Anesthesia

Latest Issue of OR Manager
September 2025
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New UCSF measure shows 1 in 60 cesarean deliveries involve serious surgical complications

Editor's Note Roughly one in every 60 cesarean deliveries results in a severe surgical complication, according to new research from University of California San Francisco (UCSF) published in Obstetrics and Gynecology, MedicalXpress August 25 reports. With about 1.1 million cesareans performed each year in the US, this translates to an…

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By: Tarsilla Moura
August 27, 2025
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Expert lessons on building successful total joints programs in ASCs

By 2022, orthopedic procedures performed in ambulatory surgery centers (ASCs) were already outpacing expectations. For years, total hip and knee replacements were considered too complex for same-day surgery. Yet, total joints replacement volumes jumped nearly 200% between 2020 and 2022—outpatient total knee arthroplasty surged nearly 194%, while total hip arthroplasty…

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By: Tarsilla Moura
August 26, 2025
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Cryo nerve ablation cuts pain, narcotic use after heart surgery

Editor's Note A freezing technique applied during heart surgery is reducing pain, shortening recovery times, and minimizing the need for narcotics, News 9/CBS News August 13 reports. The procedure, called cryo nerve ablation, involves freezing nerves around the ribs to block pain signals for about 60 days. The nerves eventually…

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By: Tarsilla Moura
August 25, 2025
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Study finds no link between long-standing preprocedural fasting and aspiration pneumonia risk

Editor's Note Loosening fasting policies before surgery does not increase the risk of post-surgical aspiration, also known as aspiration pneumonia, according to a systematic review and meta-analysis published in the journal Surgery in August 2025. The researchers analyzed 17 studies published between 2016 and 2023, including randomized clinical trials and…

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By: Tarsilla Moura
August 25, 2025
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Mind the gap: Why Medicare pays ASCs less than HOPDs—and what that means

For decades, ambulatory surgery centers (ASCs) have shown their ability to deliver high-quality surgical care at substantially lower cost than hospital outpatient departments (HOPDs). ASCs achieve these savings through leaner operations, streamlined staffing models, and specialty-focused efficiencies, not by compromising safety or outcomes. Studies consistently highlight procedures performed in ASCs…

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By: Tarsilla Moura
August 19, 2025
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Large-scale studies link preoperative cognition to delirium risk, reveal its deadly toll after surgery

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Editor's Note Older surgical patients with preoperative cognitive impairment face significantly higher odds of developing postoperative delirium (POD), and POD itself is tied to markedly worse surgical outcomes, according to two major studies published July 2025. Together, the findings point to delirium as both a high-impact and potentially modifiable target…

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By: Tarsilla Moura
August 14, 2025
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Perioperative medication decisions need individualized risk-benefit approach

Editor's Note Medication management in the perioperative period is often made without robust evidence, requiring clinicians to balance surgical safety with the risks of interrupting treatment, according to expert guidance presented at the annual Perioperative Medicine Summit. Paul Grant, MD, of the University of Michigan Medical School, noted most medications…

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By: Tarsilla Moura
August 14, 2025
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FDA: National IV saline shortage over after years of strained supply

Editor's Note The Food and Drug Administration (FDA) officially declared the nationwide shortage of sodium chloride 0.9% injection products over, saying a critical supply line for hospitals and surgical teams is restored. According to an August 8 statement from FDA Commissioner Martin A. Makary, MD, MPH, the resolution marks a…

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By: Tarsilla Moura
August 14, 2025
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Major study clarifies risks, severity of perioperative pulmonary aspiration

Editor's Note Preliminary results from a nearly million-case review reveal that perioperative pulmonary aspiration, while feared, is rare but potentially deadly. According to a February 4 Anesthesiology News report, researchers found an overall incidence of 1 in 5,572 anesthesia cases, with aspiration-related mortality at about 1 in 67,000. As detailed…

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By: Tarsilla Moura
August 11, 2025
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Psychological therapy results vary by intervention in acute pain care, review shows

Editor's Note Psychological interventions such as hypnosis, music therapy, and cognitive behavioral therapy (CBT) may reduce acute pain in clinical settings, though statistically significant effects were found only in some studies, according to a July 16 scoping review published in The Journal of PeriAnesthesia Nursing. Hypnosis was the most adaptable…

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By: Matt Danford
August 1, 2025
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