Tag: risk factors

Study: Delaying elective surgery after myocardial infarction reduces complications in older patients

Editor's Note Older adults face a significantly higher risk of complications including stroke and recurrent heart attacks if they undergo elective noncardiac surgeries soon after myocardial infarction, according to a University of Rochester study published October 30 in JAMA Surgery.  According to a University announcement, current guidelines from the American…

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By: Matt Danford
November 11, 2024
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New guidance: Preoperative GLP-1s safe for surgical patients

Editor's Note Joint guidance from key US medical associations advises that most patients on GLP-1 weight-loss medications, such as semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro), may safely continue these drugs before surgery, HealthDay News reported October 31. Concerns had emerged about potential risks associated with these medications due to their…

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By: Matt Danford
November 7, 2024
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Study: Beta-blockers could increase postoperative stroke risk

Editor's Note Research presented at the American Society of Anesthesiologists (ASA) annual meeting has found that beta-blocker use is associated with an increased risk of postoperative stroke, particularly among Black and Hispanic patients undergoing noncardiac surgeries, Medpage Today reported October 20. According to the article, the retrospective study analyzed the…

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By: Matt Danford
November 7, 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 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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Countdown to OR Manager Conference: Protect your workplace from violence—How to build a safe environment

Editor's Note Beth Chrismer, MSN, RN, CPHRM, former director of clinical excellence at CHRISTUS Good Shepherd Health System, shared insights into a tragic workplace violence incident that occurred in 2013 at a Texas ambulatory surgery center (ASC) at last year’s OR Manager Conference. Chrismer was risk manager at the time…

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By: Tarsilla Moura
September 25, 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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Alternative to mitral valve surgery shows promise, but research criticized

Editor's Note Although data suggest transcatheter edge-to-edge repair (TEER) using the MitraClip device may offer similar outcomes to mitral valve surgery in patients with heart failure and functional mitral regurgitation (FMR), experts have criticized the research, TCT MD reported September 1. Presented at the recent European Society of Cardiology (ESC)…

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By: Matt Danford
September 23, 2024
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Study: Preoperative depression boosts risk of postoperative delirium

Editor's Note Patients with depressive symptoms are nearly twice as likely to experience delirium after major surgery, according to a meta-analysis published September 4 in the journal Anaesthesia. The evaluation of the link between preoperative depression and postoperative delirium included data from 42 studies involving more than 4.6 million patients.…

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By: Matt Danford
September 11, 2024
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Study: Women face higher mortality risk than men for postop atrial fibrillation after cardiac surgery

Editor's Note A recent study from two tertiary care centers highlighted significant sex differences in long-term outcomes after cardiac surgery, especially concerning postoperative atrial fibrillation (postopAF), MedPage August 21 reports. The study, published in JAMA Network, found that while women were less likely than men to develop postopAF following a…

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By: Tarsilla Moura
August 30, 2024
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