Editor's Note Taking GLP-1 receptor agonists before anesthesia increases the risk of residual gastric contents, but evidence is lacking for a corresponding increase in perioperative pulmonary aspiration risk, according research published April 15 in the journal Anaesthesia. The systematic review and meta-analysis analyzed 28 observational studies involving over 466,000 patients…
Editor's Note As aesthetic procedures continue to migrate into freestanding ambulatory surgery centers (ASCs), a new Canadian study argues that routine laboratory tests and electrocardiograms—often labeled “low‑value” in hospitals—remain a critical safety net when emergency back‑up is miles away. The manuscript was published by the Aesthetic Surgery Journal on April…
Editor's Note Cannabis users may require higher doses of anesthetics during sedation and experience worse physical and psychological symptoms during cancer treatment, according to an April 7 announcement from the University of Oklahoma (OU). Publishing in the journal Gastrointestinal Endoscopy, a multidisciplinary team of university researchers found that cannabis users…
Editor's Note Preoperative mental health assessment significantly increases the odds of a postoperative “textbook outcome” for older patients, according to research published on March 15 in the journal Surgery. The median age for the patient population analyzed at the time of surgery was 74 years. Focusing on more than 32,500…
Editor's Note Subtle risk factors—such as low BMI and hidden tumors—could lead to unexpected airway management difficulties, according to research published on March 17 in Nature: Scientific Reports. The case-control study analyzed 672 surgical patients who required endotracheal intubation between 2015 and 2020. Researchers compared 168 patients who experienced difficult…
Editor's Note New consensus recommendations from the US Multi-Society Task Force on Colorectal Cancer (MSTFCRC) set a 90% adequacy benchmark for bowel preparation in colonoscopy, reinforcing the role of preparation in ensuring accurate screenings and reducing the risk of missed lesions. As detailed in a March 4 joint press release…
Editor's Note Insufficient awareness of drug interactions with hormonal contraceptives (HCs) among anesthesia providers could lead to unintended pregnancies and preventable health consequences, according to survey published in Anesthesia & Analgesia. Physician’s Weekly covered the news February 27. The article specifically cites sugammedex and aprepitant, both of which are widely…
Editor's Note Nurse-led preoperative visits significantly reduce patient anxiety by providing structured education, emotional support, and greater trust between patients and caregivers, according to a review published January 21 in the Journal of PeriAnesthesia Nursing. Encompassing 13 studies on nurse-led preoperative visits published between 2000 and 2023, the review found…
What happens when a surgeon uses the monopolar instrument set on 30-W coagulation mode to create an upper midline incision in a patient with a pacemaker? Pacemaker function is interrupted, causing a heart block that results in hemodynamic instability—or at least, this is what could happen without taking the necessary…
Editor's Note Using virtual reality glasses (VR-G) to watch immersive 360-degree nature videos significantly reduces preoperative surgical fear in patients undergoing open-heart surgery, according to a randomized controlled study published November 29 in the Journal of Perianesthesia Nursing. However, anxiety levels were not markedly affected, suggesting targeted efficacy in fear…