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 Helping patients taper opioids preoperatively before deploying multimodal care strategies can help prevent instances of patients already with prescriptions going home with even higher doses. That’s the main takeaway from an April 22 MedCentral interview with Marie N. Hanna, MD, division chief for regional anesthesia and acute pain…

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Editor's Note US surgeons are helping to slash postoperative opioid use, which has driven opioid prescription fills for common same-day procedures down from 43% to 16% over 13 years, Physician’s Weekly April 22 reports. The data were retrieved from a study published in the April 2025 issue of the Journal…

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Editor's Note Universitätsmedizin Berlin reduced anesthesia-related carbon emissions by more than 80% since 2018 by eliminating high-impact anesthetic gases, implementing education initiatives, and revising clinical guidelines, according to a February 27 report in Medical Xpress. The hospital’s efforts targeted desflurane, an anesthetic gas with an extreme climate impact—nearly 8,000 times…

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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 A new machine learning model using photoplethysmogram (PPG) data more accurately assesses pain during and after surgery compared to existing commercial methods, according to research published January 24 in Nature’s npj Digital Medicine. Analyzing data from 242 patients, researchers developed an XGBoost-based model to assess intraoperative and postoperative…

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Editor's Note New infection control recommendations from the American Society of Regional Anesthesia and Pain Medicine (ASRA Pain Medicine) are purportedly the first comprehensive guidelines tailored specifically for regional anesthesia and interventional pain management procedures, such as cortisone injections and drug-delivery implants.   As detailed in the organization’s January 21…

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Editor's Note Research reveals combining non-steroidal anti-inflammatory drugs (NSAIDs) with blood thinners heightened bleeding risk across multiple organ systems, HealthDay reported November 18. The study analyzed nearly 52,000 Danish patients prescribed blood thinners between 2012 and 2022, examining NSAID interactions with multiple anticoagulants including rivaroxaban, apixaban, dabigatran, edoxaban, and warfarin.…

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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.…

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Editor's Note Black patients are less likely to receive multimodal analgesia and more likely to be given additional oral opioids compared to white patients, according to research presented at the Anesthesiology 2024 annual meeting. According to an October 20 report on the retrospective study from the American Society of Anesthesiologists,…

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