Editor's Note Often exceeding federal safety limits, OR noise contributes significantly to communication breakdowns, heightened cognitive load, and increased surgical errors, according to a review of literature published September 17 in Cureus. Identified noise sources include surgical instruments, alarms, and staff conversations, which can reach up to 120 decibels (dBA)—a…

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Editor's Note Tubal ligation procedures increased after the 2022 overturn of Roe v. Wade and were particularly concentrated in states with abortion bans, according to a September 11 Associated Press (AP) report on a study published in JAMA. Researchers analyzed insurance claims for approximately 4.8 million women across 36 states…

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Editor's Note Surgeons used a remote control to perform a magnetic endoscopy on a live pig more than 9,300 km (nearly 6,000 miles) away, Medical Xpress reported August 26. According to the article, researchers at ETH Zurich and The Chinese University of Hong Kong collaborated in the procedure, with the…

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Editor's Note Recent research sheds new light on addressing two of the most pressing problems for surgical care: handoff communication failures and care bias and inequities leading to adverse—and preventable—events.   These problems are the subjects of two separate success stories in the August issue of The Joint Commission Journal…

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Editor's Note Evidence is mounting for the use of antibiotics as a valid alternative to surgery for acute appendicitis, including in pediatric cases, the Washington Post reported August 17. The article details how this treatment—described as a “dark secret” by one expert testifying to its use in the 1950s, prior…

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Editor's Note A post hoc analysis of the SCOT phase 3 randomized clinical trial reveals that initiating adjuvant chemotherapy more than 6 weeks after surgery is linked to worse disease-free survival (DFS) in patients with high-risk stage II and stage III colorectal cancer. Published June 12 in JAMA Surgery, the…

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Editor's Note An August 6 report in MedPage Today details how the Physicians Committee for Responsible Medicine (PCRM) is pushing to end the practice of using live animals for physiology training. According to the article, some surgical residencies use live animals (usually pigs) as practice patients. In contrast, only 3%…

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Editor's Note A dispute over cameras in ORs reportedly added tension to nurse strike negotiations that recently culminated in a tentative agreement with union nurses at Brigham and Women's Hospital in Boston. According to an August 7 CBS News report, the OR cameras are intended to assist with robotic surgeries.…

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Editor's Note Optimizing patient positioning can help reduce the risk of surgical site infections due to airborne contaminants in positive-pressure ORs, according to a study published August 12 in Nature: Scientific Reports. Maintaining higher pressure than adjacent spaces prevents entry of contaminants from environments external to the OR. For this…

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Editor's Note The rising frequency of wildfires has anesthesiologists concerned about potential for adverse surgical outcomes to exposed patients, according to an article in the Online First edition of Anesthesiology,  the peer-reviewed journal of the American Society of Anesthesiologists (ASA). As of an August 6 report from ASA, nearly 100…

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