ASA recommendations target postoperative delirium in older patients
Editor's Note Efforts to reduce the risk of postoperative delirium in older patients should focus on preoperative evaluation, anesthesia choices, and medication management, according to the American Society of Anesthesiologists (ASA). Designed specifically for treating adults aged 65 and older undergoing inpatient surgery, these new, evidence-based recommendations are presented in…
Hospital safety grades show progress in reducing medical errors, infections
Editor's Note During the past few years, US hospitals have improved significantly in reducing healthcare-associated infections (HAIs), adhering to hand hygiene best practices, and preventing medical errors, according to the fall 2024 Hospital Safety Grades from The Leapfrog Group, a nonprofit focused on patient safety. Released November 15, the rankings…
Global study dispels benefits of blood pressure management during non-cardiac surgery
Editor's Note A new global clinical trial indicates targeting higher blood pressure during non-cardiac surgeries is no better than current standard approach in preventing acute kidney injury, according to a November 5 report from London Health Sciences Centre. With 300 million non-cardiac surgeries performed worldwide every year, risk of kidney…
Study: Bariatric surgery outperforms GLP-1s in slowing CKD progression in patients with diabetes, obesity
Editor's Note Bariatric surgery significantly reduces the progression of chronic kidney disease (CKD) in patients with type 2 diabetes and obesity compared to those on GLP-1 diabetes medications, according to a study from Cleveland Clinic. Published in Annals of Surgery and detailed in a September 20 announcement from Cleveland Clinic,…
Statistical models aim to improve surgical patient pain management
Editor's Note Researchers at MIT and Massachusetts General Hospital (MGH) have developed statistical models to improve how anesthesiologists manage unconscious pain, or nociception, during surgery, according to a September 23 report in News Medical. Derived from over 18,000 minutes of surgery data across 101 abdominal procedures, the models aim to…
AAAHC releases updated medication reconciliation toolkit to reduce errors in ambulatory care
Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC) announced on August 21 the release of an updated version of its Medication Reconciliation Toolkit, designed to help ambulatory healthcare professionals minimize medication errors and improve patient outcomes. The toolkit emphasizes the importance of accurately documenting all medications including vitamins,…
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…
FDA announces Class 1 recalls of ventilator, eye injection kits
Editor's Note The US Food & Drug Administration has designated recalls of Baxter’s Life2000 Ventilator and the I-Pack Injection Kit from Bausch + Lomb and subsidiary Synergetics Inc. as Class 1, the most severe category indicating serious risk of injury or death. According to FDA’s July 15 announcement, the ventilator…
Prioritizing quality of life: Surgery, anesthesia considerations for elderly patients
Editor's Note A March 11 article on SeniorLiving.org broke down key considerations and risks for elderly patients undergoing surgery and anesthesia. One such consideration is studies show that older adults often prioritize quality of life over the extension of life if it means sacrificing independence or functional abilities. Other lessons…
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…
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