Editor's Note A recent study, published by Perioperative Medicine on August 13 and conducted at a large US academic tertiary care ambulatory surgery center (ASC), found the incidence of unplanned hospital admissions within 24 hours after a procedure performed at an ASC is “exceptionally” low. The research, which analyzed data…

Read More

Editor's Note Evidence is mounting for the use of antibiotics as a valid alternative to surgery for acute appendicitis, including in pediatric cases, the Washington Post reported August 17. The article details how this treatment—described as a “dark secret” by one expert testifying to its use in the 1950s, prior…

Read More

Editor's Note Optimizing patient positioning can help reduce the risk of surgical site infections due to airborne contaminants in positive-pressure ORs, according to a study published August 12 in Nature: Scientific Reports. Maintaining higher pressure than adjacent spaces prevents entry of contaminants from environments external to the OR. For this…

Read More

Editor's Note A study published August 6 in the journal Surgery highlights the impact of structured debriefing tools on improving communication and patient safety in the OR during the COVID-19 pandemic. Conducted over three years, the study implemented a new electronic health record (EHR) module to document surgical debriefings and…

Read More

Editor's Note Hospital performance declined this year compared to last, with more than 60% earning three stars or less in 2024 hospital star ratings from The Centers for Medicare and Medicaid Services (CMS). “This decline might be partly due to the data covering the period from April 2019 to March…

Read More

Editor's Note An electronic health record (EHR)-based nudge could significantly reduce low-value axillary surgeries in older women with early-stage breast cancer, researchers reported July 17 in JAMA Surgery. Conducted across eight clinical settings, the initiative significantly cut the rates of low-value sentinel lymph node biopsies (SLNB) by nearly 50% over…

Read More

I still recall being handed roughly 10 boxes of suture anchors to practice with years ago at New York University (NYU) medical school. “Aren’t these needed here?” I asked incredulously. “Not at all,” came the answer, despite a hefty price tag of $1,000 per box. In fact, getting the suture…

Read More

Some 800,000 knee replacements and 550,000 hip replacements are performed in the US each year. Factoring in the ever-expanding aging population, projections show the figure for knee replacements alone will explode to 3.5 million procedures being done annually by 2030—and that is just one type of procedure within a single…

Read More

One privilege of living at this time in history is the availability of choice, especially for health and surgical needs. Those who make healthcare their business understand this as well. According to Tanna et al, ambulatory surgery centers (ASCs) are spreading to rural areas, hospitals are creating hybrid outpatient surgery…

Read More

Takeaways Transmitting health metrics directly from a surgical implant reduces the need for in-person followup and offers more objective data on recovery than patient-reported measures. This technology’s potential extends beyond knees. Whatever the nature of the treatment, postop monitoring is critical. Patient education is essential for setting up the data…

Read More