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 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 Active monitoring for certain breast cancer patients offers similar outcomes to surgery with fewer side effects, according to research detailed in a December 16 article from Oncology News Central. Presented at the 2024 San Antonio Breast Cancer Symposium and published in JAMA, The COMET trial supports the safety…

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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…

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Editor's Note Adverse events (AEs) remain widespread in perioperative care, affecting nearly one in three patients and resulting in substantial and often preventable patient harm, according to a retrospective cohort study published November 13 in The BMJ. The study analyzed 1,009 weighted admissions from a sample of 64,121 surgical patients…

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Editor's Note The American College of Surgeons (ACS) has recognized 77 US hospitals for “exceptional surgical outcomes” in 2023 based on performance metrics tracked as part of the ACS National Surgical Quality Improvement Program (NSQIP). According to an October 30 ACS announcement, these hospitals were selected from among 609 eligible…

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Editor's Note Black patients are less likely to receive multimodal analgesia and more likely to be given additional oral opioids compared to white patients, according to research presented at the Anesthesiology 2024 annual meeting. According to an October 20 report on the retrospective study from the American Society of Anesthesiologists,…

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Editor's Note Research presented at the American Society of Anesthesiologists (ASA) annual meeting has found that beta-blocker use is associated with an increased risk of postoperative stroke, particularly among Black and Hispanic patients undergoing noncardiac surgeries, Medpage Today reported October 20. According to the article, the retrospective study analyzed the…

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Editor's Note Poor sleep quality in the month leading up to surgery could increase the risk of postoperative delirium, according to research presented at the Anesthesiology 2024 annual meeting, hosted by the American Society of Anesthesiologists (ASA). An October 15 report in NewsWise has the details. According to the article,…

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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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