Study: Propofol sedation increases colonoscopy costs without improving outcomes
Editor's Note Although the use of propofol for colonoscopy has been rising due to beliefs that deep sedation leads to greater patient comfort, a recent systematic review and meta-analysis of nearly 1,500 patients from nine randomized controlled trials shows this view is not supported by available evidence. Published March 8…
Two-question survey could help improve pain management, reduce opioid use
Editor's Note A simple, two-question survey could help identify patients most likely to develop chronic pain during recovery from surgery or injury and direct them toward proactive, holistic services that reduce reliance on opioids. NEJM Catalyst published the findings on March 20. Conducted by a research team from Duke University,…
Study: Weight loss drugs could increase risk of surgical complications
Editor's Note Popular weight-loss drugs like Ozempic and Mounjaro could lead to complications in surgical procedures, according to study published March 6 in the journal JAMA Surgery.ย The study focused on drugs known as glucagon-like peptide-1 receptor agonists (GLP-1 RAs) which are used to treat diabetes and obesity.ย The drugs, which…
Swiftyโs singing keeps brain surgery on track
Editor's Note Staying awake during brain surgery to sing Taylor Swift songs helped ensure the best possible outcome for Selena Campione, a 36-year-old teacher from Stanhope, New Jersey who recently had a tumor removed at Jersey Shore University Medical Center. As detailed in a March 21 report from People, neurooncologist…
Surgical scrub evolution and the future of smart medical attire
For surgeons and other medical professionals, what to wear to work is more than just an afterthought. Over the decades, surgical scrubs have undergone a significant transformation, evolving from simple, functional garments to sophisticated attire that prioritizes both comfort and infection control. They are not merely clothing but a vital…
Safe postop patient recovery: A day in the PACU leader role
Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the โrecovery roomโ) is a critical care area plagued by an influx of new…
Procedural sedation analgesia considerations for ASC leaders
The promise of quicker recovery and fewer complications from sedation, anesthesia, and pain management have drawn clinicians and patients alike to procedures performed in ambulatory surgery centers (ASCs) and other outpatient settings. However, sedation, anesthesia, and analgesia add their own risks to those of the procedure itself. Understanding the latest…
AI’s pivotal role in transforming OR efficiency, now and in the future
Next-Gen Disruptors: Technologies Transforming the OR Installment #1, presented by LeanTaaS Surgical procedures are necessary steps in patient journeysโno one wants to have surgery, but most people will need it at some point for care continuity and better quality of life. To best support positive outcomes, optimal recovery periods, and…
How data puts the ‘value’ in value-based care
What if a surgeon decided to perform a procedure on a patient that was not totally necessary? It happens more often that one might realize. As recently as August 2023, Forbes published an article that cited a Harvard Business Review report stating that over 50% of lumbar spine surgeries are…
Decade of salary data shows mix of small gains, stagnation for OR leaders
Takeaways OR leaders have experienced financial gains over the past 9 years, but not enough to keep up with inflation in recent years. Capital and operating budget responsibilities have increased over the past 6 years. Since 2015, OR leaders have consistently been most satisfied with their current job, but much…