What happens when a surgeon uses the monopolar instrument set on 30-W coagulation mode to create an upper midline incision in a patient with a pacemaker? Pacemaker function is interrupted, causing a heart block that results in hemodynamic instability—or at least, this is what could happen without taking the necessary…

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Editor's Note Implementing targeted interventions in hospitals can address common disruptions in the inpatient setting and significantly improve patient restfulness, according to a December 12 article in HealthLeaders Media. The article focuses on a study of nearly 700 patients conducted at Barnes-Jewish Hospital in St. Louis, Missouri, and published in…

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Editor's Note Bariatric surgery programs nationwide have reported a 20-25% decline in surgical volumes over the past year amid the rising use of glucagon-like peptide-1 (GLP-1) medications for obesity, OR Management News reported Dec 2. Although the connection between the decline and the popularity of the drugs cannot be definitively…

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Editor's Note Older cancer patients undergoing major abdominal procedures at Roger Williams Medical Center in Providence, Rhode Island, significantly benefitted from the American College of Surgeons (ACS) Geriatric Surgery Verification (GSV) program, Medical Xpress reported December 10. Citing a study published in the Journal of the American College of Surgeons,…

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Editor's Note Using virtual reality glasses (VR-G) to watch immersive 360-degree nature videos significantly reduces preoperative surgical fear in patients undergoing open-heart surgery, according to a randomized controlled study published November 29 in the Journal of Perianesthesia Nursing. However, anxiety levels were not markedly affected, suggesting targeted efficacy in fear…

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Editor's Note Radiant air conditioning systems (RAS) provide greater comfort for surgical patients than traditional convection air conditioning systems (CAS), according to a Japanese study detailed in Anesthesiology News December 3.  According to the article, the study was conducted from November 2015 through March 2016 and involved 48 patients scheduled…

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Editor's Note A quality improvement protocol at the University of Colorado Anschutz Medical campus resulted in a 48.8% decrease in the number of pediatric urology patients returning to the emergency department (ED) unnecessarily within 30 days of surgery. According to a December 2 university report, the initiative has significantly reduced…

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Editor's Note Cardiothoracic surgeons at Emory University Hospital have conducted the first US implantation of the BrioVAD System, a new ventricular assist device (VAD) from BrioHealth Solutions, Cardiovascular Business News reported November 25. According to the article, the BrioVAD System features a magnetically suspended, hemocompatible pump designed to minimize adverse…

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Editor's Note Early surgical intervention should be prioritized over endoscopy-first treatment in managing chronic pancreatitis with dilated pancreatic ducts, according to the results of a follow-up study of the ESCAPE randomized clinical trial. Published November 20 in JAMA Surgery, the findings specifically highlight pain relief, patient satisfaction, and need for…

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Editor's Note A nationwide shortage of intravenous (IV) fluids is forcing hospitals to adopt conservation strategies that could reshape hydration practices long-term, KFF Health News reported November 19. The shortage was driven by Hurricane Helene’s damage to Baxter International’s North Cove facility, which is responsible for 60% of US IV…

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