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 Preadmission clinics (PACs) are supporting perioperative care by reducing complications, shortening hospital stays, and improving surgical outcomes—particularly for high-risk patients. As detailed in the April 2025 edition of ASA Monitor from the American Society of Anesthesiologists (ASA), PACs operate as multidisciplinary outpatient hubs where medical optimization, risk assessment,…

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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 An April 16 article in JAMA Network outlines a three-part communications framework for improving the quality and clarity of perioperative conversations with patients, particularly when time is limited and stakes are high. The article focuses particularly on three core communications skills: attending to emotion, managing uncertainty, and supporting…

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Editor's Note Current US CT scan practices could lead to approximately 103,000 future cancers—nearly 5% of all new annual diagnoses—if utilization and radiation dosing patterns persist, according to a risk modeling study published April 14 in JAMA Internal Medicine. Authors emphasized that although CT is often lifesaving, its risks are…

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Imagine completely eliminating surgical site infections (SSIs) without significantly disrupting perioperative workflows. At Magic Valley Regional Medical Center (MVMC), a mid-sized community hospital in Twin Falls, Idaho, a nurse-led pilot project accomplished just that for breast and colorectal surgeries. As for other procedures, overall infection rates are down by nearly…

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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…

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Editor's Note A recent study shows potentially significant promise for preoperative virtual reality (VR) simulation to improve surgical patient outcomes. Published March 1 in the American Journal of Critical Care, the research details how VR reduced ICU sedation and ventilator time for patients undergoing elective cardiothoracic surgery. Although the program…

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Editor's Note Some patients with early-stage breast cancer who achieve a complete response to pre-surgical chemotherapy and radiation may safely avoid surgery, according to a March 27 announcement from The University of Texas MD Anderson Cancer Center. The report details a Phase II trial, published in JAMA Oncology, finding that…

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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…

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