Editor's Note Medication management in the perioperative period is often made without robust evidence, requiring clinicians to balance surgical safety with the risks of interrupting treatment, according to expert guidance presented at the annual Perioperative Medicine Summit. Paul Grant, MD, of the University of Michigan Medical School, noted most medications…

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Editor's Note Preliminary results from a nearly million-case review reveal that perioperative pulmonary aspiration, while feared, is rare but potentially deadly. According to a February 4 Anesthesiology News report, researchers found an overall incidence of 1 in 5,572 anesthesia cases, with aspiration-related mortality at about 1 in 67,000. As detailed…

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Editor's Note A recent article in AORN Journal underscores the need for vigilance and thorough documentation to manage postoperative mental status changes and prevent harm to both patients and staff. As detailed in the article, cognitive disturbances such as delirium and agitation can complicate recovery after surgery. Delirium is characterized…

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Editor's Note A growing subset of cosmetic surgery chains, some backed by private equity, have been named in multiple lawsuits alleging serious patient harm, according to an August 1 article in KFF Health News. Based on a joint investigation with NBC News, the outlets reports that chains offering body-reshaping operations…

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Editor’s Note: This page is a companion piece to the main article, Emergency preparedness: Identifying essential supplies for unplanned surgical events. While the main article outlines the principles of emergency readiness and supply preparation in the OR, the posts below offer a closer look at two key implementation areas: Supply…

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Editor's Note Regular check-ins and visible leadership can help ambulatory surgery centers (ASCs) head off legal trouble before it starts. That is the central message from employment attorney Salvatore Puccio on a recent episode of the Advancing Surgical Care Podcast, Ambulatory Surgery Center News July 23 reports. Puccio, a partner…

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While most emergency surgical procedures are carried out uneventfully and safely, the OR is also a place where potentially life-threatening and least-expected instances can arise. Emergencies such as malignant hyperthermia, intraoperative cardiac arrest, and anaphylaxis can catch OR leaders and staff off guard. Perioperative teams need proper and adequate preparation…

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An estimated 22 million Americans were believed to have obstructive sleep apnea (OSA) in 2019, according to data cited in a February 2019 article published by OR Manager. At that time, up to 80% of cases were undiagnosed, and 30% to 40% of the surgical patient population was believed to…

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One of the most sobering moments in the career of anesthesiologist Cornelius Sullivan, MD, occurred not as a caretaker in the OR, but as a patient in the emergency department. Having been knocked out cold by a low-hanging monitor during a surgical procedure at Boston Children’s Hospital, he had to…

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Editor's Note A Florida transplant team has performed the first-ever heart-liver transplant in a patient supported by a left ventricular assist device (LVAD), offering a potential new treatment route for those previously ineligible due to high rejection risk, CBS News reported June 21. The patient, whose antibody levels placed her…

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