Anesthesia
Hemodynamic stability, less intraop hypotension risk with remimazolam in outpatient IR procedures
Editor's Note New research indicates the anesthetic combination of remimazolam and fentanyl provides optimal hemodynamic stability for patients undergoing short outpatient interventional radiology (IR) procedures, Anesthesiology News July 16 reports. This study, presented at the 2024 annual meeting of the Society for Ambulatory Anesthesia, compared common anesthetic combinations at a…
Annual awards, new partnership advance paranesthesia nursing
Editor's Note Inspired by a leader in the postanesthesia care department (PACU)? Here’s a chance to provide well-deserved recognition from the entire perioperative community. If you’re a member of the American Board of Perianesthesia Nursing Certification, Inc. (ABPANC), we have something for you as well: exclusive discounts to attend OR…
Breaking down the anesthesia workforce imbalance, strategies to address crisis
Editor's Note Increased demand for anesthesia services, especially in non-operating room (non-OR) sites, has outpaced the growth of anesthesia clinicians, a June 2024 special article published by the journal Anesthesiology reports. The imbalance in the anesthesia workforce supply and demand, the article argues, was exacerbated by the COVID-19 pandemic and…
Study finds no link between anesthesia dose, postop delirium
Editor's Note Higher doses of anesthesia did not affect risk of postoperative delirium in a study of more than 1,000 heart surgery patients, according to a June 10 United Press International (UPI) article on study findings published in JAMA. The research included 1,140 heart surgery patients, half of whom had…
Kidney transplant performed on awake patient
Editor's Note In a first for Northwestern Medicine, surgeons performed a kidney transplant on an awake patient, CBS News reported June 24. John Nicholas, 28, of Chicago, experienced no pain during the May 24 procedure, in which he received an organ from a childhood friend. He was discharged the next…
Ambulatory endoscopy management strategies keep patients, finances healthy
Gastrointestinal (GI) endoscopy is one of the most common procedures in the US. Performed more than 17.1 million times per year in inpatient and outpatient hospital settings as well as ambulatory surgery centers (ASCs), GI procedures account for 68% of all endoscopies, according to a May 2022 article in Digestive…
State of the huddle: The barriers to and benefits of preop meetings
Complex problems do not always require complex solutions. Consider the surgical safety checklist. In 2020, more than a decade after the World Health Organization (WHO) started advocating that every hospital use the checklist, research from PSNET found that more than 90% of ORs in countries with a high human development…
Ketamine, other anesthetics show promise for depression, mental health treatment
Editor's Note The advance of ketamine and other anesthetics as depression treatments is spurring collaboration among anesthesiologists and psychiatrists for further advances in mental health treatment, according to an article in the June issue of Anesthesiology, the peer-reviewed journal of the American Society of Anesthesiologists. As the established experts in…
Study: standard preoperative fasting guidelines safe for GLP-1 patients
Editor's Note Preoperative use of GLP-1 receptor agonists (RA) medications such as Ozempic and Wegovy is safe, according to a study published in the June issue of the American Journal of Gastroenterology. Controversy has swirled around these drugs due to the risk of slowed stomach emptying increasing a patient’s odds…
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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