Tag: Preoperative assessment

Study: Preop mental health assessment improves postop outcomes for older patients

Editor's Note Preoperative mental health assessment significantly increases the odds of a postoperative “textbook outcome” for older patients, according to research published on March 15 in the journal Surgery. The median age for the patient population analyzed at the time of surgery was 74 years. Focusing on more than 32,500…

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By: Tarsilla Moura
March 28, 2025
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Study: BMI, hidden tumors complicate intubation

Editor's Note Subtle risk factors—such as low BMI and hidden tumors—could lead to unexpected airway management difficulties, according to research published on March 17 in Nature: Scientific Reports. The case-control study analyzed 672 surgical patients who required endotracheal intubation between 2015 and 2020. Researchers compared 168 patients who experienced difficult…

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By: Matt Danford
March 26, 2025
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New colonoscopy guidelines increase bowel prep quality expectations

Editor's Note New consensus recommendations from the US Multi-Society Task Force on Colorectal Cancer (MSTFCRC) set a 90% adequacy benchmark for bowel preparation in colonoscopy, reinforcing the role of preparation in ensuring accurate screenings and reducing the risk of missed lesions. As detailed in a March 4 joint press release…

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By: Matt Danford
March 10, 2025
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Research highlights anesthesia provider knowledge gap on drug, hormonal contraceptive interactions

Editor's Note Insufficient awareness of drug interactions with hormonal contraceptives (HCs) among anesthesia providers could lead to unintended pregnancies and preventable health consequences, according to survey published in Anesthesia & Analgesia. Physician’s Weekly covered the news February 27. The article specifically cites sugammedex and aprepitant, both of which are widely…

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By: Matt Danford
February 28, 2025
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Research review: Nurse-led preoperative visits reduce anxiety, build trust

Editor's Note Nurse-led preoperative visits significantly reduce patient anxiety by providing structured education, emotional support, and greater trust between patients and caregivers, according to a review published January 21 in the Journal of PeriAnesthesia Nursing. Encompassing 13 studies on nurse-led preoperative visits published between 2000 and 2023, the review found…

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By: Matt Danford
February 6, 2025
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Why active implants demand proactive management

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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By: Mary A. Marvin, APRN-BC and Jill Teubel, MSN, RN
January 1, 2025
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Study: Virtual reality videos ease fear, anxiety in cardiac surgery patients

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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By: Matt Danford
December 10, 2024
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New 10-point checklist aims to streamline patient selection for outpatient joint replacement

Editor's Note As joint replacement (JR) procedures increasingly move from the hospital setting to ambulatory surgical centers (ASCs), selecting the right candidates for these outpatient procedures becomes crucial. To support this transition, study authors Madhav Chowdhry, MD, and Edward J. McPherson, MD, developed a comprehensive, evidence-based checklist called Checklist Outpatient-Joint…

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By: Tarsilla Moura
November 13, 2024
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Study: NSAIDs reduce risk of postoperative delirium

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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By: Matt Danford
October 25, 2024
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Study: Preoperative nutrition program reduces surgical complications, costs

Editor's Note A system-wide preoperative nutrition program resulted in shorter hospital stays and fewer postoperative complications across the Allegheny Health Network, according to a study presented at the American College of Surgeons Clinical Congress 2024. Medical Xpress reported the news October 18. According to the article, researchers analyzed data from…

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By: Matt Danford
October 24, 2024
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