Editor's Note Allowing older surgical patients to keep dentures, glasses, and hearing aids until anesthesia and restoring them immediately afterward significantly lowered postoperative delirium (POD) rates, according to a study published in BMC Geriatrics on August 30. The prospective before-and-after trial followed patients aged 70 and older undergoing hip fracture…

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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 One in 10 older adults and one-third of the highest risk patients are discharged to post-acute care facilities after major surgery, driving up costs and worsening outcomes. According to the American College of Surgeons (ACS) in an August 25 release on a Journal of the American College of…

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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 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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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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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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Editor's Note This fall, the OR Manager Conference will bring outpatient and postanesthesia care innovation to the forefront with its dual spotlight on poster presentations and leadership awards. Both initiatives emphasize the evolving needs and accomplishments of perioperative teams in ambulatory surgery centers (ASCs) and postanesthesia care units (PACUs), offering…

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Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC) launched a new pain management toolkit that prioritizes multimodal strategies to improve outcomes and reduce opioid use in ambulatory surgery. Designed for the unique challenges of outpatient care, the resource provides practical, evidence-based guidance to optimize safety, comfort, and recovery.…

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