New NIH-backed trial targets advance care planning for older surgical patients
Editor's Note Fewer than one in ten older adults undergoing major elective surgery complete advance care planning (ACP), but a new multisite randomized trial aims to change that. According to a September 23 article published by BMJ Open, the study design for the I CAN DO Surgical ACP trial has…
AORN: Periop patient ambassadors transform communication, outcomes in surgical care
Editor's Note Hospitals adopting perioperative patient ambassadors are seeing major gains in surgical communication, patient trust, and satisfaction, AORN August 18 reports. An EIN Presswire release on September 30 also highlights AORN’s call for hospitals to formalize the patient ambassador role as part of the surgical team. AORN notes that…
Higher MAP targets in acute spinal cord injury show no neurologic benefit, more complications
Editor's Note Early blood pressure augmentation did not improve neurologic outcomes and was linked to more complications, according to a JAMA Network study published on September 18. In this multicenter randomized clinical trial at 13 US trauma centers, 92 adults with acute cervical or thoracic spinal cord injury were assigned…
What periop nurses should preoperatively know about GLP-1, oral GLP-1 drugs
With the explosion of GLP-1–based therapies for type 2 diabetes and weight loss, perioperative nursing teams, especially in the preoperative and postanesthesia care areas, need to be fluent in recognizing these medications. Some patients may arrive on these agents—or even novel oral GLP-1s—and the physiologic effects, especially delayed gastric emptying,…
Nutrition screening tool predicts poor outcomes after pancreatic cancer surgery
Editor's Note The Perioperative Nutrition Screen (PONS) identifies patients at greater risk of complications following pancreatic cancer surgery, according to a retrospective analysis published August 27 by Research Square. The study found that patients flagged for nutrition risk by PONS experienced longer hospital stays, higher complication rates, and were more…
August poll results: Service line shifts push ASCs to expand capacity, redefine readiness
The migration of surgical cases from inpatient settings to ambulatory surgery centers (ASCs) continues to reshape perioperative leadership in 2025. Nationally, the trend is driven by payer incentives, patient preference, and cost pressures, with ASCs now performing more orthopedic, spine, and complex outpatient procedures than ever before. In fact, the…
Understanding nurse responsibilities in managing postoperative agitation, delirium
Editor's Note A recent article in AORN Journal underscores the need for vigilance and thorough documentation to manage postoperative mental status changes and prevent harm to both patients and staff. As detailed in the article, cognitive disturbances such as delirium and agitation can complicate recovery after surgery. Delirium is characterized…
Preoperative, postoperative GLP-1s improve weight loss in bariatric surgery patients
Editor's Note Research shows using GLP-1 receptor agonists both before and after bariatric surgery is associated with greater total weight loss than surgery alone, according to a July 13 article in MedPage Today. The article focuses on a retrospective analysis of 568 patients presented at ENDO 2025, the annual meeting…
Study: 3D-printed models improve shared decision-making before colorectal surgery
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…
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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