Tag: Preoperative Care

Blast from the past: Best practices for successful implementation of ERAS

Enhanced Recovery After Surgery (ERAS) represents a transformative approach in modern surgical care, emphasizing evidence-based, multidisciplinary protocols to optimize patient recovery. Spanning decades, ERAS has grown from a novel concept into a global standard for perioperative care, with benefits that include shorter hospital stays, fewer complications, and reduced healthcare costs.…

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By: Tarsilla Moura
November 15, 2024
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Study: Stool tests show promise in reducing colonoscopies for post-polypectomy colorectal cancer surveillance

Editor's Note Stool-based testing strategies could significantly reduce the number of colonoscopies required for post-polypectomy colorectal cancer (CRC) surveillance while maintaining equivalent long-term outcomes in cancer incidence and mortality, according to research published August 30 in Gastroenterology. Conducted in the Netherlands, the cross-sectional observational study compared three stool tests—multitarget stool…

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By: Matt Danford
November 1, 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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Study: Repeated fasting for multiple surgeries risks malnutrition, mortality

Editor's Note Research shows repeated fasting for multiple surgeries during a single hospital stay significantly raises the risk of protein-calorie malnutrition, leading to longer recovery times, increased healthcare costs, and a higher likelihood of death. HealthDay covered the news October 21. Presented at the American Society of Anesthesiologists annual meeting,…

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By: Matt Danford
October 24, 2024
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Study quantifies link between preoperative depression, postoperative delirium

Editor's Note Individuals with preoperative depression are at significantly higher risk of developing postoperative delirium, according to a systematic review and meta-analysis of 42 studies involving a total of 4.6 million patients. Published September 4 in Anaesthesia, the study is first review to quantify the incidence and risk of postoperative…

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By: Matt Danford
October 18, 2024
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GLP-1 agonists linked to food retention in EGD, but not combined EGD-colonoscopy

Editor's Note Patients using GLP-1 receptor agonists (GLP-1 RAs) have a higher risk of food retention during esophagogastroduodenoscopy (EGD) when performed alone, but not when combined with a colonoscopy, according to a retrospective study from Cedars-Sinai Medical Center. MedPage Today reported the news October 1. The study included 70 patients…

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By: Matt Danford
October 4, 2024
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How perioperative staff can combat human trafficking—Part 2

Human trafficking (HT) is a hidden-in-plain-sight crime—victims walk among the public at large, yet they remain essentially invisible. Lack of education and knowledge on HT and anti-trafficking measures is particularly egregious in healthcare. In fact, the literature shows the majority of people being trafficked access the system without being identified…

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By: Dr Francine Bono-Neri, PhD, RN, APRN, PNP
September 25, 2024
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How perioperative staff can combat human trafficking—Part 1

Human trafficking (HT) is a global public health crisis and one of the fastest growing criminal enterprises that grosses hundreds of billions of dollars annually, all of which are tax-free profits made off the sale of human cargo. And yet, research shows the problem is poorly understood or recognized among…

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By: Francine Bono-Neri, PhD, RN, APRN, PNP
August 28, 2024
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Studies highlight success strategies for combatting handoff communication failure, care inequity

Editor's Note Recent research sheds new light on addressing two of the most pressing problems for surgical care: handoff communication failures and care bias and inequities leading to adverse—and preventable—events.   These problems are the subjects of two separate success stories in the August issue of The Joint Commission Journal…

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By: Matt Danford
August 23, 2024
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