Editor's Note Concerns have been raised about the safety of anesthesia on the developing brains of young children, but new research presented at the Anesthesiology 2015 annual meeting found brief exposure to general anesthesia did not impair neurological development. Researchers examined 700 infants, up to 60 weeks old, who were…

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Editor's Note When the anesthesiologist sheaths the laryngoscope immediately after endotracheal intubation, contamination of the IV hub, patient, and intraoperative environment is significantly reduced, this study finds. In a simulated study using ultraviolet light to detect contamination of seven sites on a patient, contamination was found on an average of…

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Editor's Note An anesthesiology-based service can meet the challenge of providing efficient and high-level care for surgical patients with cardiovascular implantable electronic devices, including pacemakers and implantable cardioverter defibrillators (ICDs), this study finds. Such a service, however, requires specialized provider training and strong support from the electrophysiology/cardiology service, and will…

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Editor's Note SmartTots on October 13 released an updated “Consensus Statement On the Use of Anesthetic and Sedative Drugs in Infants and Toddlers.” There is growing evidence from animal studies and observational studies in humans suggesting that adverse effects on behavior, learning, and memory may result from exposure to anesthetics…

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Editor's Note In this study, the use of a preinduction checklist significantly improved information exchange, knowledge of critical information, and perception of safety in anesthesia teams. A total of 105 teams using the checklist were compared with 100 control teams. The outcome scores for the checklist group vs the controls…

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Editor's Note Development of an anesthesia enhanced recovery pathway (ERP) at Johns Hopkins Hospital, Baltimore, resulted in a 45% reduction in length of stay in colorectal surgery patients. In addition, patient satisfaction scores improved from the 37th percentile to the 97th percentile. The goals of the ERP were achieving superior…

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Editor's Note Nearly one-quarter of more than 600 wrong-site surgery events reported to the Pennsylvania Patient Safety Authority (PPSA) since 2004 have involved wrong-site anesthesia blocks. Based on these findings, PPSA has developed evidence-based practices for preventing wrong-site surgery and wrong-site anesthesia blocks that complement the Joint Commission’s Universal Protocol.…

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Editor's Note When anesthesiologists supervise anesthesia residents and nurse anesthetists, the amount of clinical work (total weekly hours) they perform does not positively correlate with the quality of the supervision they provide, this study finds. The results suggest that anesthesiology department managers should be monitoring (and perhaps reporting) the quality…

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Editor's Note Implementation of a pediatric screening questionnaire (Snoring, Trouble Breathing, Un-Refreshed [STBUR]) helped anesthesia professionals identify children with symptoms of sleep-disordered breathing before undergoing general anesthesia, in this study. The likelihood of developing a perioperative respiratory adverse event increased three-fold when three of the five questions were answered yes…

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Editor's Note A survey of members of the American Society of Anesthesiologists on the level of responsibility they perceive stakeholders to have in reducing the cost of healthcare and perioperative care delivery found: physicians bear “major responsibility” (38%) physicians bear “some responsibility” (58%) physicians bear “no responsibility” (4%) hospitals bear…

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