Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the “recovery room”) is a critical care area plagued by an influx of new…

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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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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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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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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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Editor's Note A recent study suggests a single dose of intrathecal morphine provides long-lasting analgesia and reduces the need for postoperative systemic administration of opioids after painful open urological procedures. The Journal of PeriAnesthesia Nursing published the data January 31. Intrathecal opioid administration is an attractive technique in these surgeries…

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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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Editor’s Note A new automated delivery system for anesthesia that has been effectively tested in monkeys could eventually be used by doctors to identify and deliver the right dose of drugs in people. The findings appeared October 31 in PNAS (Proceedings of the National Academy of Sciences of the United…

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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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Editor's Note Anesthesiologist-administered or -directed sedation leads to higher rates of patient discharges to home rather than a long-term care (LTC) facility, according to a study presented at the Anesthesiology 2023 annual meeting. The study focused on interventional radiology (IR) procedures–specifically 9,682 patients who had sedation in the IR suite…

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