Same-Day Total Hip and Knee Arthroplasty: The Anesthesiologist's Expanding Role in Ambulatory ERAS Review Abstract Background Same-day discharge following elective primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) has become a well-established component of modern orthopedic care. Successful implementation relies on appropriate patient selection, rapid-recovery pathways, multidisciplinary
Surgery
AI Surgical Coaches: Do They Improve Outcomes, or Just Performance Metrics? What Early Real-World Data Show
AI Surgical Coaches: Do They Improve Outcomes, or Just Performance Metrics? What Early Real-World Data Show Review Abstract Purpose: This review examines the emerging evidence for artificial intelligence-assisted surgical coaching, with particular emphasis on whether these systems improve clinically meaningful outcomes or primarily improve technical-performance and
Mesh in Hernia Repair: Is the Pendulum Swinging Back or Just Getting Smarter?
Mesh in Hernia Repair: Evolving Strategies and Contemporary Perspectives Review Abstract Purpose: This review examines the evolving role of surgical mesh in contemporary hernia repair, focusing on guideline recommendations, device safety, patient selection, wound environment, operative technique, and practical clinical decision-making. Methodology: This narrative review
Perioperative Anaphylaxis: Preparing for the Next Rocuronium, Chlorhexidine, or Antibiotic Reaction
Perioperative Anaphylaxis: Preparing for Rocuronium, Chlorhexidine, and Antibiotic Reactions Review Abstract Purpose: This review examines perioperative anaphylaxis, with emphasis on practical preparedness for reactions involving neuromuscular blocking agents, chlorhexidine, and perioperative antibiotics. Methodology: This narrative review integrates current perioperative anaphylaxis guidance, drug-allergy practice parameters, official
Indocyanine Green for Perfusion: When It Helps, and When It Can Mislead
Indocyanine Green for Perfusion: When It Helps, and When It Can Mislead Review Abstract Indocyanine green (ICG) fluorescence angiography has emerged as an important intraoperative imaging modality for assessing tissue perfusion and supporting surgical decision making. By providing real time visualization of blood flow, ICG fluorescence
Revisiting Adrenal Incidentalomas: Who Really Needs Surgery?
Revisiting Adrenal Incidentalomas: Who Really Needs Surgery? Review Abstract Adrenal incidentalomas are adrenal masses discovered on imaging performed for reasons unrelated to suspected adrenal disease. Their management has shifted from size-driven decision-making toward a more selective strategy based on imaging phenotype, hormone secretion, malignancy risk,
The Great Appendicitis Debate Revisited: Who Still Needs the OR in 2026?
The Great Appendicitis Debate Revisited: Who Still Needs the OR in 2026? Review Abstract The management of acute appendicitis has shifted from routine appendectomy for nearly all patients to a more selective strategy based on disease severity, imaging findings, patient factors, antimicrobial feasibility, and shared
Point-of-Care Gastric Ultrasound: Should It Become the New “NPO Check”?
Point-of-Care Gastric Ultrasound Should It Become the New “NPO Check” Review Abstract Point of care gastric ultrasound has emerged as an important bedside imaging modality that enables clinicians to assess gastric contents in real time before anesthesia, procedural sedation, or urgent interventions. By providing direct visualization
Closed-Incision Negative Pressure Wound Therapy: Which Patients Truly Benefit?
Closed-Incision Negative Pressure Wound Therapy Which Patients Truly Benefit Review Abstract Closed-incision negative pressure wound therapy (ciNPWT), also known as incisional negative pressure wound therapy or prophylactic negative pressure wound therapy, has emerged as an important adjunctive strategy for reducing postoperative wound complications in selected surgical patients.
GLP-1 Receptor Agonists and Aspiration Risk: From Universal Holding to Risk-Based Perioperative Management
GLP-1 Receptor Agonists and Aspiration Risk: From Universal Holding to Risk-Based Perioperative Management Review Abstract Purpose The rapid adoption of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) and dual glucose-dependent insulinotropic polypeptide/glucagon-like peptide-1 (GIP/GLP-1) receptor agonists has transformed the management of type 2 diabetes mellitus and obesity. As the use
