Enhanced Recovery After Surgery (ERAS) represents a transformative approach in modern surgical care, emphasizing evidence-based, multidisciplinary protocols to optimize patient recovery. Spanning decades, ERAS has grown from a novel concept into a global standard for perioperative care, with benefits that include shorter hospital stays, fewer complications, and reduced healthcare costs.…

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Editor's Note Three days of education and networking await perioperative professionals attending this week’s OR Manager Conference (ORMC), which runs through Wednesday, October 30 at the MGM Grand in Las Vegas. By the time today’s keynote speaker begins an address on resilience and mental health, many attendees will already have…

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Editor's Note Individuals with preoperative depression are at significantly higher risk of developing postoperative delirium, according to a systematic review and meta-analysis of 42 studies involving a total of 4.6 million patients. Published September 4 in Anaesthesia, the study is first review to quantify the incidence and risk of postoperative…

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Editor's Note The first clinical guidance for prescribing opioids to children recommend combining the drugs with nonopioid medications like acetaminophen or ibuprofen rather than as monotherapy, according to a September 30 report in Healio. Released by The American Academy of Pediatrics (AAP), the guidance also specifies that naloxone should also…

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Human trafficking (HT) is a hidden-in-plain-sight crime—victims walk among the public at large, yet they remain essentially invisible. Lack of education and knowledge on HT and anti-trafficking measures is particularly egregious in healthcare. In fact, the literature shows the majority of people being trafficked access the system without being identified…

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Editor's Note Confusion about the scope of practice for Certified Registered Nurse Anesthetists (CRNAs) prompted The California Department of Public Health to update guidelines for acute care hospitals, MedPage Today reported September 18. Issued after violations at two Modesto hospitals resulted in hundreds of cancelled surgeries, a letter from the…

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Editor's Note Capacity issues persist within the anesthesia workforce, leaving perioperative leaders tasked with maintaining efficient operations and safe practices for patients through surgery. We spoke with leaders from SCA Health, Stormont Vail Health, and Heartland Anesthesia & Consulting to find out other challenges anesthesia providers are facing, and how…

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Editor's Note Patients with depressive symptoms are nearly twice as likely to experience delirium after major surgery, according to a meta-analysis published September 4 in the journal Anaesthesia. The evaluation of the link between preoperative depression and postoperative delirium included data from 42 studies involving more than 4.6 million patients.…

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Editor's Note The common practice of administering potassium after bypass surgery can be safely abandoned in patients with normal blood levels, according to results of the randomized TIGHT-K trial. According to a September 3 report in Medscape, potassium supplementation is a widely accepted means of reducing the risk of postoperative…

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Editor's Note A new study, the Stop-or-Not Trial, has found no significant difference in outcomes for patients undergoing noncardiac surgery who either continued or discontinued their renin-angiotensin system (RAS) inhibitor therapy, MedPage Today August 31 reports. The randomized clinical trial, which included over 2,200 patients, reported the rate of death…

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