Surgeons rethink aggressive care as xylazine wounds mimic necrotizing fasciitis but rarely require urgent radical excision
Editor's Note Surgeons across multiple disciplines are confronting a distinct wound pattern tied to xylazine-contaminated opioids and adapting management to avoid unnecessary amputations, the American College of Surgeons October 1 reports. These wounds can resemble necrotizing soft tissue infection at first glance, yet the clinical picture and trajectory differ, calling…
Nutrition screening tool predicts poor outcomes after pancreatic cancer surgery
Editor's Note The Perioperative Nutrition Screen (PONS) identifies patients at greater risk of complications following pancreatic cancer surgery, according to a retrospective analysis published August 27 by Research Square. The study found that patients flagged for nutrition risk by PONS experienced longer hospital stays, higher complication rates, and were more…
CDC reports 460% surge in drug-resistant NDM-CRE infections
Editor's Note NDM-producing carbapenem-resistant Enterobacterales are climbing fast and straining treatment choices, according to a September 23 release from the Centers for Disease Control and Prevention (CDC) and published in the Annals of Internal Medicine. The agency warns NDM-CRE infections rose more than 460% in the US from 2019 to…
Perioperative medication decisions need individualized risk-benefit approach
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…
Nurse-led bra initiative eliminates post-surgical chest wounds in female heart patients
Editor's Note A well-fitted bra dramatically cut post-sternotomy wound rates to zero at a Denver hospital, showing how nurse-driven innovation can improve outcomes and reduce costs, Critical Care Nurse May 28 reports. In the article, “The Bra Project: Preventing Wounds in Women After Sternotomy,” appearing in the journal’s June 2025…
Study: Post-laparotomy incisional negative pressure wound therapy fails to reduce infection risk
Editor's Note A large international clinical trial found that incisional negative pressure wound therapy (iNPWT) does not reduce surgical site infections (SSIs) following emergency laparotomy. The SUNRRISE trial, conducted across 34 hospitals in the UK and Australia and published January 27 in Jama Network, randomized 821 patients to receive either…
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