Anesthesia
Hidden head injury hazards expose cracks in OR safety culture
One of the most sobering moments in the career of anesthesiologist Cornelius Sullivan, MD, occurred not as a caretaker in the OR, but as a patient in the emergency department. Having been knocked out cold by a low-hanging monitor during a surgical procedure at Boston Children’s Hospital, he had to…
New guidelines address critical airway challenges in obese surgical patients
Editor's Note A multidisciplinary expert panel has released the first evidence-based airway management guidelines specific to patients living with obesity. Published June 5 in Anaesthesia, the 43-point framework—developed by the Society of Obesity and Bariatric Anaesthesia (SOBA)—offers perioperative strategies aimed at improving the safety and consistency of care in a…
New GLP-1 guidance urges longer fasting before anesthesia
Editor's Note Patients taking GLP-1 receptor agonists (GLP-1 RAs) do not need to discontinue these medications before undergoing anesthesia but should follow extended preoperative fasting protocols to reduce aspiration risk, according to a June 5 article in Medscape. As detailed in the article, this recommendation comes from a new multidisciplinary…
Partnership with Epic fuels ASA’s push for smarter, safer anesthesia
Editor's Note The American Society of Anesthesiologists (ASA) has partnered with Epic to launch the Anesthesia Community Registry (ACR), which is designed to enable easier data collection, benchmarking, and insight generation at scale. Powered by Epic’s new Community Registries platform, the ACR will complement ASA’s existing National Anesthesia Clinical Outcomes…
Doctoral training becomes the new norm for CRNAs starting in 2025
Editor's Note All newly certified registered nurse anesthetists (CRNAs) in the US will be required to hold a doctoral degree, marking a significant shift in training standards for the profession, according to a May 3 post by James Allen, MD, on his page, “Hospital Medical Director,” also covered by Becker's…
Study: Surgeon-anesthesiologist familiarity could reduce complications in select surgeries
Editor's Note Greater familiarity between surgeons and anesthesiologists was associated with reduced major morbidity in certain high-risk procedures, according to a Canadian retrospective cohort study published in JAMA Surgery. As detailed in a May 28 report from MedPage Today, the population-based analysis included more than 711,000 index procedures, finding an…
Clinicians urged to rethink gynecologic pain management
Editor's Note Pain among patients undergoing in-office gynecologic procedures is widely underestimated and ineffectively treated, particularly for those with trauma histories, chronic pain, or marginalized identities, according to a new Clinical Consensus from the American College of Obstetricians and Gynecologists. The report stresses that individualized, evidence-informed, and trauma-sensitive strategies are…
Bold moves in the OR: Perioperative leaders size up 2025 amid turbulent first quarter
Why reflect on the past? Reflection anchors strategy and revitalizes purpose. Since the start of the year, the economy has been unstable, regulations have been in flux, and the livelihood of many is being put through grueling tests. But reflecting on the triumphs of past years shows that under the…
Study shows WHO surgical checklist boosts safety, but compliance gaps risk patient outcomes
Editor’s Note Tertiary hospitals are embracing the World Health Organization (WHO) Surgical Safety Checklist (SSC), yet inconsistent compliance—especially during time-out—exposes patients to avoidable risks, Cureus April 29 reports. In this study, the researchers found that while overall integration of the SSC is promising, there were compliance gaps particularly in pre-incision…
Subarachnoid spinal anesthesia offers safe, effective option for high-risk obstetric patients
Editor's Note Segmental spinal anesthesia (SSA) has emerged as a safe and effective anesthetic technique for high-risk obstetric patients, particularly those with underlying cardiovascular disease (CVD). A recent case series published on April 29 by Medical Dialogues highlights the successful use of SSA in five parturients undergoing cesarean sections, emphasizing…
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