Anesthetists
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…
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…
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…
ERAS patients are prescribed fewer postdischarge opioids
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).…
Effect of state order curtailing elective surgery on volume during COVID-19
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…
Effect of liberal preop fasting policy on fasting duration and patient well-being, safety
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…
Legal ABCs of drafting contracts with anesthesia
Navigating contracts with anesthesia when anesthesiology services are suffering from workforce shortages and high costs is often tricky and complex. The biggest mistake ambulatory surgery centers (ASCs) make is that they do not know what they want when entering a contract negotiation with an anesthesia provider. As a result, ASCs…
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