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November 2025
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Study examines relationship between personalized prehabilitation and modulation of peripheral immune system

A newly published randomized clinical trial conducted by Stanford University School of Medicine and colleagues from France examines the question, “How do personalized prehabilitation programs modulate the peripheral immune system in patients undergoing major elective surgery?” In the trial, 58 patients who were scheduled for major elective surgery received either personalized…

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By: Joe Paone
February 2, 2026
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Toronto clinic looks to prevent delirium in high-risk patients

If you’re looking for a model to handle the devastating but all-too-common complication of postoperative neurocognitive disorders (P-NCD, popularly known as delirium) experienced by your patients, some friends to our north have created a program that might be of interest. Toronto’s Sunnybrook Health Sciences Centre this month welcomed the first…

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By: Joe Paone
January 28, 2026
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ASA study says changes needed for pain management of surgical patients on MOUD treatments

A study in the February 2026 issue of Anesthesiology, the peer-reviewed medical journal of the American Society of Anesthesiologists (ASA), documents a steady rise in surgical patients who are being treated with medications for opioid use disorder (MOUD), which it says highlights a “gap between current surgical pain practices and…

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By: Joe Paone
January 14, 2026
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Duke study links stress to poorer surgical recovery outcomes for older adults

A new study from Duke University School of Medicine suggests that preoperative stress checks can improve surgical outcomes for older adults. Duke claims the study is “one of the most in-depth looks at pre-surgery stress in the general geriatric surgical population.” The study, published in Anesthesiology, says that even modest stress can affect how older adults…

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By: Joe Paone
January 7, 2026
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NAPA expands Bon Secours anesthesia relationship via Mary Immaculate Hospital deal

North American Partners in Anesthesia (NAPA), which describes itself as the country’s “leading single-specialty anesthesia management company,” will provide anesthesia services at 123-bed acute care facility Bon Secours Mary Immaculate Hospital of Newport News, Va., starting on Feb. 1, 2026. “NAPA brings tangible capabilities that advance quality and growth,” said Alan…

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By: Joe Paone
January 7, 2026
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Monitored anesthesia care linked to fewer complications

Editor's Note When compared to general anesthesia, the use of monitored anesthesia care in invasive procedures resulted in a decreased risk for advanced postoperative complications, according to the results of a new retrospective investigation published December 17 in Anesthesiology News. Investigators leading the single-center study found that this benefit for…

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By: Carina Stanton
December 17, 2025
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Ketamine fails in surgical recovery trial

Editor's Note Ketamine tested for pain relief in a large, placebo-controlled, randomized trial posed side effects and did not support patient recovery after major surgery, according to findings published in the British Journal of Anesthesia and discussed in a December 3 news story from Vanderbilt University Medical Center. Ketamine has…

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By: Carina Stanton
December 8, 2025
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Engage anesthesia group to expand volume

Editor's Note Consistent case volume is the lifeblood of any successful ambulatory surgical center (ASC), but one often overlooked limiting factor in driving ASC volume is the anesthesia group, according to Michael Bernard, MD, in the September 2025 issue of Surgical Business. Staffing shortages of anesthesia professionals are a major…

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By: Carina Stanton
November 11, 2025
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No longer experimental: ASCs adopting peripheral nerve stimulation for chronic pain

When it comes to treating chronic pain—or pain associated with surgery—clinicians are always looking for alternatives to opioids. “There are zero advantages to chronic opioid use,” says Earl Kilbride, MD, MHA, an orthopedic surgeon at the Austin Orthopedic Institute. While the US makes up about 4.4% of the global population,…

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By: Brita Belli
November 5, 2025
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Session: Developing a complex spine and total joint service line program in the ASC

Editor's Note High-volume joints and spine procedures in ambulatory surgery centers (ASCs) require more than a “healthy” patient—success hinges on rigorous screening, block-and-flow efficiency, tech-enabled standardization, and a culture where anyone can say “stop,” this session’s speakers said. Comprising Robert Bray, MD, FAANS, CEO and founding director of DISC Sports…

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By: Tarsilla Moura
November 5, 2025
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