Anesthesia
Anesthesia costs squeeze ASCs as staffing shortages, reimbursement gaps widen
Editor's Note Ambulatory surgery centers (ASCs) continue to face a mounting anesthesia crisis: costs are rising, staffing is tightening, and reimbursement is failing to keep pace. Anesthesia payments have dropped 8.2% over the past decade, while provider salaries have risen by as much as 40%, creating a growing financial burden…
Blast from the past: Revised data, evolving standards for OSA care in the perioperative setting
An estimated 22 million Americans were believed to have obstructive sleep apnea (OSA) in 2019, according to data cited in a February 2019 article published by OR Manager. At that time, up to 80% of cases were undiagnosed, and 30% to 40% of the surgical patient population was believed to…
New AAAHC toolkit advances pain control while cutting opioid use in outpatient surgery
Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC) launched a new pain management toolkit that prioritizes multimodal strategies to improve outcomes and reduce opioid use in ambulatory surgery. Designed for the unique challenges of outpatient care, the resource provides practical, evidence-based guidance to optimize safety, comfort, and recovery.…
Experts reach consensus on preop education to support surgical recovery
Editor's Note A new international consensus offers the first multidisciplinary definition and set of recommendations for group-based preoperative education programs, sometimes referred to as “surgery schools.” Published June 21 in the British journal Anaesthesia, the expert-driven guidance aims to improve patient preparation, experience, and recovery for those undergoing major elective…
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…
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