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New guidelines have been developed for the perioperative management of surgical patients with diabetes. The guidelines were published online Sept. 29 in Anesthesia.

New Guidelines Developed for Peri-Op Management of Diabetes

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Modern management focuses on thorough preoperative assessment, diabetes optimization
For patients undergoing percutaneous vertebroplasty under local anesthesia

Handholding, Speaking to Patients Reduces Anxiety

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Findings in patients undergoing percutaneous vertebroplasty under local anesthesia
Live and recorded perioperative music therapy reduces anxiety in patients undergoing surgery for potential or known breast cancer

Music Reduces Anxiety Score in Breast Cancer Surgery Patients

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Reduction in anxiety scores preoperatively with live or recorded music versus usual care
Children with attention-deficit/hyperactivity disorder undergoing sedation for magnetic resonance imaging do not have a higher dose requirement for propofol

No Need for More Propofol for MRI Sedation in ADHD

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Children with ADHD undergoing MRI do not need higher doses of sedation
Older women are more likely than men to experience deterioration of cognitive function and brain volume after surgery with general anesthesia

AAIC: Gender Differences Seen With General Anesthesia

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Postoperative cognitive decline less evident in elderly males, researchers say
Communication failures in the perioperative setting often result from inaccurate or inaccessible documentation

Disorganized Documentation Ups Peri-Op Communication Failures

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Documentation is often insufficient, inaccessible, and not verbally reinforced
For pediatric patients undergoing procedural sedation

Obesity Ups Risks in Pediatric Procedural Sedation

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Increased risk of adverse respiratory events, frequency of airway interventions with obesity
Children who receive general anesthesia during surgery before they turn 4 years of age may later score slightly lower on listening comprehension and performance IQ

Pediatric Anesthesia Prior to Age 4 May Affect IQ Testing

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General anesthesia during surgery at very young age may be linked to poorer brain development
Smokers and patients exposed to secondhand smoke may require more anesthesia and opioids during surgery than nonsmokers

Smoke Exposure May Create Need for More Anesthesia

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Effect seems to extend to patients exposed to secondhand smoke, as well as smokers
An independent calculator that uses preoperative variables can accurately predict long-term survival in abdominal aortic aneurysm repair

Pre-Op Variable Calculator Accurately Predicts AAA Survival

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Survival similar for external calculator, Kaplan-Meier estimate after abdominal aortic aneurysm repair