Anesthesia
Study: Single-syringe pump reduces OR propofol waste
Editor's Note Research published in the British Journal of Anaesthesia suggests that switching to a single syringe pump for both induction and maintenance of anesthesia could significantly cut propofol waste in operating rooms. EurekAlert! published the news October 29. Propofol waste accounts for up to 45% of medication waste in…
Session: Anesthesia contracts, the must-haves
Editor's Note “There's nothing worse than putting a contract together, only for the anesthesia providers to say, ‘Oh, no, we're not going to do that,” Mindy Gingery, MSN, CRNA, ARNP, president of Heartland Anesthesia & Consulting, said, opening this morning session on anesthesia contract best practices for ambulatory surgery centers…
Study: NSAIDs reduce risk of postoperative delirium
Editor's Note A study presented at the 2024 American Society of Anesthesiologists annual meeting suggests that non-salicylate NSAIDs may significantly reduce the risk of postoperative delirium, a serious complication affecting up to 15% of surgical patients, Anesthesiology News reported October 20. Delirium is especially prevalent in older adults and those…
Study quantifies link between preoperative depression, postoperative delirium
Editor's Note Individuals with preoperative depression are at significantly higher risk of developing postoperative delirium, according to a systematic review and meta-analysis of 42 studies involving a total of 4.6 million patients. Published September 4 in Anaesthesia, the study is first review to quantify the incidence and risk of postoperative…
Outpatient, ASC clinicians share perspectives on upcoming NOPAIN Act implementation
Editor's Note On October 14, Anesthesiology News published a monograph featuring clinical perspectives on how “those working in the trenches of postsurgical pain management” are preparing for the Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act, which outlines new, separate Medicare reimbursement for certain non-opioid analgesics in outpatient and ambulatory…
DEA registration validation changes challenge healthcare accreditation
Editor's Note Since February 2024, changes to the Registrant Validation Toolset from the Drug Enforcement Administration (DEA) have introduced new hurdles for healthcare organizations, MedTrainer October 2024 reports. The updates, which aim to prevent fraud by adding multi-factor authentication, are causing compliance challenges during primary source verification (PSV). Credentialers are…
Statistical models aim to improve surgical patient pain management
Editor's Note Researchers at MIT and Massachusetts General Hospital (MGH) have developed statistical models to improve how anesthesiologists manage unconscious pain, or nociception, during surgery, according to a September 23 report in News Medical. Derived from over 18,000 minutes of surgery data across 101 abdominal procedures, the models aim to…
California updates guidance on CRNA scope of practice
Editor's Note Confusion about the scope of practice for Certified Registered Nurse Anesthetists (CRNAs) prompted The California Department of Public Health to update guidelines for acute care hospitals, MedPage Today reported September 18. Issued after violations at two Modesto hospitals resulted in hundreds of cancelled surgeries, a letter from the…
Anesthesia staffing, communication, patient safety: Q&A with OR Manager Conference speakers
Editor's Note Capacity issues persist within the anesthesia workforce, leaving perioperative leaders tasked with maintaining efficient operations and safe practices for patients through surgery. We spoke with leaders from SCA Health, Stormont Vail Health, and Heartland Anesthesia & Consulting to find out other challenges anesthesia providers are facing, and how…
Study: Preoperative depression boosts risk of postoperative delirium
Editor's Note Patients with depressive symptoms are nearly twice as likely to experience delirium after major surgery, according to a meta-analysis published September 4 in the journal Anaesthesia. The evaluation of the link between preoperative depression and postoperative delirium included data from 42 studies involving more than 4.6 million patients.…
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