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…
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…
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…
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…
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…
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…
Study: Introducing propofol to ambulatory anesthesia may improve endoscopy quality metrics
Editor's Note A study presented at the 2023 annual meeting of the Society for Ambulatory Anesthesia suggests that implementing ambulatory anesthesia services with propofol can significantly enhance various quality metrics in outpatient endoscopy procedures, Anesthesiology News August 28 reports. The study, led by Justin Routman, MD, director of non-OR anesthesia…
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