Editor's Note Patients from socioeconomically deprived areas are more likely to have reduced cardiorespiratory fitness before surgery, potentially contributing to poorer surgical outcomes, MedicalXpress August 12 reports from a study published by PLOS One. The research, led by PhD student Donna Shrestha of Lancaster University Medical School, analyzed preoperative fitness…

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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 Hospitals achieved a substantial reduction in mortality risk for surgical inpatients between 2019 and 2024, even as patients grew sicker and stayed longer, according to a report released August 5 by the American Hospital Association (AHA) and Vizient. In the first quarter of 2024, hospitalized surgical patients were…

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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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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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Editor's Note New research shows surgical patients in the US face a significantly greater risk of food insecurity than nonsurgical patients, even after adjusting for demographic and socioeconomic differences. Findings also point to potential underutilization of the Supplemental Nutritional Assistance Program (SNAP) benefits among surgical patients, study authors write.  …

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Editor's Note Greater familiarity between surgeons and anesthesiologists was associated with reduced major morbidity in certain high-risk procedures, according to a Canadian retrospective cohort study published in JAMA Surgery. As detailed in a May 28 report from MedPage Today, the population-based analysis included more than 711,000 index procedures, finding an…

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Editor's Note Simple hysterectomy provides similar long-term survival outcomes to modified radical or radical hysterectomy for patients with low-risk, early-stage cervical cancer, according to a large cohort study published May 15 in JAMA Network Open. Consistent with prior research, the findings add to the growing body of evidence supporting conservative…

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Editor's Note Researchers studying the exposure of sterile surgical slush to open air urge the adoption of closed-system technology to alleviate risks to sterility and surgical outcomes, according to a May 19 article in OR today. The article focuses on a time and motion study led by perioperative nursing leaders…

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Editor's Note Recent research shows robotic-assisted cholecystectomy (RAC) results in similar bile duct injury rates as laparoscopic cholecystectomy (LC), but risks are higher for postoperative complications, longer hospital stays, and more frequent drain use. Published May 21 in JAMA Surgery, the large-scale cohort study analyzed outcomes from over 844,000 acute…

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