Anesthesia

Latest Issue of OR Manager
May 2024
Home Anesthesia

Carbon-conscious health systems phase out desflurane anesthesia gas to reduce emissions

Editor's Note Citing environmental concerns, multiple health systems have stopped using desflurane anesthesia gas, Becker’s Hospital Review reported on May 7. Citing the Philadelphia Inquirer, the outlet notes that Children's Hospital of Philadelphia and Marlton, N.J.-based Virtua Health are among those that have eliminated the gas so far, with the…

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By: Matt Danford
May 15, 2024
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Study: Surgical team diversity improves patient outcomes

Editor's Note The more diverse the surgical team, the better the outcomes for patients and the lower the cost of care, according to a study of more than 700,000 operations at 88 hospitals in Ontario, Canada. Published May 15 in the British Journal of Surgery, findings show that surgeon-anesthetist teams…

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By: Matt Danford
May 15, 2024
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Study: Standard preoperative fasting instructions sufficient for diabetic patients

Editor's Note Recent research suggests that minimizing the risk of perioperative pulmonary aspiration in diabetic patients does not require different fasting instructions. However, at least one expert has questioned the results, and widespread glucagon-like peptide-1 (GLP-1) receptor agonists for the treatment of both type 2 diabetes and weight loss can…

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By: Matt Danford
May 14, 2024
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Analyzing impact of long COVID on cognitive health, surgical outcomes

Editor's Note The term "perioperative neurocognitive disorder" has been adopted to describe cognitive impairments identified during the perioperative period, the American College of Surgeons (ACS) May 8 reports. Postoperative delirium, in particular, is an acute complication manifesting as confusion and fluctuating levels of consciousness and attention. The incidence of this…

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By: Tarsilla Moura
May 8, 2024
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Data cast doubt on recommendation to delay weight-loss meds prior to surgery

Editor's Note A recent analysis of insurance claims data suggests weight-loss medications like Ozempic (semaglutide), Trulicity (dulaglutide), and other glucagon-like peptide-1 (GLP-1) receptor agonists do not increase risks associated with undergoing anesthesia. As reported April 22 in MedPage Today, these finding that contradicts a June 2023 recommendation from the American Society of…

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By: Matt Danford
April 29, 2024
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Private equity healthcare ownership draws new scrutiny

Editor's Note Over the last 10 years, private equity has taken over many of the nation’s health care facilities—from hospitals to nursing homes to physician practices—spending $1 trillion and instituting changes designed to rapidly increase profits, NBC News reported April 9. Studies have found that these takeovers can have serious…

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By: Brita Belli
April 23, 2024
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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…

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By: Matt Danford
April 22, 2024
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Drug shortages higher than ever

Editor's Note Shortages of active drugs in the US have reached a new record, according to an April 12 CNN report on data from the American Society of Health-System Pharmacists and the University of Utah Drug Information Service. The two organizations have been tracking this data since 2001, the CNN report says.…

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By: Matt Danford
April 18, 2024
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Propofol anesthesia for colonoscopy could help find polyps, prevent cancer

Editor's Note By putting the patient into deeper sedation during colonoscopy, propofol could help doctors find difficult-to-spot, potentially cancerous “serrated” polyps, according to a study published April 17 in Anesthesiology. As an alternative to moderate, “conscious” sedation, propofol facilitates a more thorough exam that is more likely to identify serrated…

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By: Matt Danford
April 17, 2024
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Federal regulations require written consent for pelvic exams at hospitals, medical schools

Editor's Note New federal guidelines require obtaining written informed consent before conducting pelvic and other sensitive medical examinations, according to an April 2 Associated Press report. The new guidance from the US Department of Health and Human Services focuses specifically on medical students, nurse practitioners, and physician assistants performing breast,…

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By: Matt Danford
April 15, 2024
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