Anesthesiologists
FDA: Class I recall of certain Philips Respironics ventilators
Editor's Note The Food and Drug Administration (FDA) on February 16 identified the recall by Philips Respironics of certain reworked Trilogy 100, Trilogy 200, and Garbin Plus ventilators as Class I, the most serious. The recall was initiated because of the potential for silicone foam adhesive failure and residual polyester-based…
Anesthesia risk alerts significantly reduce adverse events in 5 patient scenarios
Editor's Note North American Partners in Anesthesia’s (NAPA) Anesthesia Risk Alerts (ARA) program provides anesthesia clinicians with novel mitigation strategies to better manage five high-risk scenarios in the perioperative setting. Implemented in April 2019, NAPA’s nationwide healthcare partners have achieved 95% compliance screening for the scenarios and have performed secondary…
FDA: Class I recall of Smiths Medical CADD Infusion System Administration Sets, Cassette Reservoirs
Editor's Note The Food and Drug Administration (FDA) on February 2 identified the recall by Smiths Medical of certain CADDTM Infusion System Administration Sets and Cassette Reservoirs as Class I, the most serious. The recall was initiated because of tubing occlusion and false “no disposable attached” alarm issues, which may…
Effect of postop anesthesia personnel visits on mortality
Editor's Note This study from the Netherlands finds the addition of postoperative visits by anesthesia personnel (anesthesiologists or residents) to routine monitoring with modified early warning scores (MEWS) did not reduce 30-day mortality. A total of 5,190 (2,490 control, 2,700 intervention) medium- to high-risk elective surgical patients from nine academic…
More anesthesiology residency positions may help with staffing costs, workforce shortages
Editor's Note Adding more anesthesiology residency positions, even without federal funding, may help hospitals save staffing costs and address shortages of anesthesia personnel, finds a study presented January 27 at the American Society of Anesthesiologists’ ADVANCE 2023, in Orlando, Florida. Researchers from the University of Pittsburgh Medical Center compared the…
Incorrect anesthesia start times results in significant revenue loss
Editor's Note Inaccurately recording anesthesia start times is common and results in significant lost billing time for anesthesia practices and medical centers, finds a study presented January 26 at the American Society of Anesthesiologists’ ADVANCE 2023, in Orlando, Florida. The researchers, from Northwestern University McGaw Medical Center in Chicago, analyzed…
FDA: Addition to Class I recall of LivaNova LifeSPARC System Controller
Editor's Note The Food and Drug Administration (FDA) on January 27 posted an addition to the Class I recall by LivaNova (TandemLife) of its LifeSPARC System Controller. The addition to the recall provides information about a software update now available to address the previous software malfunction and recall. The System…
Physician happiness down since COVID-19 pandemic
Editor's Note Medscape’s 2023 Physician Lifestyle and Happiness Report finds that physician happiness fell during the COVID-19 pandemic and is not rebounding easily, the January 20 Becker’s Hospital Review reports. The survey findings include: 59% of physicians say they are “somewhat” or “very happy,” down from 84% before COVID-19. The…
Pediatric patients benefit from calming, quiet OR environment
Takeaways • Children are not small adults. Greater attention should be paid to their fears and anxiety, and equipment and medication should be tailored to meet their needs. • All staff should have Pediatric Advanced Life Support (PALS) certification. • ASCs can use toys and games as distractions to ease…
ASA updates preop fasting guidelines
Editor's Note The American Society of Anesthesiologists (ASA) has updated its 2017 guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration. The new 2023 guidance focuses on topics not addressed in the previous guideline, including ingestion of carbohydrate-containing clear liquids with or…
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