Editor's Note Legislation introduced in the US House of Representatives seeks to expand access to anesthesia care for veterans by granting Certified Registered Nurse Anesthetists (CRNAs) full practice authority within the Veterans Health Administration (VHA). The Ensuring Veterans Timely Access to Anesthesia Care Act of 2025 is sponsored by Representatives…

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Editor's Note Preoperative use of GLP-1 receptor agonists was not significantly associated with an increased risk of aspiration pneumonia or acute respiratory failure after surgery, according to a March 4 report in MedPage Today. The article focuses on a retrospective cohort study of over 366,000 surgical patients found no meaningful…

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Editor's Note Universitätsmedizin Berlin reduced anesthesia-related carbon emissions by more than 80% since 2018 by eliminating high-impact anesthetic gases, implementing education initiatives, and revising clinical guidelines, according to a February 27 report in Medical Xpress. The hospital’s efforts targeted desflurane, an anesthetic gas with an extreme climate impact—nearly 8,000 times…

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Editor's Note Prolonged exposure to general anesthesia during surgery contributes to long-term cognitive decline, affecting executive functioning, selective attention, mental speed, and information processing, according to a February 18 study published in the European Journal of Anaesthesiology. This prospective longitudinal cohort study followed 1,823 adults aged 25–84 in the Netherlands…

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Editor's Note Insufficient awareness of drug interactions with hormonal contraceptives (HCs) among anesthesia providers could lead to unintended pregnancies and preventable health consequences, according to survey published in Anesthesia & Analgesia. Physician’s Weekly covered the news February 27. The article specifically cites sugammedex and aprepitant, both of which are widely…

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Editor's Note The OR Business Management Conference this year for the first time offered a lineup of sessions that was fully dedicated to content relevant to ambulatory surgery centers (ASCs). In this session, Collin Pick, MSN, CRNA, ARNP, CMPE, chief of anesthesia, Physician Partners of America, explored the ongoing anesthesia…

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Editor's Note Treating unintended anesthesia errors as criminal acts could exacerbate workforce shortages, increase malpractice costs, and drive clinicians to defensive medicine, according to experts quoted in a January 15 report from Anesthesiology News. Instead, fostering a culture of safety and learning could more effectively reduce errors and improve patient…

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Editor's Note Implementing a multimodal analgesia-based enhanced recovery after surgery (ERAS) protocol significantly reduced both intraoperative opioid administration and postoperative opioid prescriptions in cardiac surgery patients, according to a January 5 report in Anesthesiology News. The findings were presented at the 2024 International Anesthesia Research Society meeting by Montefiore-Einstein Center…

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Editor's Note New infection control recommendations from the American Society of Regional Anesthesia and Pain Medicine (ASRA Pain Medicine) are purportedly the first comprehensive guidelines tailored specifically for regional anesthesia and interventional pain management procedures, such as cortisone injections and drug-delivery implants.   As detailed in the organization’s January 21…

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Perioperative leaders are entering a time of uncertainty after 2024 proved to be transformative for inpatient and outpatient surgical care. Last year saw important updates from The Joint Commission and the Centers for Medicare & Medicaid Services (CMS) that emphasized improvements alongside ongoing challenges in safety, workforce shortages, reimbursement, and…

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