Tag: Preoperative assessment

Endoscopy case highlights risks of complex patients in ASCs

Editor's Note A malpractice case involving a 69-year-old man undergoing an endoscopy at an ambulatory surgery center (ASC) spotlights the risks of managing high-comorbidity patients outside a hospital setting. According to a May 13 report in Anesthesiology News, the patient experienced a hypoxic event that led to permanent brain injury…

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By: Tarsilla Moura
September 2, 2025
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Expert lessons on building successful total joints programs in ASCs

By 2022, orthopedic procedures performed in ambulatory surgery centers (ASCs) were already outpacing expectations. For years, total hip and knee replacements were considered too complex for same-day surgery. Yet, total joints replacement volumes jumped nearly 200% between 2020 and 2022—outpatient total knee arthroplasty surged nearly 194%, while total hip arthroplasty…

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By: Tarsilla Moura
August 26, 2025
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Study: Preoperative behavioral health evaluations improve orthopedic recovery

Editor's Note Meeting with a health behavior psychologist before orthopedic surgery can help patients identify and overcome barriers to recovery, leading to better surgical outcomes, according to a University of Missouri School of Medicine July 31 news article covering a study published in the Journal of Knee Surgery. The study…

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By: Tarsilla Moura
August 21, 2025
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Large-scale studies link preoperative cognition to delirium risk, reveal its deadly toll after surgery

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Editor's Note Older surgical patients with preoperative cognitive impairment face significantly higher odds of developing postoperative delirium (POD), and POD itself is tied to markedly worse surgical outcomes, according to two major studies published July 2025. Together, the findings point to delirium as both a high-impact and potentially modifiable target…

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By: Tarsilla Moura
August 14, 2025
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Perioperative medication decisions need individualized risk-benefit approach

Editor's Note Medication management in the perioperative period is often made without robust evidence, requiring clinicians to balance surgical safety with the risks of interrupting treatment, according to expert guidance presented at the annual Perioperative Medicine Summit. Paul Grant, MD, of the University of Michigan Medical School, noted most medications…

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By: Tarsilla Moura
August 14, 2025
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Blast from the past: Revised data, evolving standards for OSA care in the perioperative setting

An estimated 22 million Americans were believed to have obstructive sleep apnea (OSA) in 2019, according to data cited in a February 2019 article published by OR Manager. At that time, up to 80% of cases were undiagnosed, and 30% to 40% of the surgical patient population was believed to…

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By: Tarsilla Moura
July 18, 2025
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Study: 3D-printed models improve shared decision-making before colorectal surgery

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Editor's Note Using 3D-printed anatomical models during preoperative consultations significantly improved shared decision-making (SDM) and modestly reduced anxiety in colorectal surgery patients, according to a June 3 study published in JAMA Network Open.  The single-center, cluster randomized clinical trial enrolled 51 adult patients scheduled for colon or rectal resection due…

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By: Matt Danford
July 9, 2025
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Experts reach consensus on preop education to support surgical recovery

Editor's Note A new international consensus offers the first multidisciplinary definition and set of recommendations for group-based preoperative education programs, sometimes referred to as “surgery schools.” Published June 21 in the British journal Anaesthesia, the expert-driven guidance aims to improve patient preparation, experience, and recovery for those undergoing major elective…

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By: Matt Danford
July 1, 2025
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Study: Preoperative dexmedetomidine stabilizes vitals in anxious GI cancer patients

Editor's Note Low-dose dexmedetomidine effectively stabilizes blood pressure and heart rate during key perioperative stages in gastrointestinal tumor patients with moderate to severe anxiety, according to a July 1 study published in BMC Psychiatry.   Researchers enrolled 100 patients undergoing elective laparoscopic gastrointestinal tumor resection. Anxiety levels were measured using…

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By: Matt Danford
July 1, 2025
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Study: Surgical patients face higher odds of food insecurity

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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By: Matt Danford
June 20, 2025
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