Socioeconomic deprivation linked to lower fitness before surgery, UK study finds
Editor's Note Patients from socioeconomically deprived areas are more likely to have reduced cardiorespiratory fitness before surgery, potentially contributing to poorer surgical outcomes, MedicalXpress August 12 reports from a study published by PLOS One. The research, led by PhD student Donna Shrestha of Lancaster University Medical School, analyzed preoperative fitness…
Translating MIPS Value Pathways into perioperative practice—What OR leaders need to know
In July 2025, the Centers for Medicare & Medicaid Services (CMS) proposed sweeping changes to the Medicare Physician Fee Schedule for calendar year 2026. Among the most impactful updates is the launch of the Ambulatory Specialty Model (ASM)—a mandatory value-based payment program focused on heart failure and low back pain.…
Nurse-led bra initiative eliminates post-surgical chest wounds in female heart patients
Editor's Note A well-fitted bra dramatically cut post-sternotomy wound rates to zero at a Denver hospital, showing how nurse-driven innovation can improve outcomes and reduce costs, Critical Care Nurse May 28 reports. In the article, “The Bra Project: Preventing Wounds in Women After Sternotomy,” appearing in the journal’s June 2025…
Study: Copeptin levels signal perioperative stress in cardiac surgery with CPB
Editor's Note Copeptin levels surge during cardiopulmonary bypass (CPB), marking it as a potential biomarker for physiological stress in cardiac surgery, according to a May 13 article in Medical Dialogues. The article details a prospective cohort study, published in the Journal of Cardiothoracic and Vascular Anesthesia, involving 61 adult patients…
Airborne bacteria pose hidden threat in cardiac ORs, study warns
Editor's Note Air quality in cardiac ORs may be a silent driver of surgical site infections (SSIs), with airborne contamination linked to significantly elevated infection risk and mortality—especially when ventilation is suboptimal. A newly published study covered by Medical Dialogues May 19 reveals that one-third of bacteria in cardiac procedures…
Study: Outpatient PCI safety comparable for ASCs, HOPDs
Editor's Note The first study to evaluate percutaneous coronary interventions (PCI) in Medicare beneficiaries treated at ambulatory surgery centers (ASCs) found similar short-term safety outcomes as hospital outpatient departments (HOPDs). As detailed in an announcement from The Society for Cardiovascular Angiography & Interventions (SCAI), the research was presented on May…
Subarachnoid spinal anesthesia offers safe, effective option for high-risk obstetric patients
Editor's Note Segmental spinal anesthesia (SSA) has emerged as a safe and effective anesthetic technique for high-risk obstetric patients, particularly those with underlying cardiovascular disease (CVD). A recent case series published on April 29 by Medical Dialogues highlights the successful use of SSA in five parturients undergoing cesarean sections, emphasizing…
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…
Low-cost blood test predicts cardiovascular event risk
Editor's Note A low-cost blood test for troponin, a protein released during heart muscle damage, significantly improves long-term risk prediction for heart attacks and strokes—especially in patients with intermediate cardiovascular risk, according to an April 7 report from News-Medical.Net. The findings, based on a large-scale international study led by the…
Dissolvable pacemaker delivers temporary cardiac support without wires, surgery
Editor's Note Researchers have developed a fully dissolvable, needle-injectable pacemaker that regulates heart rhythms without requiring surgical removal. As detailed in an April 2 article in Scientific American, the miniature device—just millimeters in size—can deliver electrical stimulation for days to weeks before safely breaking down in the body, potentially reducing…
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- Large-scale studies link preoperative cognition to delirium risk, reveal its deadly toll after surgery
- Socioeconomic deprivation linked to lower fitness before surgery, UK study finds
- Perioperative medication decisions need individualized risk-benefit approach
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