Anesthesia
ASA survey: Who bears responsibility for reducing healthcare costs?
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…
Penalties based on number of VTEs unfairly imposed
Editor's Note After a review of 128 case histories, Johns Hopkins researchers find that financial penalties imposed by federal and state agencies on Maryland hospitals based solely on the total number of patients who suffer venous thromboemboli (VTEs) fail to account for those that occur despite the consistent and proper…
Postop mental decline more pronounced in older women than men
Editor's Note Older women are more likely than older men to have mental decline after general anesthesia, and both men and women had faster declines in mental function and brain volume than those who had no general anesthesia, this study finds. Mental decline was especially severe in women who had…
Complications higher with regional anesthesia for hip fractures
Editor's Note In this study, patients having hip fracture surgery under regional anesthesia had significantly more complications than patients who received general anesthesia. Spinal anesthesia had the highest complication rate (19.6%), followed by general anesthesia (17.9%), and regional nerve blocks (12.6%). After combining regional nerve block and spinal anesthesia patients,…
AANA applauds Washington Post article on cell phone use in the OR
Editor's Note In a response to the July 13 Washington Post article questioning whether cell phones belong in the OR, the American Association of Nurse Anesthetists (AANA) applauded the Post for covering the pros and cons of the issue. AANA president, Sharon Pearce, CRNA, MSN, notes that the AANA supports…
FDA: Class I recall of Maquet FLOW-I Anesthesia Systems
Editor's Note The Food and Drug Administration on July 1 issued a Class I recall, the most serious, of FLOW-I Anesthesia Systems by Maquet. Maquet has received 10 reports of patient cassettes (ie, the center of gas flow in the system) coming loose. The cassette locking device may accidentally release…
The Effect of Adding Functional Classification to ASA Status for Predicting 30-Day Mortality
Our Take In this study, functional capacity to perform activities of daily living was an independent predictor of postoperative mortality within each ASA class, indicating that it should be incorporated into routine preoperative evaluations. The likelihood for mortality was significantly lower for patients who were functionally independent than for those…
Perioperative surgical home optimizes patient care, Part 2
Part 1 of this two-part series, published in the March issue of OR Manager, discussed the perioperative surgical home (PSH) concept. In this article, healthcare providers who are in the planning stages of a PSH as well as those with several years of experience with using this model of care…
Perioperative surgical home optimizes patient care, Part 1
The medical home, consisting of a patient-centered team focusing on the coordinated delivery of care, is now embedded in the healthcare lexicon, but the perioperative surgical home (PSH) is a more recent concept that is only starting to spread across the country. “The number of hospitals in the US with…
Editorial
The Centers for Medicare & Medicaid Services penalizes hospitals for readmissions stemming from myocardial infarction, heart failure, pneumonia, and total hip and knee arthroplasty, and in 2016, coronary artery bypass graft procedures will be added to the mix. For this and many other reasons, OR leaders everywhere are taking steps…
Free Daily News
- Study: Longer shifts, understaffing increase nurse sickness absence
- Power loss risks prompt FDA Class 1 recall designation for heart pump accessories
- Therapy dogs ease nurse burnout, boost morale
- Personalized perioperative pain management reduces opioid use
- Study: Colibactin-producing gut bacteria fuel colorectal cancer surge
- Augmented reality gains FDA nod, 10k-case milestone in orthopedics, strides in outpatient surgery
- Smart patient selection anchors DISC’s high-acuity spine ASC model
- Postop opioid prescriptions following outpatient surgery see steep, sustained fall
- Study: Bariatric surgery offers cost, survival benefits for cirrhosis patients
- AI monitoring, remote surgery advance