Anesthesia

Latest Issue of OR Manager
February 2019

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…

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By: Judy Mathias
January 14, 2019
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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.…

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By: Catherine Spader, RN
December 13, 2018
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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…

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By: Judy Mathias
December 12, 2018
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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…

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By: Judy Mathias
October 18, 2018
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Effect of anesthesia care team composition on surgical outcomes

Editor's Note In this study, the composition of the anesthesia care team (anesthesiologist plus nurse anesthetist or anesthesiologist assistant) was not associated with any significant differences in mortality, length of stay, or inpatient spending. Of 443,098 Medicare beneficiaries who had inpatient surgery between 2004 and 2011, the adjusted mortality for…

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By: Judy Mathias
October 9, 2018
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SASM issues guideline on intraop management of adults with OSA

Editor's Note The Society of Anesthesia and Sleep Medicine (SASM) has issued a new guideline on Intraoperative Management of Adult Patients with Obstructive Sleep Apnea (OSA). Specific aims of the guideline are to: evaluate considerations of difficult airway management in patients with OSA assess the impact of anesthesia-related drugs and…

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By: Judy Mathias
October 9, 2018
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Timing of preop blood testing not linked to postop morbidity, mortality

Editor's Note In patients with American Society of Anesthesiologists physical status I and II, the risk of 30-day morbidity and mortality was similar for those who had blood testing shortly before surgery and those whose testing was done up to 2 months before surgery, this study finds. Of 235,010 patients…

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By: Judy Mathias
October 8, 2018
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Effects of hypnosis before general anesthesia on postop outcomes

Editor's Note In this study, no benefit of hypnosis before general anesthesia was found on postoperative pain, but it had other benefits, such as less fatigue and anxiety (especially in patients who thought they received hypnosis, but did not) and higher patient satisfaction scores. A total of 150 women having…

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By: Judy Mathias
August 24, 2018
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Effect of neuraxial anesthesia on total hip, knee outcomes

Editor's Note Increased use of neuraxial anesthesia was associated with lower hospitalization costs for hip and knee replacements, but more studies are needed before considering neuraxial anesthesia as a marker of quality, this study finds. National data on 808,237 total knee and 371,607 total hip replacements were analyzed. Increasing frequency…

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By: Judy Mathias
August 15, 2018
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Effect of sedation levels on postop delirium in elderly hip fracture patients

Editor's Note Limiting the level of sedation in elderly hip fracture patients with low comorbid states (Charlson comorbidity index [CCI] of 0) reduced postoperative delirium in this study. Of 200 elderly patients analyzed (100 in lighter sedation and 100 in heavier sedation levels), there was no statistically significant difference in…

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By: Judy Mathias
August 9, 2018
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