Editor's Note Prolonged exposure to general anesthesia during surgery contributes to long-term cognitive decline, affecting executive functioning, selective attention, mental speed, and information processing, according to a February 18 study published in the European Journal of Anaesthesiology. This prospective longitudinal cohort study followed 1,823 adults aged 25–84 in the Netherlands…

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Editor's Note Using powerful synthetic opioids remifentanil and sufentanil during surgery increases risk of patients suffering during recovery, according to a study in the journal Regional Anesthesia & Pain Medicine. HealthDay reported the news February 27. According to the article, researchers analyzed data from 971 patients who underwent surgery—37% orthopedic…

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Editor’s Note Large language models (LLMs) outperformed traditional methods in predicting postoperative complications, according to a study on artificial intelligence (AI) in perioperative risk assessment published February 11 in the journal Nature. Results indicate AI-driven models could enhance patient safety and streamline clinical workflows by detecting complications earlier. Researchers analyzed…

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Editor's Note A large international clinical trial found that incisional negative pressure wound therapy (iNPWT) does not reduce surgical site infections (SSIs) following emergency laparotomy. The SUNRRISE trial, conducted across 34 hospitals in the UK and Australia and published January 27 in Jama Network, randomized 821 patients to receive either…

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Editor's Note Patients who engage in prehabilitation—exercise, diet changes, and social support—before surgery significantly reduce their risk of complications, shorten hospital stays, and improve recovery, according to a new evidence review in The BMJ. As reported January 24 by HealthDay, the analysis of 186 clinical trials involving more than 15,500…

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Editor's Note An EHR-integrated closed-loop clinical decision support system (CDSS) significantly reduced unnecessary preoperative testing, improved patient safety, and significantly reduced costs across two hospitals in Madrid, Spain. As detailed in a study published January 3 in npj digital medicine, this system demonstrates the potential of automated guidelines to optimize…

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Editor's Note A meta-analysis reveals that cataract surgery often leads to temporary tear film instability, with symptoms potentially lasting up to three months, according to a January 16 article in Medscape. However, the impact on other dry eye measures remains unclear due to inconsistent findings across studies. Researchers analyzed 20…

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Editor's Note Findings from The ARRC II study show using advanced recovery room care (ARRC) for medium-risk surgical patients significantly reduces 18-month postoperative mortality compared to standard ward care. As detailed in a December 11 research letter in JAMA Surgery, this benefit appears linked to minimizing early postoperative complications, which…

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Editor's Note Efforts to reduce the risk of postoperative delirium in older patients should focus on preoperative evaluation, anesthesia choices, and medication management, according to the American Society of Anesthesiologists (ASA). Designed specifically for treating adults aged 65 and older undergoing inpatient surgery, these new, evidence-based recommendations are presented in…

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Editor's Note Glucagon-like peptide-1 receptor agonists (GLP-1s) could reduce total knee arthroplasty (TKA) complications for non-diabetic patients with obesity, according to a November 13 Helio report on research presented at the American Association of Hip and Knee Surgeons Annual Meeting. In addition to reduced odds of 90-day medical complications, the…

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