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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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…

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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…

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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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Editor's Note Confusion about the scope of practice for Certified Registered Nurse Anesthetists (CRNAs) prompted The California Department of Public Health to update guidelines for acute care hospitals, MedPage Today reported September 18. Issued after violations at two Modesto hospitals resulted in hundreds of cancelled surgeries, a letter from the…

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Editor's Note Patients with depressive symptoms are nearly twice as likely to experience delirium after major surgery, according to a meta-analysis published September 4 in the journal Anaesthesia. The evaluation of the link between preoperative depression and postoperative delirium included data from 42 studies involving more than 4.6 million patients.…

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Every year, OR Manager shines a light on staffing issues via the Salary/Career Survey. In this issue, two articles take a careful look at the career and profile of the perioperative leader in both inpatient and outpatient settings. Next month, two more articles will do the same with salary trends…

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Editor's Note The Food and Drug Administration (FDA) approved Amneal Pharmaceuticals' Abbreviated New Drug Application for single-dose vials of propofol injectable emulsion, Anesthesiology News August 23 reports. The newly approved formulations include 200 mg/20 mL, 500 mg/50 mL, and 1,000 mg/100 mL vials. Propofol is widely used for anesthesia and…

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Editor's Note The rising frequency of wildfires has anesthesiologists concerned about potential for adverse surgical outcomes to exposed patients, according to an article in the Online First edition of Anesthesiology,  the peer-reviewed journal of the American Society of Anesthesiologists (ASA). As of an August 6 report from ASA, nearly 100…

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