Editor's Note Findings from The ARRC II study show using advanced recovery room care (ARRC) for medium-risk surgical patients significantly reduces 18-month postoperative mortality compared to standard ward care. As detailed in a December 11 research letter in JAMA Surgery, this benefit appears linked to minimizing early postoperative complications, which…

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Editor's Note Glucagon-like peptide-1 receptor agonists (GLP-1s) could reduce total knee arthroplasty (TKA) complications for non-diabetic patients with obesity, according to a November 13 Helio report on research presented at the American Association of Hip and Knee Surgeons Annual Meeting. In addition to reduced odds of 90-day medical complications, the…

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Editor's Note Joint guidance from key US medical associations advises that most patients on GLP-1 weight-loss medications, such as semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro), may safely continue these drugs before surgery, HealthDay News reported October 31. Concerns had emerged about potential risks associated with these medications due to their…

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Editor's Note A study presented at the 2024 American Society of Anesthesiologists annual meeting suggests that non-salicylate NSAIDs may significantly reduce the risk of postoperative delirium, a serious complication affecting up to 15% of surgical patients, Anesthesiology News reported October 20. Delirium is especially prevalent in older adults and those…

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Editor's Note A system-wide preoperative nutrition program resulted in shorter hospital stays and fewer postoperative complications across the Allegheny Health Network, according to a study presented at the American College of Surgeons Clinical Congress 2024. Medical Xpress reported the news October 18. According to the article, researchers analyzed data from…

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Editor's Note Research shows a deeper neuromuscular block (NMB) can help perform complex abdominal surgeries laparoscopically without impacting intraoperative safety or patient outcomes, according to an October 20 report in MedPage Today. Conducted across European centers and announced at the American Society of Anesthesiologists (ASA) annual meeting, the randomized trial enrolled…

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Editor's Note Tubal sterilization, often considered a permanent form of contraception, has a failure rate of 3% to 5%, leading to unplanned pregnancies in some cases, UC San Francisco reported August 27. Publishing in NEJM Evidence, university researchers report that contraceptive arm implants or intrauterine devices (IUDs) may be more reliable…

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Editor's Note A recent study conducted at a tertiary care hospital in India showed concurrent COVID-19 infection on patients undergoing emergency surgery resulted in notably longer hospital stays and higher rates of postoperative complications. Published September 8 in Cureus, the retrospective cohort study analyzed data from 48 COVID-19-positive patients and…

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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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