Editor's Note Pain among patients undergoing in-office gynecologic procedures is widely underestimated and ineffectively treated, particularly for those with trauma histories, chronic pain, or marginalized identities, according to a new Clinical Consensus from the American College of Obstetricians and Gynecologists. The report stresses that individualized, evidence-informed, and trauma-sensitive strategies are…

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Why reflect on the past? Reflection anchors strategy and revitalizes purpose. Since the start of the year, the economy has been unstable, regulations have been in flux, and the livelihood of many is being put through grueling tests. But reflecting on the triumphs of past years shows that under the…

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Editor’s Note Tertiary hospitals are embracing the World Health Organization (WHO) Surgical Safety Checklist (SSC), yet inconsistent compliance—especially during time-out—exposes patients to avoidable risks, Cureus April 29 reports. In this study, the researchers found that while overall integration of the SSC is promising, there were compliance gaps particularly in pre-incision…

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Editor's Note Segmental spinal anesthesia (SSA) has emerged as a safe and effective anesthetic technique for high-risk obstetric patients, particularly those with underlying cardiovascular disease (CVD). A recent case series published on April 29 by Medical Dialogues highlights the successful use of SSA in five parturients undergoing cesarean sections, emphasizing…

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Editor's Note EEG-guided anesthesia reduces drug use and speeds recovery in children, according to an April 22 report in Neuroscience News. The article focuses on a clinical trial, conducted in Japan and published April 21 in JAMA Pediatrics, comparing standard anesthesia dosing with EEG-guided dosing in more than 170 surgical…

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Editor's Note Helping patients taper opioids preoperatively before deploying multimodal care strategies can help prevent instances of patients already with prescriptions going home with even higher doses. That’s the main takeaway from an April 22 MedCentral interview with Marie N. Hanna, MD, division chief for regional anesthesia and acute pain…

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Editor's Note Ambulatory surgery center (ASC) leaders elevate safety by treating patient selection as a clinical gatekeeper, then prop that rigor with data-driven workflows, advanced monitoring, and targeted robotics to bring complex spine cases safely into the outpatient space. An interview with Glenn Snyders Jr, MD, medical director and head…

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Editor's Note Taking GLP-1 receptor agonists before anesthesia increases the risk of residual gastric contents, but evidence is lacking for a corresponding increase in perioperative pulmonary aspiration risk, according research published April 15 in the journal Anaesthesia. The systematic review and meta-analysis analyzed 28 observational studies involving over 466,000 patients…

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Editor's Note Cannabis users may require higher doses of anesthetics during sedation and experience worse physical and psychological symptoms during cancer treatment, according to an April 7 announcement from the University of Oklahoma (OU). Publishing in the journal Gastrointestinal Endoscopy, a multidisciplinary team of university researchers found that cannabis users…

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Editor's Note Stepping into a leadership role in the OR is both exciting and demanding. From budgeting and performance metrics to staffing and scheduling, there is a lot to navigate right from day one. To help new leaders step into their roles with confidence—and to offer fresh insights for seasoned…

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