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 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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Complex problems do not always require complex solutions. Consider the surgical safety checklist. In 2020, more than a decade after the World Health Organization (WHO) started advocating that every hospital use the checklist, research from PSNET found that more than 90% of ORs in countries with a high human development…

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Editor's Note Preoperative use of GLP-1 receptor agonists (RA) medications such as Ozempic and Wegovy is safe, according to a study published in the June issue of the American Journal of Gastroenterology. Controversy has swirled around these drugs due to the risk of slowed stomach emptying increasing a patient’s odds…

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Editor's Note Research shows perioperative weight loss does not consistently improve outcomes or OR times in patients undergoing primary bariatric procedures, including laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (RYGB). The findings were published in the June issue of the Journal of the American College of Surgeons. Using…

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Editor's Note The term "perioperative neurocognitive disorder" has been adopted to describe cognitive impairments identified during the perioperative period, the American College of Surgeons (ACS) May 8 reports. Postoperative delirium, in particular, is an acute complication manifesting as confusion and fluctuating levels of consciousness and attention. The incidence of this…

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Editor's Note A letter to the editor published April 10 in Anesthesiology, the official publication of the American Society of Anesthesiologists (ASA), calls attention to an official statement outlining best practices for ensuring all moms-to-be receive adequate pain management during planned or unexpected C-sections. The best practices are outlined in…

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Editor's Note A recent study from the UK, the results of which were presented at the 6th annual World Congress on Regional Anaesthesia and Pain Medicine, shed light on patients' preferences and understandings regarding anesthesia options for outpatient orthopedic surgery, Anesthesiology News March 18 reports. It revealed a stronger expectation…

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Editor's Note A March 11 article on SeniorLiving.org broke down key considerations and risks for elderly patients undergoing surgery and anesthesia. One such consideration is studies show that older adults often prioritize quality of life over the extension of life if it means sacrificing independence or functional abilities. Other lessons…

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Editor's Note Findings published March 4 in Jama Network show that preoperative urine culture is a low-value intervention for most surgical patients and should be de-implemented. Despite guidelines to the contrary from Infectious Diseases Society of America and the American College of Physicians, preoperative urine testing and antibiotic treatment persists…

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