Safe postop patient recovery: A day in the PACU leader role
Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the “recovery room”) is a critical care area plagued by an influx of new…
Study: Postoperative delirium less likely with ephedrine than phenylephrine
Editor's Note Using phenylephrine as an intraoperative vasopressor could lead to higher risk of postoperative delirium compared to ephedrine, according to findings published in the April issue of Anesthesiology. Posted online last September, these findings confirm researchers’ original hypothesis. “The treatment of intraoperative hypotension with phenylephrine may impair cerebral perfusion…
Lack of primary care physicians tied to emergency surgeries
Editor's Note Research shows that Americans who live in areas with a limited number of primary care doctors and nurse practitioners are at a greater risk for emergency surgeries and complications. The findings were published March 4 in the journal Health Affairs. For the study, researchers looked at Medicare patient…
Physician shortages boost likelihood of emergency surgery, complications
Editor's Note Health complications and hospital readmissions are more likely for Medicare patients living in areas with primary care shortages. The findings, from a cross-sectional retrospective cohort study of data from 2015 to 2019, were published March 4 in Health Affairs. Specifically, the study showed that patients in areas with…
Flexible sticker device detects postoperative gastrointestinal leaks
Editor's Note A medical device developed by researchers at Northwestern University and Washington University School of Medicine could enable clinicians to monitor the health of a patient’s organs following surgery. The findings appeared in the journal Science on March 7. Patients who undergo gastrointestinal surgeries—including pancreatic surgery—can develop anastomotic leaks…
Patient engagement technologies improve surgical outcomes, perioperative experience
Editor's Note Patient engagement technologies (PETs) reduced length of stay (LOS), complication rates, and readmission rates among patients in a study published February 16 in the American Journal of Surgery. The retrospective cohort study consisted of more than 400 patients undergoing elective colorectal surgery from 2018 to 2022. Approximately 9…
Negative pressure wound therapy reduces SSI across surgical specialties
Editor's Note Compared with standard wound dressings, single-use negative pressure wound therapy (NPWT) devices can reduce the incidence of surgical site infection (SSI) in at-risk patients with closed surgical incisions across a range of surgical specialties, according to a data review highlighted in the February issue of the American Journal…
Study: Microglia help awaken the brain from anesthesia, protect neurons from aftereffects
Editor's Note A new study finds that the same cells that are involved in preventing damage to the central nervous system – called microglia – help to awaken the brain following anesthesia. The findings appeared January 4 in the journal Nature. Using electron-microscopy-based synaptic reconstruction, the researchers could see the…
Analgesic clinical trials failing to assess movement-evoked postoperative pain
Editor's Note Most surgical studies still do not report movement-evoked postoperative pain despite the recommendations of expert consensus groups, according to findings published November 27 in Anesthesiology. Researchers came to essentially the same conclusion upon re-evaluating the assessment of pain at rest and movement-evoked pain in 2011. In this updated…
New surgical gel could promote wound healing in pelvic organ prolapse surgery
Editor's Note A new synthetic surgical gel developed by a researcher at Radboud University may one day help reduce the need for recurring surgeries for women with pelvic organ prolapse. Advanced Therapeutics published the findings September 6, 2023. According to a recent EurekAlert! report, the researcher received her PhD for…
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