Editor's Note The “surgical pause”—a means of validating whether surgery is truly safe for patients deemed to be “frail” before starting a procedure—significantly reduces mortality rates and is changing practices at more than 50 Veterans Administration (VA) hospitals, the Pittsburgh Post-Gazette reported August 18. Developed by VA surgeons Daniel Hall…

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Editor's Note Combining dexterity and cost-effectiveness, handheld robotic devices offer potential to bridge the gap between traditional laparoscopy and more expensive robotic platforms, researchers concluded August 8 in the journal Surgery. The mini-review of clinical trials covered clinical applications of three handheld robotic devices: the HandX powered laparoscopic instrument from…

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Editor's Note A recent study, published by Perioperative Medicine on August 13 and conducted at a large US academic tertiary care ambulatory surgery center (ASC), found the incidence of unplanned hospital admissions within 24 hours after a procedure performed at an ASC is “exceptionally” low. The research, which analyzed data…

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Editor's Note A post hoc analysis of the SCOT phase 3 randomized clinical trial reveals that initiating adjuvant chemotherapy more than 6 weeks after surgery is linked to worse disease-free survival (DFS) in patients with high-risk stage II and stage III colorectal cancer. Published June 12 in JAMA Surgery, the…

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Editor's Note Propofol research published in the journal Neuron has broader implications for enabling more precise, safer doses of anesthesia, according to an August 14 report in Anesthesiology News. According to the article, anesthesiologists tend to use higher doses of anesthetics because they rely on indirect measures, such as heart…

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Editor's Note At last year’s OR Manager Conference, healthcare leader Karen Reiter, RN, CNOR, RNFA, CASC, shared her expertise on integrating complex spine procedures into ambulatory surgery centers (ASCs). As the former administrator at DISC Surgery Center at Newport Beach and vice president of operations and payer management at TriasMD,…

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Editor's Note In a first step toward battery-free wearable electronics, researchers at Carnegie Mellon University have developed a healthcare device powered by the patient's body heat. According to an article published July 16 in MedicalXpress, the device combines a pulse oximetry sensor with a flexible, stretchable thermoelectric energy generator made…

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Editor's Note Optimizing patient positioning can help reduce the risk of surgical site infections due to airborne contaminants in positive-pressure ORs, according to a study published August 12 in Nature: Scientific Reports. Maintaining higher pressure than adjacent spaces prevents entry of contaminants from environments external to the OR. For this…

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Editor's Note The rising frequency of wildfires has anesthesiologists concerned about potential for adverse surgical outcomes to exposed patients, according to an article in the Online First edition of Anesthesiology,  the peer-reviewed journal of the American Society of Anesthesiologists (ASA). As of an August 6 report from ASA, nearly 100…

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Symptomatic SARS-COV-2 patients undergoing surgical procedures experience significantly higher 30-day in-hospital mortality, ICU admission, longer ICU and hospital stay, and pulmonary complications, according to a study published August 1 in the Journal of PeriAnesthesia Nursing. Researchers analyzed a year’s worth of records of 102 infected surgical patients and those who…

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