Tag: Preoperative Care

Study: GLP weight loss, diabetes therapies boost GI endoscopy pneumonia risk

Editor's Note Gastrointestinal endoscopy could increase the risk of aspirational pneumonia in patients using GLP-1 receptor agonists (RAs) to manage weight or treat diabetes, according to an April 1 report from MedPage today. Citing research published in the journal Gastroenterology by a team led by Kevin Sheng-Kai Ma, DDS, of…

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By: Matt Danford
April 5, 2024
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Donor hearts denied more often to male, black male transplant candidates

Editor's Note New research shows transplant center teams are more to likely reject offers of donor hearts to black men and men than black women and white women, MedPage Today reported on March 25. “The cumulative probability of a donor heart being accepted by the transplant center team was most…

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By: Matt Danford
March 28, 2024
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Study makes case against preoperative urine culture for most surgical procedures

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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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By: Matt Danford
March 25, 2024
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Safe postop patient recovery: A day in the PACU leader role

Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the “recovery room”) is a critical care area plagued by an influx of new…

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By: Tarsilla Moura
March 22, 2024
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AI screening identifies patients’ risky preoperative alcohol use

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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By: Brita Belli
January 25, 2024
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OR Manager Conference third place poster winner showcases impactful program from 2023

From highlighting the need for better preoperative nasal decolonialization to touting the success of personalized pediatric behavioral health interventions, the posters on display at the 2023 OR Manager Conference highlighted the exceptional work of clinicians in 2023. Poster: “Use of Alcohol-Based Nasal Antiseptic in Reducing Surgical Site Infections in Patients…

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By: Lindsay Botts
December 19, 2023
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Effect of augmented reality on perioperative anxiety

Editor's Note This study from the University of Miami examines the effect of a preoperative walkthrough of a patient’s day of surgery using augmented reality (AR) on perioperative anxiety levels. A total of 95 patients undergoing elective orthopedic surgery at an outpatient surgery center were randomized to an AR intervention…

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By: Judy Mathias
August 17, 2023
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Patients with cannabis use disorder at higher risk of postoperative complications

Editor's Note A recent study led by researchers at the McGovern Medical School at The University of Texas Health Science Center in Houston finds patients with cannabis use disorder are at a modestly increased risk of perioperative morbidity and mortality after major elective, inpatient, noncardiac surgery. Recently in the United…

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By: Lindsay Botts
July 6, 2023
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Prognostic value of preop surgeon intuition vs ACS-NSQIP risk calculator

Editor's Note This study by researchers from Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, finds that preoperative surgeon intuition is an independent predictor of postoperative complications, but it isn’t as strong as the predictive power of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP)…

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By: Judy Mathias
February 28, 2023
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Association of preop frailty assessment with 1-year postop mortality

Editor's Note This study from the University of Pittsburgh finds that preoperative frailty screening was associated with significantly reduced 1-year postoperative mortality. A total of 50,463 patients (22,722 before implementation of a frailty assessment initiative and 27,741 after implementation) with at least 1-year of postoperative follow-up were included in the…

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By: Judy Mathias
February 23, 2023
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