The anesthesia staffing crisis: How we got here, what hospitals can do
Takeaways • Documentation and coding procedures are rife with opportunity for cost savings. • Passed in 2022, the No Surprises Act is designed to protect insured patients from surprise billing for emergency services from out-of-network providers. However, the result has been nearly 40% cuts in reimbursements to anesthesiologists. • OR…
No construction required—AI uncovers system-wide capacity
Amid rising demand for surgical procedures, improving perioperative operations is a pressing priority for any hospital. For a system serving one of the fastest-growing counties in the US, it becomes an operational imperative. This is the case for WakeMed Health & Hospitals (WakeMed). With ORs spread across multiple facilities in…
Study: Digital tool detects preoperative pediatric anxiety, depression
Editor's Note A recent study presented at the American Society of Anesthesiologists’ 2024 meeting reveals that a computerized mental health assessment, KCAT, may effectively identify anxiety and depression in pediatric surgical patients. According to an October 20 report in Anesthesiology News, the single-center pilot study involved 65 children aged 7…
GLP-1 labels carry pulmonary aspiration warning
Editor's Note The US Food and Drug Administration (FDA) has updated the labels of all treatments containing GLP-1 receptor agonists with a warning about warning about pulmonary aspiration during general anesthesia or deep sedation. Drugs and brand names listed in a November 8 report on the development from MedPage Today…
Research reveals racial disparity in postoperative pain management
Editor's Note Black patients are less likely to receive multimodal analgesia and more likely to be given additional oral opioids compared to white patients, according to research presented at the Anesthesiology 2024 annual meeting. According to an October 20 report on the retrospective study from the American Society of Anesthesiologists,…
Study: Single-syringe pump reduces OR propofol waste
Editor's Note Research published in the British Journal of Anaesthesia suggests that switching to a single syringe pump for both induction and maintenance of anesthesia could significantly cut propofol waste in operating rooms. EurekAlert! published the news October 29. Propofol waste accounts for up to 45% of medication waste in…
Study: NSAIDs reduce risk of postoperative delirium
Editor's Note A study presented at the 2024 American Society of Anesthesiologists annual meeting suggests that non-salicylate NSAIDs may significantly reduce the risk of postoperative delirium, a serious complication affecting up to 15% of surgical patients, Anesthesiology News reported October 20. Delirium is especially prevalent in older adults and those…
Study quantifies link between preoperative depression, postoperative delirium
Editor's Note Individuals with preoperative depression are at significantly higher risk of developing postoperative delirium, according to a systematic review and meta-analysis of 42 studies involving a total of 4.6 million patients. Published September 4 in Anaesthesia, the study is first review to quantify the incidence and risk of postoperative…
Algorithm enables continuous forecasting of intraoperative blood pressure
Editor's Note Researchers at the Medical University of Vienna developed a new method using the Temporal Fusion Transformer (TFT) model to predict intraoperative hypotension in patients under general anesthesia. According to findings published August 30 in eClinical Medicine, part of The Lancet, the model utilizes routine vital sign data, including…
Statistical models aim to improve surgical patient pain management
Editor's Note Researchers at MIT and Massachusetts General Hospital (MGH) have developed statistical models to improve how anesthesiologists manage unconscious pain, or nociception, during surgery, according to a September 23 report in News Medical. Derived from over 18,000 minutes of surgery data across 101 abdominal procedures, the models aim to…
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