Editor's Note Artificial intelligence (AI) and evidence-based fasting practices could significantly enhance safety and comfort for children undergoing surgery, according to research presented at the ANESTHESIOLOGY® 2025 annual meeting that took place on October 10–14. One study found AI systems outperform standard methods in key pediatric anesthesia tasks, including selecting…

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Editor's Note Patients’ social conditions, language, and sleep patterns may play a larger role in surgical recovery than previously recognized, according to three studies presented at the ANESTHESIOLOGY® 2025 annual meeting that took place on October 10–14. Researchers from the University of California, San Diego, found patients facing food insecurity…

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Editor's Note This year, the OR Manager Conference promises playbooks attendees can put to work the day they return home. The event, being held in Anaheim on October 28–30, targets the system-level goals perioperative leaders are accountable for: capacity, cost, culture, and safety across multi-site enterprises. Attendees will get concrete…

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Editor's Note The dismantling of the National Institute for Occupational Safety and Health (NIOSH) jeopardizes worker safety nationwide and risks reversing decades of progress, New England Journal of Medicine October 4 reports. In April, sweeping federal workforce reductions eliminated more than 80% of NIOSH staff, closing laboratories and freezing core…

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With the explosion of GLP-1–based therapies for type 2 diabetes and weight loss, perioperative nursing teams, especially in the preoperative and postanesthesia care areas, need to be fluent in recognizing these medications. Some patients may arrive on these agents—or even novel oral GLP-1s—and the physiologic effects, especially delayed gastric emptying,…

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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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