Editor's Note The term "perioperative neurocognitive disorder" has been adopted to describe cognitive impairments identified during the perioperative period, the American College of Surgeons (ACS) May 8 reports. Postoperative delirium, in particular, is an acute complication manifesting as confusion and fluctuating levels of consciousness and attention. The incidence of this…

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Editor's Note A letter to the editor published April 10 in Anesthesiology, the official publication of the American Society of Anesthesiologists (ASA), calls attention to an official statement outlining best practices for ensuring all moms-to-be receive adequate pain management during planned or unexpected C-sections. The best practices are outlined in…

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Editor's Note A recent study from the UK, the results of which were presented at the 6th annual World Congress on Regional Anaesthesia and Pain Medicine, shed light on patients' preferences and understandings regarding anesthesia options for outpatient orthopedic surgery, Anesthesiology News March 18 reports. It revealed a stronger expectation…

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Editor's Note A March 11 article on SeniorLiving.org broke down key considerations and risks for elderly patients undergoing surgery and anesthesia. One such consideration is studies show that older adults often prioritize quality of life over the extension of life if it means sacrificing independence or functional abilities. Other lessons…

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Editor's Note Findings published March 4 in Jama Network show that preoperative urine culture is a low-value intervention for most surgical patients and should be de-implemented. Despite guidelines to the contrary from Infectious Diseases Society of America and the American College of Physicians, preoperative urine testing and antibiotic treatment persists…

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Editor's Note The current method for identifying heart transplant candidates with the most urgent need might not be the best one. In a study published February 13 in Jama Network, a candidate risk score incorporating the latest clinical, laboratory, and hemodynamic data out-performed the current treatment-based categorical allocation system.  …

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Editor's Note Evidence-informed and specialty-specific models of nursing assessment and ward redesign can benefit hospital safety, according to a study published January 27 in the International Journal of Nursing Studies. Called the ENCORE (evidence-based nursing core assessment) trial, the large-scale study led by Queensland University of Technology included 29,385 patient…

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Editor's Note: A recent study suggests artificial intelligence (AI) can be valuable for identifying patients who consumed risky amounts of of alcohol prior to surgery. Findings appeared in the journal Alcohol, Clinical and Experimental Research on January 8. For the study, researchers extracted 3 years of text-based clinical records from…

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Editor’s Note Lending greater weight to patient opinions could help clinicians diagnose certain conditions, according to a study published in Rheumatology on December 18.  The study focused specifically on neuropsychiatric lupus, an autoimmune disease that is difficult to diagnose and includes symptoms such as headache, fatigue, and hallucinations that can…

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Editor's Note This study from the University of Michigan, Ann Arbor, examines the use of a machine learning (ML) model to predict the suitability for having a surgical procedure performed at an ambulatory surgery center (ASC) vs a hospital-based outpatient department (HOPD). To augment a labor intensive manual process in…

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