John Gerancher: Study Demonstrates Risk of Reusable Surgical Equipment

Previously, John Charles Gerancher worked as a professor of anesthesiology at Wake Forest School of Medicine in Winston-Salem, North Carolina. J.C. Gerancher has received such honors as the Golden Apple Award, the H. Barrie Farley Excellence in Teaching Award, and the Best Doctors in America designation.

A French study recently discovered that many reusable medical items house contaminants. When researchers examined samples taken from pulse oximeters and electrocardiogram cables, researchers found that more than 50 percent of the analyzed materials tested positive for microbial contamination. Though the analysis identified no drug-resistant pathogens among the microbes uncovered, the study highlights the potential need to improve decontamination procedures.

Researchers from New York conducted a similar study published in the journal Anesthesia & Analgesia. This study found contamination rates roughly equal to those reported in the French study, but the New York researchers documented lower contamination rates when medical personnel were conscious of being monitored.

John Gerancher: Certain Intubation Methods Increase Risk and Degrade Physician Skill

John Charles Gerancher previously served as an anesthesiologist at Wake Forest School of Medicine. A graduate of the Perelman School of Medicine at the University of Pennsylvania, J.C. Gerancher carried out postdoctoral training at Oregon Health & Science University, the Bowman Gray School of Medicine, and Virginia Mason Medical Center.

According to experts at the Society for Airway Management, doctors do not perform enough preinduction awake intubations to maintain their skills. The lack of practice increases risk to patients and is concerning to professionals like Dr. Adam Law, a professor at Dalhousie University in Nova Scotia.

At the Society for Airway Management’s 2012 annual meeting, Dr. Law reminded attendees that preinduction intubations hold less risk than the postinduction procedure because preinduction intubations allow clinicians to concentrate on inserting the tube. Dr. Law, who cites the United Kingdom’s National Audit Project for evidence, believes that doctors take needless shortcuts when conducting intubations following induction, even when it does not seem appropriate.