Tag: ambulatory anesthesia

Study: Propofol sedation increases colonoscopy costs without improving outcomes

Editor's Note Although the use of propofol for colonoscopy has been rising due to beliefs that deep sedation leads to greater patient comfort, a recent systematic review and meta-analysis of nearly 1,500 patients from nine randomized controlled trials shows this view is not supported by available evidence. Published March 8…

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By: Matt Danford
March 25, 2024
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Study: Weight loss drugs could increase risk of surgical complications

Editor's Note Popular weight-loss drugs like Ozempic and Mounjaro could lead to complications in surgical procedures, according to study published March 6 in the journal JAMA Surgery.  The study focused on drugs known as glucagon-like peptide-1 receptor agonists (GLP-1 RAs) which are used to treat diabetes and obesity. The drugs, which…

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By: Brita Belli
March 22, 2024
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Procedural sedation analgesia considerations for ASC leaders

The promise of quicker recovery and fewer complications from sedation, anesthesia, and pain management have drawn clinicians and patients alike to procedures performed in ambulatory surgery centers (ASCs) and other outpatient settings. However, sedation, anesthesia, and analgesia add their own risks to those of the procedure itself. Understanding the latest…

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By: Uyen Vo, BSN, MBA
March 22, 2024
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Surgeons, anesthesiology rank high on “stressful job” list

Editor's Note Citing research from Dolman Law Group, a March 11 article in Becker’s ASC Review notes that surgeons have the second-most stressful job of any profession in the US. Anesthesiology was third most stressful, while paramedic was fourth. Steelworker topped the list. The Dolman Law Group research examined data…

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By: Matt Danford
March 15, 2024
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Obstructive sleep apnea associated with risk of postoperative delirium

Editor's Note Patients with a history of obstructive sleep apnea (OSA) have a higher risk of delirium after high-complexity surgeries but not after those of moderate complexity, according to findings published in the March issue of Anesthesia and Analgesia.   The study included 46,352 hospital patients older than 60 years who…

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By: Matt Danford
March 7, 2024
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Study: Microglia help awaken the brain from anesthesia, protect neurons from aftereffects

Editor's Note A new study finds that the same cells that are involved in preventing damage to the central nervous system – called microglia – help to awaken the brain following anesthesia. The findings appeared January 4 in the journal Nature.  Using electron-microscopy-based synaptic reconstruction, the researchers could see the…

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By: Brita Belli
March 5, 2024
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Analgesic clinical trials failing to assess movement-evoked postoperative pain

Editor's Note Most surgical studies still do not report movement-evoked postoperative pain despite the recommendations of expert consensus groups, according to findings published November 27 in Anesthesiology. Researchers came to essentially the same conclusion upon re-evaluating the assessment of pain at rest and movement-evoked pain in 2011. In this updated…

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By: Matt Danford
March 5, 2024
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State-by-state numbers break down nationwide anesthesiologist shortage

Editor's Note Amid a nationwide shortage of anesthesiologists straining many healthcare systems, new data from the Kaiser Family Foundation offers a state-by-state comparison of the number of anesthesiologists per physician. As of January 2024, the data reveal that Indiana leads states with the most anesthesiologists per physician at 13.12% (1,211…

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By: Brita Belli
February 16, 2024
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ASCs continue to contend with anesthesia provider shortages, inflating costs

Editor's Note There is a major anesthesia provider shortage that has been and continues to impact ambulatory surgery centers (ASCs), and which is driving up costs, Becker’s ASC Review November 29 reports. Meanwhile, reimbursements from payers are declining, straining ASCs’ ability to provide needed care. Some highlights from the Becker’s…

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By: Brita Belli
November 30, 2023
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New CMS rule focuses on postop opioids in outpatient settings

Editor's Note The Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act, which is set to take effect in 2025, will set up a separate Centers for Medicare and Medicaid Services (CMS) payment for certain nonopioid pain management techniques in outpatient and ambulatory surgery center (ASC) settings, the September 12 Becker’s…

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By: Judy Mathias
September 12, 2023
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