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…

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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 “recovery room”) is a critical care area plagued by an influx of new…

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Editor's Note New research supports fertility preservation with cone biopsy as a viable, less radical option for to surgery in patients with early, low-risk cervical cancer, according to a report published March 18 in MedPage Today. Presented at the Society of Gynecologic Oncology annual meeting, the findings from the Gynecologic…

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Editor's Note An ongoing US Food and Drug Administration (FDA) evaluation of plastic syringes made in China reveals that quality problems are more widespread than initially believed, the agency reported on March 19. The update to an original November 23 safety notice recommends the following action to alleviate potential quality…

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Editor's Note Using phenylephrine as an intraoperative vasopressor could lead to higher risk of postoperative delirium compared to ephedrine, according to findings published in the April issue of Anesthesiology. Posted online last September, these findings confirm researchers’ original hypothesis. “The treatment of intraoperative hypotension with phenylephrine may impair cerebral perfusion…

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Editor's Note Research shows that Americans who live in areas with a limited number of primary care doctors and nurse practitioners are at a greater risk for emergency surgeries and complications. The findings were published March 4 in the journal Health Affairs.  For the study, researchers looked at Medicare patient…

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Editor's Note Researchers at Imperial College London are using noninvasive brain monitoring to understand the stressors contributing to cognitive overload in surgeons as well as how to combat the condition. The Guardian reported the news on March 2. The monitoring technique, called functional near-infrared spectroscopy (fNIRS), measures neural activity in…

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Editor's Note New standards from The Environmental Protection Agency promise to cut nationwide emissions of ethylene oxide—employed to sterilize more than half of US medical devices—by more than 90 percent. According to a March 15 MedPage Today report, the aim is to reduce cancer risk among the 13 to 14…

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Editor's Note The recent cyberattack on Change Healthcare created a financial impact for the lion’s share of US hospitals surveyed recently by the American Hospital Association, with more than half reporting “significant or serious” impact and three of every four also reporting direct impacts on patient care. These data reflect…

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Editor's Note Researchers at MIT have developed a new gel called GastroShield to help prevent gastrointestinal bleeding during and after surgery performed during colonoscopy screenings. Advanced Materials published the findings on February 29.  Colonoscopy screenings—undergone by some 20 million Americans each year—often result in doctors finding and removing polyps. These…

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