists. A current sample of 10% of active perfusionists found that nearly 50% are over 50 years old, and in 2015 there were almost 30% fewer new graduates entering the field than professionals leaving the field. This rate of decline cannot be sustained for long before the deficit poses serious risks to the 350,000 patients who need heart surgeries and perfusion services each year.