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…

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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…

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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…

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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…

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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…

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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…

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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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Editor's Note This study by researchers at the Massachusetts General Hospital, Boston, finds that patients participating in an Enhanced Recovery after Surgery (ERAS) program were prescribed significantly fewer opioids at discharge, compared to patients before ERAS was instituted. A total of 3,983 patients were included (1,929 pre-ERAS and 2,054 post-ERAS).…

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Editor's Note This study from the University of Michigan, Ann Arbor, finds that the introduction and removal of Michigan’s executive order curtailing elective surgery during COVID-19 lagged behind the ramp-down and ramp-up of elective surgery volume. Hospitals had already achieved a 91.7% reduction in case volume before the executive order…

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Editor's Note This study, led by researchers at the University Medical Center Utrecht in the Netherlands, finds that a liberal preoperative fasting policy allowing adults scheduled for general anesthesia to drink clear fluids until arrival in the OR was associated with reduced fasting duration and improved patient well-being with regard…

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