Anesthesiologists

Latest Issue of OR Manager
October 2017
Home Surgical/Anesthesia > Anesthesia > Anesthesiologists

STOP-Bang screening associated with risk of postop complications in OSA patients

Editor's Note This meta-analysis found that patients at higher risk for obstructive sleep apnea (OSA), as determined by preoperative STOP-Bang screening, had a higher risk of postoperative adverse events and longer length of hospital stay, compared with lower risk-OSA patients. The analysis included 10 studies with 23,609 patients (7,877 high-risk…

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By: Judy Mathias
August 28, 2017
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Orthopedic PSH a prime model for value-based care—Part 2

Organizations that have adopted the perioperative surgical home (PSH) model of patient care have reaped the benefits of improved outcomes and a healthier bottom line. In particular, the PSH has a proven track record for colorectal surgery and orthopedic surgery. In part 1 of this two-part series (OR Manager, August…

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By: Cynthia Saver, MS, RN
August 22, 2017
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Orthopedic PSH a prime model for value-based care—Part 1

Uncertainties pepper the healthcare landscape, but the shift to value-based care is expected to continue, even though momentum may slow under the current administration. That means perioperative services leaders must continue to explore new care delivery options such as the perioperative surgical home (sidebar, p 17). “The demand for value…

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By: Cynthia Saver, MS, RN
July 13, 2017
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Predicting transfusions in total joint patients

Editor's Note Using patient-specific preoperative variables, a validated logistic regression model predicted transfusions in total hip and knee patients in this study. The model identified preoperative hemoglobin, total hip arthroplasty, and females 65 years of age and older as predictors of perioperative transfusions. The model also may help identify those…

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By: Judy Mathias
June 5, 2017
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Ketamine doesn’t affect postop delirium, pain

Editor's Note Ketamine does not decrease delirium or lower levels of pain in older adults after major surgery and might cause harm by inducing hallucinations and nightmares, this study finds. A total of 672 patients were randomly assigned to a placebo group (222 patients), a 0.5 mg/kg ketamine group (227),…

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By: Judy Mathias
June 2, 2017
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From Collision to Collaboration–Creating Partnerships with Physicians and Anesthesiologists

When it comes to introducing new practices and innovative strategies in the perioperative environment, collaboration between nurses, anesthesiologists, and physicians is critically important. Because collaboration is founded on shared influences and mutual respect, you must work together to create something new in support of a shared vision. This type of…

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Effect of PSH elements on total joint outcomes

Editor's Note In this study, the use of preoperative and postoperative elements of a Perioperative Surgical Home model in total knee and hip patients was associated with improvements in operational outcomes. The study included 1,225 patients in a preintervention PSH group and 1,363 in a postintervention PSH group. Compared with…

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By: Judy Mathias
April 26, 2017
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Causes, characteristics of ICU deaths

Editor's Note In this French study, the majority of ICU patients had at least one organ failure at the time of death. Of 698 patients analyzed, 84% had one or more organ failures and 89% required at least one organ support at the time of death. Deaths were considered unexpected…

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By: Judy Mathias
April 21, 2017
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Ambulatory surgery PSH reduces LOS, hospital admission

Editor's Note Implementation of a Perioperative Surgical Home (PSH) program for patients undergoing ambulatory laparoscopic cholecystectomy in a Kaiser Permanente practice model was associated with significantly reduced length of stay and unplanned hospital admission in this study. The analysis included 878 patients in the preimplementation period and 1,082 in the…

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By: Judy Mathias
February 24, 2017
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Automated intraop glucose monitoring linked to reduction in SSIs

Editor's Note In this study, Vanderbilt University Medical Center researchers created an automated system to identify diabetic patients, detect insulin administration, check for glucose measurement, and remind anesthesiologists to check intraoperative glucose. Implementation of the automated reminder system: improved glucose monitoring from 61.6% to 87.3% of cases reduced PACU hyperglycemia…

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By: Judy Mathias
February 14, 2017
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Total joint PSH helps meet patient satisfaction goals

When leaders at Memorial Healthcare, a 154-bed community hospital in Owosso, Michigan, wanted to get a jump on preparing for bundled payments, they chose to focus on total hip and knee surgery. Creating a perioperative surgical home (PSH) for this patient population paid off in enhanced patient satisfaction and reductions…

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By: OR Manager
January 18, 2017
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