Postanesthesia Care
Study: Preoperative depression boosts risk of postoperative delirium
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.…
Study: Postoperative potassium risk overstated for cardiac bypass patients
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…
Flexibility for clinicians in managing RAS inhibitors in noncardiac surgery
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…
Study: Women face higher mortality risk than men for postop atrial fibrillation after cardiac surgery
Editor's Note A recent study from two tertiary care centers highlighted significant sex differences in long-term outcomes after cardiac surgery, especially concerning postoperative atrial fibrillation (postopAF), MedPage August 21 reports. The study, published in JAMA Network, found that while women were less likely than men to develop postopAF following a…
Study: Nearly 10% of patients on prescription opioids develop dependency or disorder
Editor's Note Research reveals nearly 10% of patients treated with prescription opioid painkillers develop opioid dependency or opioid use disorder (OUD), Healio reported on August 13. Additionally, nearly 30% of patients exhibit signs and symptoms indicating potential OUD. Originally published in the journal Addiction, the data are from a systematic…
How perioperative staff can combat human trafficking—Part 1
Human trafficking (HT) is a global public health crisis and one of the fastest growing criminal enterprises that grosses hundreds of billions of dollars annually, all of which are tax-free profits made off the sale of human cargo. And yet, research shows the problem is poorly understood or recognized among…
FDA approves single-dose propofol amid drug shortage
Editor's Note The Food and Drug Administration (FDA) approved Amneal Pharmaceuticals' Abbreviated New Drug Application for single-dose vials of propofol injectable emulsion, Anesthesiology News August 23 reports. The newly approved formulations include 200 mg/20 mL, 500 mg/50 mL, and 1,000 mg/100 mL vials. Propofol is widely used for anesthesia and…
Bleeding risk should dictate strategy for managing patients on direct oral anticoagulants
Editor's Note Clinicians managing surgical patients on direct oral anticoagulants (DOACs) should adopt a different approach depending on the procedure, according to research published August 12 in JAMA Network. Used to treat patients with atrial fibrillation and venous thromboembolism, DOACs must be managed effectively to minimize risks of bleeding, researchers…
Countdown to OR Manager Conference: Key strategies for success adding complex spine procedures to ASCs
Editor's Note At last year’s OR Manager Conference, healthcare leader Karen Reiter, RN, CNOR, RNFA, CASC, shared her expertise on integrating complex spine procedures into ambulatory surgery centers (ASCs). As the former administrator at DISC Surgery Center at Newport Beach and vice president of operations and payer management at TriasMD,…
Study shows safety, effectiveness of cardiac electrophysiology procedures in ASCs
Editor's Note This new multicenter study published by the Heart Rhythm Society on August 5 found that ambulatory surgery centers (ASCs) offer a safe and effective setting for performing various cardiac electrophysiology procedures, including catheter ablation (CA). The research, which retrospectively analyzed 4,037 procedures, highlights the viability of ASCs as…
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