Articles related to PERIOPERATIVE CARE

As sedation and anesthesia for extensive tattooing draw greater attention, questions about credentialing, facility standards, prolonged procedures, local anesthetic toxicity, and regulatory oversight remain unsettled across practice settings.

A novel liposomal drug-delivery system prolonged tetrodotoxin nerve blockade to two to three weeks in rats, substantially exceeding currently available formulations. The findings highlight a potential strategy for sustained local anesthetic delivery, although clinical relevance remains unproven pending human validation.

A scoping review of 23 studies found that nurses most often implemented non-pharmacological postoperative pain interventions but participated less frequently in planning. Wide variation in interventions and outcomes limits conclusions about effectiveness or preferred approaches.

An Oregon gastroenterology group was hit with a $25M wrongful death verdict after a 43-year-old patient with obesity, obstructive sleep apnea, and hypertension died during a routine outpatient colonoscopy, with liability centered on the decision to perform the procedure in a lower-acuity setting despite a risk profile that plaintiffs argued warranted a hospital environment.

“It’s like a recipe—if you’re missing one ingredient, you may not obtain the same result.” — Pascal-André Vendittoli, MD, Université de Montréal

“In a prospective study of 118 patients undergoing coronary catheterization with IVUS, the presence of alpha-gal–specific IgE was associated with significantly greater atheroma burden and high-risk plaque morphology, including increased calcification, fibrofatty content and necrotic core volume.”