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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Editor's Note Preoperative use of GLP-1 receptor agonists was not significantly associated with an increased risk of aspiration pneumonia or acute respiratory failure after surgery, according to a March 4 report in MedPage Today. The article focuses on a retrospective cohort study of over 366,000 surgical patients found no meaningful…

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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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Editor's Note Virtual reality (VR) may help older patients manage anxiety before open-heart surgery, according to a study published in Mayo Clinic Proceedings. Medical Xpress covered the news February 12. According to the article, researchers found that immersive VR and tablet-based VR significantly lowered anxiety levels, offering a nonpharmacological alternative…

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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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Immersed in texts, apps, QR codes, and streaming videos, we live in a digital world. And yet, healthcare has been slow to catch up. Most nurses and other staff still hand out packets of paper and relay information verbally, whether in person or over the phone. It does not have…

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Editor's Note Research shows combining music with preoperative education not only reduces anxiety, but also enhances recovery outcomes in patients undergoing open cardiac surgery. Published January 21 in the Journal of Perianesthesia Nursing, the randomized controlled study involved 322 patients, evenly randomized into an experimental group (music and preoperative education)…

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Editor's Note An EHR-integrated closed-loop clinical decision support system (CDSS) significantly reduced unnecessary preoperative testing, improved patient safety, and significantly reduced costs across two hospitals in Madrid, Spain. As detailed in a study published January 3 in npj digital medicine, this system demonstrates the potential of automated guidelines to optimize…

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Editor's Note A new international study reports low rates of local recurrence, radionecrosis, and leptomeningeal disease in patients receiving neoadjuvant stereotactic radiosurgery (SRS) before brain metastases resection, Medscape Medical News reported January 6. Published in Radiotherapy and Oncology, the analysis included 179 patients with 189 brain metastases treated at nine…

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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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