Anesthesiologists
Act now to address predicted gaps in anesthesiology coverage
Perioperative services leaders have their hands full with a range of pressing issues, from the return of elective case cancellations to new struggles with staff turnover. However, an even bigger problem is flying under the radar for many hospitals—impending changes in the market for anesthesiology services. Several factors are coming…
ASA, APSF update guidance for perioperative testing for COVID-19
Editor's Note The American Society of Anesthesiologists (ASA) and Anesthesia Patient Safety Foundation (APSF) on August 4 updated their guidance for perioperative testing for COVID-19 to say that all patients having anesthetics or surgical procedures with the potential to generate aerosols should have preoperative testing for COVID-19, regardless of their…
Preop COVID-19 isolation precautions linked to postop lung complications
Editor's Note This study by researchers with the University of Birmingham, England-led COVIDSurg-GlobalSurg Collaboratives (global partnerships of more than 15,000 surgeons) finds that patients who isolate before their surgical procedures to protect themselves from COVID-19 have a higher risk of postoperative pulmonary complications than those who don’t isolate. Researchers analyzed…
Aerosol generation during supraglottic airway insertion, removal
Editor's Note This study by researchers from the UK finds that insertion and removal of supraglottic airway devices for general anesthesia do not generate aerosols and should not be designated as aerosol generating procedures (AGPs). Working in an ultraclean environment, the researchers used a highly sensitive aerosol detector to measure…
Anesthetic complications in children with COVID-19
Editor's Note This study by researchers from the University of Texas Southwestern and Children’s Health, Dallas, finds that children with nonsevere COVID-19 had higher rates of respiratory complications during and after general anesthesia than controls, but severe morbidity was rare and there were no deaths. A total of 99 patients…
COVID-19 driving the move to regional anesthesia
Cancellations of some surgical procedures during the COVID-19 pandemic and case rescheduling have been a major focus for perioperative leaders. But changes are also occurring in anesthesia practices. For many surgical procedures, the use of regional anesthesia or nerve blocks, coupled with light sedation, is reported to double if the…
Diversity of US healthcare workers
Editor's Note In this study, researchers from David Geffen School of Medicine at the University of California, Los Angeles, and Harvard Medical School, Boston, quantify the current representatives of the US healthcare workforce and changes during the past 2 decades. Among the findings: The percentage of White men among physicians…
Beware of unconscious bias influence on clinical outcomes
Does compassionate care really matter? Clinical evidence points to a resounding Yes. “When healthcare providers take the time to make human connections that help end suffering, patient outcomes improve, and medical costs decrease. Among other benefits, compassion reduces pain, improves healing, lowers blood pressure, and helps alleviate depression and anxiety,”…
Building a good 'marriage' with hospitals: A primer for ASCs
A global pandemic did not stop the proliferation of joint ventures between ambulatory surgery centers (ASCs) and hospitals in 2020. The trend continues in 2021, as federal regulators expand on the types of procedures that can be performed in the ambulatory setting. Hospitals are recognizing the need for a surgery…
FDA: Class I recall of Alaris Infusion Pump Module 8100
Editor's Note The Food and Drug Administration, on April 30, identified the recall of the Alaris Infusion Pump Module 8100 as Class I, the most serious. The Pacific Medical Group (DBA Avante Health Solutions) is recalling the infusion pump because the front bezel components may crack or separate, leading to…
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