Surgical protocol nearly halves postoperative ED visits for pediatric urology patients
Editor's Note A quality improvement protocol at the University of Colorado Anschutz Medical campus resulted in a 48.8% decrease in the number of pediatric urology patients returning to the emergency department (ED) unnecessarily within 30 days of surgery. According to a December 2 university report, the initiative has significantly reduced…
Surgeons implant first medically suspended heart pump in US
Editor's Note Cardiothoracic surgeons at Emory University Hospital have conducted the first US implantation of the BrioVAD System, a new ventricular assist device (VAD) from BrioHealth Solutions, Cardiovascular Business News reported November 25. According to the article, the BrioVAD System features a magnetically suspended, hemocompatible pump designed to minimize adverse…
Study: Early surgery outperforms endoscopy for long-term pancreatitis
Editor's Note Early surgical intervention should be prioritized over endoscopy-first treatment in managing chronic pancreatitis with dilated pancreatic ducts, according to the results of a follow-up study of the ESCAPE randomized clinical trial. Published November 20 in JAMA Surgery, the findings specifically highlight pain relief, patient satisfaction, and need for…
IV fluid shortage drives innovation in hospital hydration practices
Editor's Note A nationwide shortage of intravenous (IV) fluids is forcing hospitals to adopt conservation strategies that could reshape hydration practices long-term, KFF Health News reported November 19. The shortage was driven by Hurricane Helene’s damage to Baxter International’s North Cove facility, which is responsible for 60% of US IV…
Study: Digital tool detects preoperative pediatric anxiety, depression
Editor's Note A recent study presented at the American Society of Anesthesiologists’ 2024 meeting reveals that a computerized mental health assessment, KCAT, may effectively identify anxiety and depression in pediatric surgical patients. According to an October 20 report in Anesthesiology News, the single-center pilot study involved 65 children aged 7…
Blast from the past: Best practices for successful implementation of ERAS
Enhanced Recovery After Surgery (ERAS) represents a transformative approach in modern surgical care, emphasizing evidence-based, multidisciplinary protocols to optimize patient recovery. Spanning decades, ERAS has grown from a novel concept into a global standard for perioperative care, with benefits that include shorter hospital stays, fewer complications, and reduced healthcare costs.…
Music therapy reduces opioid use, anxiety in surgical patients
Editor's Note Music-based interventions administered preoperatively, intraoperatively, and postoperatively can significantly reduce postoperative opioid use and improve mood in patients undergoing same-day surgeries, according to research published October 15 in the Journal of Clinical Medicine. The single-center, prospective, randomized controlled trial evaluated 75 patients aged 18 to 80 who received…
Task force aims to reduce discarded organs, boost transplants
Editor's Note The Organ Procurement and Transplant Network (OPTN) is launching a national effort to reduce discard rates of donated organs, according to an October 23 announcement from the University of Michigan. OPTN oversees organ distribution for transplant procedures in the US. According to the report, the organization aims to…
Session: Anesthesia contracts, the must-haves
Editor's Note “There's nothing worse than putting a contract together, only for the anesthesia providers to say, ‘Oh, no, we're not going to do that,” Mindy Gingery, MSN, CRNA, ARNP, president of Heartland Anesthesia & Consulting, said, opening this morning session on anesthesia contract best practices for ambulatory surgery centers…
Study: Repeated fasting for multiple surgeries risks malnutrition, mortality
Editor's Note Research shows repeated fasting for multiple surgeries during a single hospital stay significantly raises the risk of protein-calorie malnutrition, leading to longer recovery times, increased healthcare costs, and a higher likelihood of death. HealthDay covered the news October 21. Presented at the American Society of Anesthesiologists annual meeting,…
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