Anesthesia
Insights into spinal vs general anesthesia: Which comes out on top for same-day outpatient surgery?
Editor’s Note A growing body of research is shedding new light on the long-running debate about spinal anesthesia (SA) and general anesthesia (GA) in outpatient surgical settings, Outpatient Surgery Magazine March 12 reports. Recent studies suggest both approaches can be considered safe and effective, with the “best” choice often hinging…
Study: No significant link between GLP-1 drugs, postoperative aspiration pneumonia
Editor's Note Preoperative use of GLP-1 receptor agonists was not significantly associated with an increased risk of aspiration pneumonia or acute respiratory failure after surgery, according to a March 4 report in MedPage Today. The article focuses on a retrospective cohort study of over 366,000 surgical patients found no meaningful…
Analysis: How the new US malpractice standard puts evidence-based ‘reasonable care’ over customary practice
Editor's Note A February 26 letter in JAMA Network reported a revised legal standard for medical negligence in the US, shifting from traditional reliance on customary practice toward a more patient-centered, evidence-based definition of “reasonable care.” The American Law Institute (ALI) updated its framework in 2024, retaining elements of prevailing…
OR Manager Conference second place poster winner highlights assessment tool to mitigate postanesthesia delirium risks
The poster presentations at the 2024 OR Manager Conference showcased exceptional perioperative initiatives, highlighting advancements and innovative practices. From streamlining documentation and optimizing billing processes to ensuring patient and staff safety in postanesthesia settings, the posters selected last year showed the ingenuity and dedication of healthcare professionals committed to excellence…
Hospital’s anesthesia reforms slash carbon footprint, expenses
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…
FDA announces Class 1 endovascular system, anesthesia system recalls
Editor's Note The US Food and Drug Administration (FDA) designated Getinge’s recall of Vaporizer Sevoflurane Maquet Filling and Sevoflurane Quick-Fil and Philips’ recall of Tack Endovascular Systems as Class 1s, the most severe category indicating serious risk of injury or death. The Getinge recall is an expansion of a 2024…
Study: Prolonged general anesthesia linked to long-term cognitive decline
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…
Research highlights anesthesia provider knowledge gap on drug, hormonal contraceptive interactions
Editor's Note Insufficient awareness of drug interactions with hormonal contraceptives (HCs) among anesthesia providers could lead to unintended pregnancies and preventable health consequences, according to survey published in Anesthesia & Analgesia. Physician’s Weekly covered the news February 27. The article specifically cites sugammedex and aprepitant, both of which are widely…
Study links intraoperative synthetic opioids, worse postoperative pain
Editor's Note Using powerful synthetic opioids remifentanil and sufentanil during surgery increases risk of patients suffering during recovery, according to a study in the journal Regional Anesthesia & Pain Medicine. HealthDay reported the news February 27. According to the article, researchers analyzed data from 971 patients who underwent surgery—37% orthopedic…
Session: Riding the Wave—Considerations to Making Anesthesia Profitable in Today's Labor Market
Editor's Note The OR Business Management Conference this year for the first time offered a lineup of sessions that was fully dedicated to content relevant to ambulatory surgery centers (ASCs). In this session, Collin Pick, MSN, CRNA, ARNP, CMPE, chief of anesthesia, Physician Partners of America, explored the ongoing anesthesia…
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