Kidney transplant performed on awake patient
Editor's Note In a first for Northwestern Medicine, surgeons performed a kidney transplant on an awake patient, CBS News reported June 24. John Nicholas, 28, of Chicago, experienced no pain during the May 24 procedure, in which he received an organ from a childhood friend. He was discharged the next…
Ambulatory endoscopy management strategies keep patients, finances healthy
Gastrointestinal (GI) endoscopy is one of the most common procedures in the US. Performed more than 17.1 million times per year in inpatient and outpatient hospital settings as well as ambulatory surgery centers (ASCs), GI procedures account for 68% of all endoscopies, according to a May 2022 article in Digestive…
Ketamine, other anesthetics show promise for depression, mental health treatment
Editor's Note The advance of ketamine and other anesthetics as depression treatments is spurring collaboration among anesthesiologists and psychiatrists for further advances in mental health treatment, according to an article in the June issue of Anesthesiology, the peer-reviewed journal of the American Society of Anesthesiologists. As the established experts in…
FDA announces Class 1 recalls for patient return electrodes, intra-aortic balloon catheters, anesthesia systems
Editor's Note The US Food & Drug Administration (FDA) has announced Class 1 recalls—the most severe category, indicating risk of serious injury or death—for three products: MEGA SOFT Pediatric Patient Return Electrodes from Megadyne, Vaporizer Sevoflurane Maquet Filling from Getinge; and Arrow FiberOptix Intra-Aortic Balloon Catheter Kit and Arrow UltraFlex…
Penn Medicine anesthesia, waste initiatives boost OR sustainability
Editor's Note Penn Medicine has made significant strides in reducing the environmental footprint of the OR through department- and team-level initiatives, according to a March 29 report in Penn Medicine news. Driven by CIRCE: Medicine, a faculty group consisting of providers from Penn Medicine and Children’s Hospital of Philadelphia, examples…
ASA annual meeting highlights top 10 risks of providing anesthesia in ambulatory setting
Editor's Note There are certain patients and clinical situations that may require anesthesiologists to say no to performing surgery in the outpatient/ambulatory setting, Anesthesiology News April 4 reports. At the 2023 annual meeting of the American Society of Anesthesiologists (ASA), BobbieJean Sweitzer, MD, a professor of medical education at the…
Study shows patient bias for general over regional anesthesia, importance of preoperative education
Editor's Note A recent study from the UK, the results of which were presented at the 6th annual World Congress on Regional Anaesthesia and Pain Medicine, shed light on patients' preferences and understandings regarding anesthesia options for outpatient orthopedic surgery, Anesthesiology News March 18 reports. It revealed a stronger expectation…
Study: Weight loss drugs could increase risk of surgical complications
Editor's Note Popular weight-loss drugs like Ozempic and Mounjaro could lead to complications in surgical procedures, according to study published March 6 in the journal JAMA Surgery. The study focused on drugs known as glucagon-like peptide-1 receptor agonists (GLP-1 RAs) which are used to treat diabetes and obesity. The drugs, which…
Procedural sedation analgesia considerations for ASC leaders
The promise of quicker recovery and fewer complications from sedation, anesthesia, and pain management have drawn clinicians and patients alike to procedures performed in ambulatory surgery centers (ASCs) and other outpatient settings. However, sedation, anesthesia, and analgesia add their own risks to those of the procedure itself. Understanding the latest…
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…
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