July poll results: Perioperative leaders are tackling labor costs, staffing flexibility
Perioperative leaders often have to make critical decisions, not just in the middle of an operational crisis but also somewhere in the edges—the routine but still high-stakes moments where leaders need to adjust resources or absorb costs under tight constraints. The economic margin for error continues to narrow, and many…
Blast from the past: Revised data, evolving standards for OSA care in the perioperative setting
An estimated 22 million Americans were believed to have obstructive sleep apnea (OSA) in 2019, according to data cited in a February 2019 article published by OR Manager. At that time, up to 80% of cases were undiagnosed, and 30% to 40% of the surgical patient population was believed to…
June poll results: How perioperative leaders are responding to tariffs and financial, supply chain pressures
The ongoing turbulence in global trade policy, particularly the re-escalation of tariffs on medical supplies from China and other countries, is weighing heavily on US healthcare operations. Sweeping US trade policy shifts this year are sparking great concern, but while 2025 has seen unprecedented tariff escalations and supply chain volatility,…
New guidelines address critical airway challenges in obese surgical patients
Editor's Note A multidisciplinary expert panel has released the first evidence-based airway management guidelines specific to patients living with obesity. Published June 5 in Anaesthesia, the 43-point framework—developed by the Society of Obesity and Bariatric Anaesthesia (SOBA)—offers perioperative strategies aimed at improving the safety and consistency of care in a…
New GLP-1 guidance urges longer fasting before anesthesia
Editor's Note Patients taking GLP-1 receptor agonists (GLP-1 RAs) do not need to discontinue these medications before undergoing anesthesia but should follow extended preoperative fasting protocols to reduce aspiration risk, according to a June 5 article in Medscape. As detailed in the article, this recommendation comes from a new multidisciplinary…
Study: OR waste training boosts recycling, but impact fades with time
Editor's Note A single training session on waste segregation significantly increased recycling rates among OR staff, but gains began to erode within two months, according to a study published May 26 in Nature: Scientific Reports. Conducted at Ankara University Cebeci Hospital, the quasi-experimental study assessed the impact of a single-session,…
Dissolution of CDC infection control panel raises concern over stagnant guidelines
Editor's Note The Trump administration has dismantled the federal committee responsible for shaping national infection prevention standards in hospitals, sparking concern among healthcare experts over future preparedness, NBC News reported May 6. According to the article, the Centers for Disease Control and Prevention (CDC) informed members of the Healthcare Infection…
Same-day discharge after catheter ablation gains backing from top cardiology societies
Editor's Note Same-day discharge following catheter ablation is both safe and increasingly standard in appropriately selected patients, according to a new joint scientific statement from the Heart Rhythm Society and the American College of Cardiology, TCTMD April 24 reports. The statement reflects growing evidence and clinical experience suggesting that, with…
Bye-bye, SSI: Nurse-led decolonization protocol pays off
Imagine completely eliminating surgical site infections (SSIs) without significantly disrupting perioperative workflows. At Magic Valley Regional Medical Center (MVMC), a mid-sized community hospital in Twin Falls, Idaho, a nurse-led pilot project accomplished just that for breast and colorectal surgeries. As for other procedures, overall infection rates are down by nearly…
Literature review: Endoscope disinfection failures highlight need for stronger sterilization practices
Editor's Note High-level disinfection (HLD) fails to reliably eliminate harmful microbes from flexible endoscopes in real-world healthcare settings, according to a review of endoscope processing effectiveness published April 8 in the American Journal of Infection Control. The review highlights routine breaches in cleaning protocols and links contaminated endoscopes to numerous…
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