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November 2025

Review on pneumatic tourniquet safety

Editor's Note Procedures involving pneumatic tourniquets can be associated with an increased the risk of complications and injuries such as postprocedural skin complications. A recent review of evidence-based practices for safety during surgery when using a pneumatic tourniquet published in the November issue of AORN Journal. This article provided an…

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By: Carina Stanton
November 12, 2025
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Coronary computed tomography angiography helps predict first coronary events

Editor's Note  Being able to identify a patient’s risk for a coronary event before surgery helps teams plan for potential complications like heart attack, heart failure, or arrhythmias, and ideally improve postoperative outcomes. New research published November 9 in JAMA demonstrated that coronary computed tomography angiography (CCTA) improved risk prediction…

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By: Carina Stanton
November 12, 2025
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Environment influences OR team performance

Editor's Note Temperature, lighting, and noise can negatively influence surgical performance, according to new research published November 11 in Surgical Endoscopy. A systematic review of 34 studies examining the impact of lighting, temperature, noise, and music on the performance of surgical teams sought to understand how these environmental factors can…

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By: Carina Stanton
November 12, 2025
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Ambulatory shift transforming care models for high-acuity patients

Editor's Note As hospital systems seeing a significant jump in outpatient care, they are also seeing a rise in patient acuity across inpatient care. This increased patient acuity for inpatient care is driving changes to care models across both settings, an October 27 article in Becker’s Clinical Leadership reports. Clinical…

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By: Carina Stanton
November 11, 2025
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How to improve outpatient first case starts

Editor's Note Improving first case on-time starts (FCOTS) in an ambulatory surgery center (ASC) can improve overall efficiency. When the first case of the day starts on-time, it leads to a cascading effect that can prevent cancellations, improve patient satisfaction, and reduce stress for perioperative staff. It can also make…

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By: Carina Stanton
November 11, 2025
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Engage anesthesia group to expand volume

Editor's Note Consistent case volume is the lifeblood of any successful ambulatory surgical center (ASC), but one often overlooked limiting factor in driving ASC volume is the anesthesia group, according to Michael Bernard, MD, in the September 2025 issue of Surgical Business. Staffing shortages of anesthesia professionals are a major…

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By: Carina Stanton
November 11, 2025
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Ethical considerations for deploying AI in surgery

Editor's Note A balanced approach to leveraging AI in surgical decision making should be taken to weigh the benefits of increased efficiency and potential accuracy of using AI against the principles of medical ethics such as patient autonomy, beneficence, nonmaleficence, and justice, authors recently advised in the November issue of…

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By: Carina Stanton
November 11, 2025
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BMI a valuable metric in THA surgical planning, risk stratification

Editor's Note Obesity is a key driver of earlier total hip arthroplasty (THA) and elevated perioperative risk, according to findings published October 29 in Surgeries. While THA is a well-known intervention for older adults with end-stage hip osteoarthritis, the researchers reported a link between an increase in obesity and the…

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By: Carina Stanton
November 11, 2025
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Surgical discharge against medical advice on the rise

Editor's Note The incidence of surgical patients being discharged against medical advice is increasing, leading to a subsequent rise in postoperative complications and readmissions, according to new published research. The investigators evaluated trends, risk factors, and postoperative outcomes among surgical patients who were discharged against medical advice and their findings…

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By: Carina Stanton
November 11, 2025
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Liberal blood transfusion doesn’t reduce poor outcomes in high cardiac risk patients

Editor's note A liberal blood transfusion strategy after major vascular or general surgery for patients at high risk of a cardiac event did not reduce 90-day death or major ischemic outcome rates compared with a restrictive strategy, according to results from the Transfusion Trigger after Operations in High Cardiac Risk…

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By: Carina Stanton
November 10, 2025
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