Anesthesia

Latest Issue of OR Manager
April 2019

Inhaled anesthetics vs total IV anesthesia for CABG surgery

Editor's Note In this study, having elective coronary artery bypass grafting (CABG) surgery under inhaled (ie, desflurane, isoflurane, or sevoflurane) anesthesia did not result in significantly fewer deaths than total intravenous (IV) anesthesia, though inhaled agents have cardioprotective effects. A total of 5,400 patients at 36 centers in 13 countries…

Read More

By: Judy Mathias
March 21, 2019
Share

OSA screening boosts patient safety and bottom line

An estimated 22 million people in the US have obstructive sleep apnea (OSA), but up to 80% of cases are undiagnosed, and some 30% to 40% of the surgical population has diagnosed or suspected sleep apnea. More than 3 years ago, the Joint Commission issued a Quick Safety document about…

Read More

By: OR Manager
February 20, 2019
Share

Less anesthesia during surgery doesn’t prevent postop delirium in older patients

Editor's Note Closely monitoring of brain activity with electroencephalography (EEG) and minimizing anesthesia in older patients during surgery had no significant effect on the occurrence of delirium after surgery, but it was linked to lower 30-day mortality, this study finds. In this analysis of 1,232 older surgical patients, researchers assigned…

Read More

By: Judy Mathias
February 12, 2019
Share

Use of regional anesthesia in ambulatory arthroscopic knee surgery and ACL reconstruction

Editor's Note Adductor canal nerve block (ACB) provides modest analgesic benefits after ambulatory arthroscopic knee surgery, including improved relief for rest pain for 8 hours and reduced opioid consumption for 24 hours, this meta-analysis finds. However, ACB did not provide any analgesic benefits and did not improve any outcomes, compared…

Read More

By: Judy Mathias
January 24, 2019
Share

Association of postop delirium with long-term cognitive function

Editor's Note In this study, postoperative delirium had a negative association with 30- and 90-day cognition in all participating patients. However, patients with preoperative cognitive impairment had an improvement in cognition at 30 and 90 days after surgery, but this increase was attenuated if the patient experienced postoperative delirium. This…

Read More

By: Judy Mathias
January 17, 2019
Share

FDA: Sun Pharmaceutical recalls four lots of Vecuronium Bromide

Editor's Note The Food & Drug Administration (FDA) on January 8 announced the recall by Sun Pharmaceutical Industries, Inc (Cranbury, New Jersey) of three lots of Vecuronium Bromide for Injection, 10 mg (lyophilized powder) (Lots: JKS0443A, JKS0444A, JKS0477A), and one lot of Vecuronium Bromide for Injection, 20 mg (lyophilized powder)…

Read More

By: Judy Mathias
January 16, 2019
Share

ASA updates practice advisory on visual loss linked to spine surgery

Editor's Note The American Society of Anesthesiologists (ASA) has published a new “Practice Advisory for Perioperative Visual Loss Associated with Spine Surgery 2019,” which updates the Practice Advisory published by the ASA in 2012. The purpose of the Advisory is to enhance awareness and reduce the frequency of perioperative visual…

Read More

By: Judy Mathias
January 14, 2019
Share

How should you manage patients using marijuana?

What is the current state of marijuana research? Russell: Marijuana research is unlike any other drug research. Researchers have to jump through a lot of hoops with the federal government to study it. As a result, people are using marijuana before there is enough science to prove safety and efficacy.…

Read More

By: Catherine Spader, RN
December 13, 2018
Share

SHEA issues new guidance on infection control in anesthesiology

Editor's Note The Society for Healthcare Epidemiology of America (SHEA) on December 11 published a new expert guidance on “Infection prevention in the operating room anesthesia work area.” Key recommendations of the guidance to improve infection prevention include: Increased hand hygiene performed, at a minimum, before aseptic tasks, after removing…

Read More

By: Judy Mathias
December 12, 2018
Share

Experts recommend new description for cognitive changes after anesthesia, surgery

Editor's Note A multidisciplinary panel of experts recommended changing the way clinicians and patients describe cognitive changes experienced after anesthesia and surgery, in this session presented October 16 at the Anesthesiology 2018 annual meeting in San Francisco. The experts recommended that a new umbrella term, “Perioperative Neurocognitive Disorder (PND),” be…

Read More

By: Judy Mathias
October 18, 2018
Share
Live chat by BoldChat