Editor's Note Amid continued debate about the best choice of preoperative skin antiseptic, findings published in JAMA June 17 show that povidone iodine in alcohol offers similar outcomes to chlorhexidine gluconate when used in alcohol. The randomized clinical trial included 3,360 patients in 3 tertiary care hospitals in Switzerland, 2,187…

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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 In esophageal cancer, combining preoperative and postoperative chemotherapy lead to better outcomes, fewer deaths, and higher likelihood of complete tumor regression than preoperative chemotherapy alone, according to a randomized clinical trial. US News and World Report reported the news June 4. Led by Dr. Jens Hoeppner from the…

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Editor's Note AORN encourages perioperative leaders to speak up and reach out in honor of National Time Out Day, an annual recognition of the critical safety practice scheduled for June 12. The annual day of recognition draws attention to the need for everyone on the surgical team to pause before…

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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 Need for physical examination, technological limitations, care quality concerns, and malpractice risk topped the list of perceived barriers to employing video visits in surgical care in a study published May 10 in the journal Surgery. This study was reportedly the first to comprehensively survey surgeons on their perception…

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Editor's Note Recent research suggests that minimizing the risk of perioperative pulmonary aspiration in diabetic patients does not require different fasting instructions. However, at least one expert has questioned the results, and widespread glucagon-like peptide-1 (GLP-1) receptor agonists for the treatment of both type 2 diabetes and weight loss can…

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Editor's Note Laparoscopic sleeve gastrectomy improves eligibility for kidney transplants in patients with obesity as well as advanced chronic kidney disease, according to a Mayo Clinic study. According to a May 2 report on the results, the surgical weight-loss procedure also reduces the risk of cardiovascular conditions, such as diabetes…

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Editor's Note Most healthcare-associated surgical site infections are not caused by pathogens acquired in the hospital, but by previously harmless bacteria already present on patients’ skin prior to being admitted, according to a study published April 10 in Science Translational Medicine. Surgical site infections account for the highest annual costs…

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