While most emergency surgical procedures are carried out uneventfully and safely, the OR is also a place where potentially life-threatening and least-expected instances can arise. Emergencies such as malignant hyperthermia, intraoperative cardiac arrest, and anaphylaxis can catch OR leaders and staff off guard. Perioperative teams need proper and adequate preparation…

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Editor's Note Postoperative delirium significantly worsens outcomes for older adults undergoing major noncardiac surgery, according to research published July 8 in JAMA Network Open. Specifically, findings showed patients who developed postoperative delirium had 3.5 times the odds of death or major complications, 2.8 times the odds of 30-day mortality, and…

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Editor's Note Glucagon-like peptide-1 (GLP-1) receptor agonists may offer orthopedic patients with obesity and type 2 diabetes a powerful tool for preoperative weight loss and potential disease modification, according to a July 10 review article in The Journal of Bone and Joint Surgery. However, the agents carry perioperative risks that…

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Editor's Note A stem cell-based transplant method enabled most kidney recipients in a recent clinical trial to stop taking immunosuppressive drugs, according to a July 15 article in HealthDay. As detailed in the article, the approach was tested in a phase 3 multicenter, randomized controlled trial published in the American…

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Editor's Note New research shows surgical patients in the US face a significantly greater risk of food insecurity than nonsurgical patients, even after adjusting for demographic and socioeconomic differences. Findings also point to potential underutilization of the Supplemental Nutritional Assistance Program (SNAP) benefits among surgical patients, study authors write.  …

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Editor's Note Recent research shows robotic-assisted cholecystectomy (RAC) results in similar bile duct injury rates as laparoscopic cholecystectomy (LC), but risks are higher for postoperative complications, longer hospital stays, and more frequent drain use. Published May 21 in JAMA Surgery, the large-scale cohort study analyzed outcomes from over 844,000 acute…

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Editor's Note Amid a lack of focus and lack of resources on perioperative mental health, alleviating patient anxiety and preventing poor surgical outcomes requires creative solutions. This is the central argument of a May 12 commentary in The Conversation by Renée El-Gabalawy, a clinical psychologist and associate professor at the…

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Editor's Note A machine learning (ML) model that integrates clinical data with natural language processing significantly improved detection and management of hospital delirium in older adults. Results were published May 7 in JAMA Network Open. Conducted at Mount Sinai Hospital, the quality improvement study evaluated the association of an ML-based…

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Editor's Note Surgical staff support for OR temperature management is not always paired with the knowledge required to properly prevent perioperative hypothermia, according to an April 30 study in Nature: Scientific Reports. This multicenter, cross-sectional study surveyed 213 operating room professionals—surgeons, anesthesiologists, and nurses—across eight hospitals in northern China. The…

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Editor's Note Female surgeons achieve better long-term outcomes for surgical patients—especially for female patients—according to a large national study published April 23 in JAMA Surgery. Using US Medicare data from over 2.2 million older adults, researchers found that patients of female surgeons had lower mortality rates and, for women, fewer…

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