Anesthesia

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January 2025
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Utility of COVID-19 testing of asymptomatic patients before ambulatory, inpatient surgical procedures

Editor's Note In this study by researchers at the Yale School of Medicine, New Haven, Connecticut, mass COVID-19 preprocedure testing detected positive asymptomatic patients who were missed by clinical screening alone. The median test turnaround time was 7.8 hours. Of 75, 528 preprocedure tests performed: 318 (0.4%) patients tested positive…

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By: Judy Mathias
July 1, 2021
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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,”…

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By: Ryan Chesterman
May 19, 2021
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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…

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By: Jennifer Lubell
May 19, 2021
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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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By: Judy Mathias
May 3, 2021
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US anesthesiologists’ burnout rate, risk factors

Editor's Note The prevalence of burnout in anesthesiologists is high, and workplace factors are a big influence, finds this study led by researchers at Boston Children’s Hospital and Harvard Medical School. Of 3,898 respondents to a survey of American Society of Anesthesiologists members: 59.2% had a high risk of burnout…

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By: Judy Mathias
April 22, 2021
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Logistics, clinical outcomes associated with converting ORs into an ICU for COVID-19 patients

Editor's Note This study by researchers from the department of anesthesiology, Columbia University Irving Medical Center, and the department of perioperative services-nursing, New York-Presbyterian Hospital, both in New York City, describes how OR and anesthesia personnel converted 23 ORs into an 82-bed operating room intensive care unit (ORICU), ensured staff…

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By: Judy Mathias
April 21, 2021
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Collaborative anesthesia providers can help boost OR performance

Most high-performing ORs share something in common—an anesthesia group that is actively engaged in perioperative leadership, takes responsibility for organizational performance, and is fully invested in the success of the OR. Unfortunately, in many ORs, anesthesia providers focus narrowly on services and procedures, not the total performance of the surgery…

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By: Lee Hedman and Josh Miller, MD
April 19, 2021
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Sexist, racial/ethnic microaggressions against surgeons, anesthesiologists

Editor's Note The findings of this study from the Southern California Permanente Medical Group, Irvine, suggest that there is a high prevalence of microaggressions that stigmatize female and racial/ethnic-minority surgeons and anesthesiologists and contribute to unhealthy surgical workplaces and physician burnout. Of 588 (259 female, 329 male) respondents to a…

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By: Judy Mathias
March 25, 2021
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Hospitals ramp up outpatient TJA in the COVID-19 era

Fueled by a pandemic, patient demand, and competition with ambulatory surgery centers (ASCs), hospital outpatient department (HOPD) leaders are feeling the push to offer same-day discharge for total joint arthroplasty (TJA). Outpatient TJA is nothing new, but it’s certainly growing in popularity, says John W. Stirton, MD, MBA, medical director…

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By: Jennifer Lubell
March 19, 2021
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Large study concludes surgery should be delayed 7 weeks after COVID-19 diagnosis

Editor's Note A new international study with more than 15,000 coauthors from 116 countries concludes that surgical procedures should be delayed for 7 weeks after a patient tests positive for COVID-19, to reduce postoperative mortality risk. The analysis of 140,231 patients undergoing surgical procedures in 1,674 hospitals in October 2020…

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By: Judy Mathias
March 10, 2021
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