Tag: Preoperative Care

Study: Preoperative weight loss offers little benefit for bariatric surgery patients

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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By: Matt Danford
June 3, 2024
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Study: Surgeon video consults up since pandemic, but challenges remain

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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By: Matt Danford
May 30, 2024
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Study: Standard preoperative fasting instructions sufficient for diabetic patients

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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By: Matt Danford
May 14, 2024
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Study: Bariatric surgery improves kidney transplant eligibility for patients with obesity

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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By: Matt Danford
May 7, 2024
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Surgical site infections often caused by preexisting bacteria

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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By: Brita Belli
April 29, 2024
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Study: GLP weight loss, diabetes therapies boost GI endoscopy pneumonia risk

Editor's Note Gastrointestinal endoscopy could increase the risk of aspirational pneumonia in patients using GLP-1 receptor agonists (RAs) to manage weight or treat diabetes, according to an April 1 report from MedPage today. Citing research published in the journal Gastroenterology by a team led by Kevin Sheng-Kai Ma, DDS, of…

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By: Matt Danford
April 5, 2024
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Donor hearts denied more often to male, black male transplant candidates

Editor's Note New research shows transplant center teams are more to likely reject offers of donor hearts to black men and men than black women and white women, MedPage Today reported on March 25. “The cumulative probability of a donor heart being accepted by the transplant center team was most…

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By: Matt Danford
March 28, 2024
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Study makes case against preoperative urine culture for most surgical procedures

JAMA (healthcare publication) Network logo

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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By: Matt Danford
March 25, 2024
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Safe postop patient recovery: A day in the PACU leader role

Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the “recovery room”) is a critical care area plagued by an influx of new…

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By: Tarsilla Moura
March 22, 2024
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AI screening identifies patients’ risky preoperative alcohol use

Editor's Note: A recent study suggests artificial intelligence (AI) can be valuable for identifying patients who consumed risky amounts of of alcohol prior to surgery. Findings appeared in the journal Alcohol, Clinical and Experimental Research on January 8. For the study, researchers extracted 3 years of text-based clinical records from…

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By: Brita Belli
January 25, 2024
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