Anesthetists

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March 2025
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Study: Anesthetic management of patients with suspected COVID-19 during emergency surgical procedures

Editor's Note This retrospective, multicenter study from four hospitals in Wuhan, China, found that Novel Coronavirus 2019 (COVID-19) specific guidelines for emergency surgical procedures in patients with confirmed or suspected COVID-19 infection can effectively prevent cross-infection in the OR. The guidelines include: negative pressure ORs level 3 protective measures for…

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By: Judy Mathias
March 5, 2020
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FDA: Class I recall of King Systems’ video laryngoscope adapter

Editor's Note The Food & Drug Administration (FDA) on February 27 identified the recall by King Systems of its King Vision Video Laryngoscope Adapter (size ½) as Class I, the most serious. The recall was initiated because all devices from the affected lots show a reversed image on the display,…

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By: Judy Mathias
March 3, 2020
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Effect of AI early warning system for intraoperative hypotension

Editor's Note The use of an artificial intelligence (AI) early warning system, compared with standard care, resulted in less intraoperative hypotension in this preliminary study. This single-center, preliminary study from the Netherlands, which included 68 patients (intervention group, 34 and control group, 34) having elective noncardiac surgery, found that application…

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By: Judy Mathias
February 18, 2020
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Aviation-style, large-screen computerized checklist operated by anesthesia provider improves performance

Editor's Note The implementation of an aviation-style computerized surgical safety checklist displayed on a large, centrally located screen and operated by the anesthesia provider improved checklist performance in this study. A total of 671 cases were observed before and 547 cases after implementation of the computerized checklist system. The proportion…

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By: Judy Mathias
February 10, 2020
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Patient, personnel, induction factors that affect OR start times

Editor's Note Though patient and personnel factors affect the order of case induction, induction time is most dependent on patient factors, this study finds. Of 15,823 cases analyzed, predictors of later patient induction included add-on case, ASA class 3 or more, neuraxial anesthesia, and CRNA staffing. In 11,093 (70.1%) cases,…

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By: Judy Mathias
December 5, 2019
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Automated software app reduces perioperative controlled substance discrepancies

Editor's Note In this study, a software app that tracks perioperative controlled substance use and is integrated into the electronic health and pharmacy records and database systems was associated with a decrease in management errors. This analysis includes data on missing controlled substance medications, controlled substance kits, and witness return…

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By: Judy Mathias
November 21, 2019
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Use of alcohol-based hand rub on gloves by anesthesia providers

Editor's Note In this study, the use of alcohol-based hand rub on nitrile examination gloves did not compromise glove integrity or hamper the ability of anesthesia providers to safely perform anesthesia functions. A total of 50 new gloves (not exposed to alcohol-based hand rub) were tested for integrity, and one…

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By: Judy Mathias
November 20, 2019
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One in three patients have side effects after ketamine infusion

Editor's Note Ketamine use has grown as a pain management alternative to opioids, but more than one in three patients experience side effects such as hallucinations and visual disturbances, finds this study, which was presented October 21 at the Anesthesiology 2019 annual meeting in Orlando, Florida. Duke University researchers categorized…

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By: Judy Mathias
October 23, 2019
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Effect of patient transport to the OR by anesthesia vs ICU personnel on workflow

Editor's Note In this study, changing the responsibility for ICU patient transports to the OR from the anesthesia to the ICU services did not change turnover times, but it resulted in more on-time starts and high compliance with preoperative checklist documentation. The crude proportion of on-time starts increased from 32.6%…

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By: Judy Mathias
September 3, 2019
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Influence of age, weight on oxygenation impairment during anesthesia

Editor's Note Oxygenation was impaired by anesthesia more often in patients with greater age or body mass index, this study finds. This retrospective analysis of data from two hospitals found key contributors to impaired oxygenation were low ventilation/perfusion ratios because of airway narrowing and closure in the elderly and atelectasis-induced…

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By: Judy Mathias
June 27, 2019
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