Editor's Note Deaths from falls among Americans over 65 have more than tripled in the past 3 decades, raising alarm among geriatric experts and fueling debate about the role of prescription drugs, HealthLeaders September 15 reports. The Centers for Disease Control and Prevention (CDC) recorded more than 41,000 fall-related deaths…

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Editor's Note A multidisciplinary quality improvement effort at Vanderbilt University Medical Center sharply reduced response times to post-anesthesia care unit (PACU) emergencies, demonstrating a model that other hospitals could replicate, OR Management News September 1 reports. By combining education, clear role identification, standardized anesthesiologist notification, and recurring mock code drills,…

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Editor's Note Pulmonary embolism (PE) and deep vein thrombosis (DVT) are rare after same-day surgeries, but when they occur, they carry high risks of death and readmission. According to Anesthesiology News May 12, a University of Texas Southwestern Medical Center analysis of more than 1.1 million outpatient procedures found an…

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Editor's Note Perioperative leaders are reshaping how surgical care is delivered, making pragmatic adjustments in the face of supply shortages, staffing constraints, and shifting surgical volume toward ambulatory surgery centers (ASCs). Together, the latest three OR Manager pulse polls reveal a profession managing high stakes with a mix of caution,…

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The migration of surgical cases from inpatient settings to ambulatory surgery centers (ASCs) continues to reshape perioperative leadership in 2025. Nationally, the trend is driven by payer incentives, patient preference, and cost pressures, with ASCs now performing more orthopedic, spine, and complex outpatient procedures than ever before. In fact, the…

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Editor's Note A malpractice case involving a 69-year-old man undergoing an endoscopy at an ambulatory surgery center (ASC) spotlights the risks of managing high-comorbidity patients outside a hospital setting. According to a May 13 report in Anesthesiology News, the patient experienced a hypoxic event that led to permanent brain injury…

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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 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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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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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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