Anesthesia

Latest Issue of OR Manager
January 2025
Home Anesthesia

CMS releases recommendations on adult elective surgeries, procedures

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on March 18 released recommendations that all elective surgeries and nonessential medical, surgical, and dental procedures be delayed during the COVID-19 outbreak. As more healthcare providers are asked to assist with the COVID-19 response, it is important that they consider…

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By: Judy Mathias
March 19, 2020
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ASCA releases guidance on necessary surgeries for ASCs during COVID-19 pandemic

Editor's Note In consultation with clinical experts and in response to government guidance that hospitals and ambulatory surgery centers (ASCs) postpone elective surgical procedures during the COVID-19 pandemic, the Ambulatory Surgery Center Association (ASCA) released a statement March 18 on how and when facilities should proceed with cases that should…

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By: Judy Mathias
March 18, 2020
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Case report: COVID-19 risk to healthcare workers

Editor's Note Of 41 healthcare workers who were exposed to aerosol-generating procedures for at least 10 minutes at a distance of 6.5 feet from a patient with severe pneumonia before he was diagnosed with COVID-19, none contracted the disease. The patient, a middle-aged man with diabetes and hyperlipidemia, was hospitalized…

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By: Judy Mathias
March 16, 2020
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Overcoming common obstacles to implementing a perioperative surgical home

Over the last 5 years, the perioperative surgical home (PSH) model has attracted increasing interest from OR directors, anesthesiologists, and surgeons. This team-based, patient-centered approach coordinates all phases of surgical care, from preoperative assessment through intraoperative care and postdischarge recovery. According to the American Society of Anesthesiologists, PSH initiatives have…

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By: OR Manager
March 16, 2020
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Best practices back proactive antimicrobial stewardship in ASCs

Hospitals have long dominated the realms of infection control and antibiotic overuse. Ambulatory surgery centers (ASCs), which typically release patients the same day of a procedure, use antibiotics less frequently than other facilities, and most do not have an antimicrobial stewardship program. However, some ASC leaders and organizations are encouraging…

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By: Jennifer Lubell
March 16, 2020
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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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Association between ERAS and postop complications after total hips and knees

Editor's Note Increased adherence to an Enhanced Recovery After Surgery (ERAS) protocol after total hip arthroplasty (THA) and total knee arthroplasty (TKA) was associated with a decrease in postoperative complications in this study from Spain. However, only a few interventions were linked to decreased complications In this analysis of 6,146…

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By: Judy Mathias
February 13, 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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