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 Bariatric surgery improves survival and appears cost-effective over a decade for patients with obesity and compensated cirrhosis, according to an April 18 report in Healio. The findings, based on an analysis published in JAMA Surgery, suggest that bariatric surgery could fill a crucial gap in care for this…

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Editor's Note Recent reporting from Fierce Healthcare highlights two notable technology advances that promise to impact surgical patients and caregivers:  an AI-driven blood pressure monitoring system and a remote-controlled endovascular robotics platform. The first development, from BD, is designed to help clinicians anticipate and manage dangerous blood pressure drops during…

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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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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 New research shows bariatric surgery may offer better outcomes and lower overall spending than lifestyle changes for patients with cirrhosis, especially mild cases, Medscape reported April 9. The article focuses on a study published in Jama Surgery detailing both the survival benefits and long-term cost-effectiveness for patients with…

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Editor's Note Researchers have developed a fully dissolvable, needle-injectable pacemaker that regulates heart rhythms without requiring surgical removal. As detailed in an April 2 article in Scientific American, the miniature device—just millimeters in size—can deliver electrical stimulation for days to weeks before safely breaking down in the body, potentially reducing…

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Editor's Note Sidney Barbier, a University of Denver senior and competitive cross-country skier, became the first person worldwide to undergo single-port robotic renal vein transposition, marking a breakthrough in treating nutcracker syndrome, The Cleveland Clinic reported April 3. As detailed in the article, the robotic surgery ended a competitive skier’s…

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Editor's Note Physicians are feeling more optimistic about their profession and are beginning to see tangible benefits from AI in reducing administrative tasks, according to the latest Physician Sentiment Survey (PSS) from athenahealth. Physicians’ day-to-day outlook has improved in recent years despite ongoing concerns about US healthcare, the organization reported…

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Editor's Note Overreliance on overtime and agency nurse staffing can significantly increase the risk of pressure ulcers and, in the case of agency hours, perioperative hemorrhage or hematoma, according to research published April 2 in JAMA Network Open.   Using data from 70 US hospitals between 2019 and 2022, researchers…

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