Editor's Note Low-dose dexmedetomidine effectively stabilizes blood pressure and heart rate during key perioperative stages in gastrointestinal tumor patients with moderate to severe anxiety, according to a July 1 study published in BMC Psychiatry.   Researchers enrolled 100 patients undergoing elective laparoscopic gastrointestinal tumor resection. Anxiety levels were measured using…

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Editor's Note Patients taking GLP-1 receptor agonists (GLP-1 RAs) do not need to discontinue these medications before undergoing anesthesia but should follow extended preoperative fasting protocols to reduce aspiration risk, according to a June 5 article in Medscape. As detailed in the article, this recommendation comes from a new multidisciplinary…

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Editor's Note New clinical guidelines emphasize that safe and equitable perioperative care for transgender and gender-diverse (TGD) patients hinges on affirming communication, tailored medical assessments, and culturally competent practice. According to a peer-reviewed article published in the June issue of Nursing, perioperative teams must adopt evidence-based, inclusive approaches to better…

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Editor's Note Research shows using 3D-printed anatomical models during preoperative counseling can improve patients’ involvement in shared decision-making (SDM) and reduced anxiety ahead of colorectal surgery, although only the improvement in SDM met the study’s threshold for clinical significance. Published June 3 in JAMA Network Open, the single-center trial included…

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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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