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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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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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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For decades, ambulatory surgery centers (ASCs) have shown their ability to deliver high-quality surgical care at substantially lower cost than hospital outpatient departments (HOPDs). ASCs achieve these savings through leaner operations, streamlined staffing models, and specialty-focused efficiencies, not by compromising safety or outcomes. Studies consistently highlight procedures performed in ASCs…

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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 Medication management in the perioperative period is often made without robust evidence, requiring clinicians to balance surgical safety with the risks of interrupting treatment, according to expert guidance presented at the annual Perioperative Medicine Summit. Paul Grant, MD, of the University of Michigan Medical School, noted most medications…

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Editor's Note Wisconsin nurses—including Certified Registered Nurse Anesthetists (CRNAs)—gain more autonomy under legislation signed August 8 by Governor Tony Evers, according to an August 8 report in the Milwaukee Journal Sentinel. Under the new legislation, nurse practitioners, clinical nurse specialists, CNRAs and certified nurse-midwives who meet certain qualifications may obtain…

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Editor’s Note: This page is a companion piece to the main article, How ASCs ace the AAAHC accreditation survey. The posts below cover the latest version of the handbook from the Accreditation Association for Ambulatory Health Care (AAAHC) and advice on delineation of privileges.  Navigating the new handbook The latest…

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Editor's Note Psychological interventions such as hypnosis, music therapy, and cognitive behavioral therapy (CBT) may reduce acute pain in clinical settings, though statistically significant effects were found only in some studies, according to a July 16 scoping review published in The Journal of PeriAnesthesia Nursing. Hypnosis was the most adaptable…

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