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Business advisor: The art of the flip. Ground rules govern when we let surgeons run 2 rooms.

Getting certified for total joint surgery. Hear from the very first facilities to achieve advanced certification for total hip and total knee replacement.

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5 steps to PONV prevention. Post-operative nausea and vomiting is one of surgery's most unwanted side effects. Here's how to keep patients' stomachs settled.

Behind closed doors: Does this stuff ever happen to you? Or am I the only lucky one to experience these OR oddities?

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Anesthesia alert: One simple trick to preempt post-op pain. The magic of a 50 mg dissociative dose of ketamine just before incision.

Slow down, save a life. Keeping your staff safe is a challenge in the fast-paced environment of same-day surgery.

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Cutting remarks: Forgiveness: Don't leave home without it. Carrying around old hurts robs us of happiness, joy and energy.

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What surgeons want in their gowns. Comfort, breathability and mobility are nice, but barrier protection is the most important attribute.

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Is that scope clean? No guarantees. Even rigorous by-the-book cleaning doesn't ensure that your flexible endoscopes will be free of bacteria and bioburden when you hang them to dry.