Periop Pulse

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October 2025
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New clinical guideline addresses perioperative risk assessment and management in patients with cirrhosis

The American College of Gastroenterology (ACG) has published a clinical guideline that presents a comprehensive approach to perioperative risk assessment and management in patients with cirrhosis – a population that it says presents “unique surgical risks.” The guideline emphasizes a multidisciplinary approach to preoperative evaluation, perioperative care, and postoperative follow-up.…

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By: Joe Paone
April 17, 2026
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Nicklaus Children's performs Florida’s first partial heart transplant with "living valve" implant

Nicklaus Children’s Hospital’s Heart Institute announced it has successfully performed Florida’s first partial heart transplant. An 11-year-old patient received an implanted “living valve” of a donor heart during a procedure the hospital said is “designed to prevent the need for future open-heart surgeries because the valve will grow with the…

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By: Joe Paone
April 17, 2026
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The Guardian publishes deep dive into distressed conditions at CDC

The Guardian on Friday published devastating reporting about the state of the Centers for Disease Control and Prevention (CDC). The headline: “Inside the CDC’s leadership vacuum: work at a ‘standstill’ and low morale as 80% of top posts remain vacant.” The well-sourced article describes CDC as “in a state of…

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By: Joe Paone
April 17, 2026
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Arizona hospital brings ORs back online

Canyon Vista Medical Center (CVMC) reports that it has been “steadily bringing four previously offline operating rooms back into service.” Two of its ORs are now “fully operational, with additional capacity coming online in the months ahead,” states the 100-bed acute care hospital in Sierra Vista, Ariz. “This phased expansion…

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By: Joe Paone
April 16, 2026
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Orthopod calls for greater transparency with patients shopping for surgical services

A prominent orthopedic surgeon has leveraged the platform of mass media outlet Fortune to call for increased transparency among his peers and their institutions to enable patients to make more informed decisions about whom they will allow to operate on them. Mathias Bostrom, MD, associate surgeon-in-chief and director of quality and…

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By: Joe Paone
April 16, 2026
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Salem Health and Santiam Hospital & Clinics leaders discuss proposed merger

The Lund Report, an independent outlet for health news in Oregon and southwest Washington reported on an invite-only session conducted last week where Salem Health and Santiam Hospital & Clinics leaders answered questions from nearly 200 local business, nonprofit and government leaders about their proposed merger. “The future of health care…

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By: Joe Paone
April 9, 2026
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Analysis focuses on documentation and reimbursement issues facing acute care surgeons

An opinion piece published in the journal Trauma Surgery & Acute Care Open focuses on maximizing documentation efficiency and improving reimbursement in acute care surgery (ACS). The article, written by five ACS surgeons, notes that they and their peers are “increasingly asked to navigate complex documentation and reimbursement systems” even…

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By: Joe Paone
April 9, 2026
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HSHS St. Mary’s Hospital holds open house tomorrow for new Center for Advanced Surgery

HSHS St. Mary’s Hospital tomorrow will welcome members of the community for a free, family-friendly behind-the-scenes open house event to celebrate the opening of its new Center for Advanced Surgery. “Guests will have a unique opportunity to step inside an area of the hospital most people don’t often see, the…

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By: Joe Paone
April 9, 2026
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AHA: New CMS guidance restricts full Medicaid and CHIP benefits for “certain noncitizens”

The Centers for Medicare and Medicaid Services (CMS) on Wednesday released guidance that, according to the American Hospital Association (AHA), describes limits to Medicaid and Children’s Health Insurance Program (CHIP) funding for “certain noncitizens.” AHA stated the guidance involves the implementation of a provision within last July’s federal reconciliation bill…

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By: Joe Paone
April 9, 2026
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A closer look at how Pittsburgh's two large health systems are using AI

Independent nonprofit newsroom Pittsburgh’s Public Source yesterday published significant reporting on how the two dominant health systems in its coverage area, Allegheny Health Network (AHN) and University of Pittsburgh Medical Center (UPMC), are implementing artificial intelligence (AI). “AI tools are becoming more commonplace in Pittsburgh hospitals, promising productivity gains for practitioners…

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By: Joe Paone
April 7, 2026
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