Minimally Invasive Surgery Guideline Update

The 2023 update to the AORN Minimally Invasive Surgery Guideline introduced significant changes to enhance patient safety and improve perioperative care. Here are some of the key highlights:   

Preoperative Assessment

Enhanced patient assessment: The guideline emphasizes a more comprehensive preoperative assessment to identify potential risks and complications associated with minimally invasive surgery (MIS).   

Fluid deficit thresholds: New recommendations focus on determining patient-specific maximum hysteroscopic fluid deficit thresholds to prevent complications.   

Collaboration and Communication

Team-based approach: The updated guideline promotes a collaborative approach among perioperative team members to improve communication and efficiency.   

Robotic-assisted procedures: Specific recommendations address communication and workflow processes for robotic-assisted procedures.   
Emergency preparedness: The guideline includes guidance on preparing for potential conversions to open procedures and other emergencies.   

Safety and Technology

MRI safety: New recommendations focus on MRI safety for patients undergoing MIS procedures.   

Flexible endoscopes: Updated recommendations address the sterilization and handling of flexible endoscopes to reduce the risk of infection.   
Robotics and technology: The guideline incorporates advancements in robotics and other technologies to optimize patient care and outcomes. 

Purchase the guideline book at https://info.aorn.org/2024-guidelines-for-perioperative-practice-book-sale.html.

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Welcome to the Periop Talk—your go-to podcast series where we examine the world of perioperative nursing.

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