Carbon-conscious health systems phase out desflurane anesthesia gas to reduce emissions
Editor's Note Citing environmental concerns, multiple health systems have stopped using desflurane anesthesia gas, Becker’s Hospital Review reported on May 7. Citing the Philadelphia Inquirer, the outlet notes that Children's Hospital of Philadelphia and Marlton, N.J.-based Virtua Health are among those that have eliminated the gas so far, with the…
Study: Surgical team diversity improves patient outcomes
Editor's Note The more diverse the surgical team, the better the outcomes for patients and the lower the cost of care, according to a study of more than 700,000 operations at 88 hospitals in Ontario, Canada. Published May 15 in the British Journal of Surgery, findings show that surgeon-anesthetist teams…
FDA announces class 1 recalls for infusion pumps, anesthesia workstation
Editor's Note Reports of spontaneous backup battery failure in Dreager Inc.’s Perseus A500 anesthesia workstation and multiple failures in InfuTronix, LLC’s Nimbus infusion pump systems prompted the FDA to classify manufacturer recalls as class 1, the most serious categorization indicating risk of serious harm or death. According to an April…
Private equity healthcare ownership draws new scrutiny
Editor's Note Over the last 10 years, private equity has taken over many of the nation’s health care facilities—from hospitals to nursing homes to physician practices—spending $1 trillion and instituting changes designed to rapidly increase profits, NBC News reported April 9. Studies have found that these takeovers can have serious…
Propofol anesthesia for colonoscopy could help find polyps, prevent cancer
Editor's Note By putting the patient into deeper sedation during colonoscopy, propofol could help doctors find difficult-to-spot, potentially cancerous “serrated” polyps, according to a study published April 17 in Anesthesiology. As an alternative to moderate, “conscious” sedation, propofol facilitates a more thorough exam that is more likely to identify serrated…
ASA annual meeting highlights top 10 risks of providing anesthesia in ambulatory setting
Editor's Note There are certain patients and clinical situations that may require anesthesiologists to say no to performing surgery in the outpatient/ambulatory setting, Anesthesiology News April 4 reports. At the 2023 annual meeting of the American Society of Anesthesiologists (ASA), BobbieJean Sweitzer, MD, a professor of medical education at the…
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…
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…
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…
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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