Postanesthesia Care

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April 2024
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Anesthesiologists push to improve pain control during caesarean delivery

Editor's Note A letter to the editor published April 10 in Anesthesiology, the official publication of the American Society of Anesthesiologists (ASA), calls attention to an official statement outlining best practices for ensuring all moms-to-be receive adequate pain management during planned or unexpected C-sections. The best practices are outlined in…

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By: Matt Danford
April 10, 2024
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Study shows patient bias for general over regional anesthesia, importance of preoperative education

Editor's Note A recent study from the UK, the results of which were presented at the 6th annual World Congress on Regional Anaesthesia and Pain Medicine, shed light on patients' preferences and understandings regarding anesthesia options for outpatient orthopedic surgery, Anesthesiology News March 18 reports. It revealed a stronger expectation…

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By: Tarsilla Moura
April 3, 2024
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Two-question survey could help improve pain management, reduce opioid use

Editor's Note A simple, two-question survey could help identify patients most likely to develop chronic pain during recovery from surgery or injury and direct them toward proactive, holistic services that reduce reliance on opioids. NEJM Catalyst published the findings on March 20. Conducted by a research team from Duke University,…

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By: Brita Belli
March 22, 2024
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Procedural sedation analgesia considerations for ASC leaders

The promise of quicker recovery and fewer complications from sedation, anesthesia, and pain management have drawn clinicians and patients alike to procedures performed in ambulatory surgery centers (ASCs) and other outpatient settings. However, sedation, anesthesia, and analgesia add their own risks to those of the procedure itself. Understanding the latest…

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By: Uyen Vo, BSN, MBA
March 22, 2024
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Safe postop patient recovery: A day in the PACU leader role

Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the “recovery room”) is a critical care area plagued by an influx of new…

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By: Tarsilla Moura
March 22, 2024
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Obstructive sleep apnea associated with risk of postoperative delirium

Editor's Note Patients with a history of obstructive sleep apnea (OSA) have a higher risk of delirium after high-complexity surgeries but not after those of moderate complexity, according to findings published in the March issue of Anesthesia and Analgesia.   The study included 46,352 hospital patients older than 60 years who…

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By: Matt Danford
March 7, 2024
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Negative pressure wound therapy reduces SSI across surgical specialties

Editor's Note Compared with standard wound dressings, single-use negative pressure wound therapy (NPWT) devices can reduce the incidence of surgical site infection (SSI) in at-risk patients with closed surgical incisions across a range of surgical specialties, according to a data review highlighted in the February issue of the American Journal…

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By: Matt Danford
March 6, 2024
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Study: Microglia help awaken the brain from anesthesia, protect neurons from aftereffects

Editor's Note A new study finds that the same cells that are involved in preventing damage to the central nervous system – called microglia – help to awaken the brain following anesthesia. The findings appeared January 4 in the journal Nature.  Using electron-microscopy-based synaptic reconstruction, the researchers could see the…

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By: Brita Belli
March 5, 2024
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Analgesic clinical trials failing to assess movement-evoked postoperative pain

Editor's Note Most surgical studies still do not report movement-evoked postoperative pain despite the recommendations of expert consensus groups, according to findings published November 27 in Anesthesiology. Researchers came to essentially the same conclusion upon re-evaluating the assessment of pain at rest and movement-evoked pain in 2011. In this updated…

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By: Matt Danford
March 5, 2024
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Complementing Modified Early Warning Score (MEWS) with nursing guide application improves early postoperative outcomes

Editor's Note Following up with a nursing guide in addition to the the modified early warning score (MEWS) helps reduce early postoperative complications, according to the results of a recent clinical trial. Nursing guide application in patients followed up according to MEWS also decreased ISCU admission, decreased MEWS and increased…

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By: Matt Danford
February 28, 2024
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