Anesthesia

Latest Issue of OR Manager
July 2019

Association between postop delirium, cognitive dysfunction

Editor's Note In this study, postoperative delirium significantly increased the risk of postoperative cognitive dysfunction in older adults at 1 month after surgery, but there was no association at 2 and 6 months. Of 560 patients analyzed, 24% developed delirium during hospitalization. At 1 month after surgery, 47% had not…

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By: Judy Mathias
May 29, 2019
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Effect of regional anesthesia on readmission rates, costs after TKA

Editor's Note Regional anesthesia was not associated with decreased readmission rates and costs after total knee arthroplasty (TKA) in this study. In this analysis of 138,362 privately insured TKA patients 18-64 years of age, the adjusted 90-day readmission rate was 1.8% for those who did not receive regional anesthesia compared…

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By: Judy Mathias
May 21, 2019
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Improving hand hygiene compliance among anesthesia providers in the OR

Editor's Note Educating anesthesia providers on the World Health Organization’s five indications for hand hygiene, increasing access to hand hygiene products in the OR, and monitoring  hand hygiene among anesthesia providers can improve hand hygiene compliance, this study finds. Hand hygiene was observed in three phases: Preimplementation, postimplementation, and 60…

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By: Judy Mathias
March 25, 2019
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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…

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By: Judy Mathias
March 21, 2019
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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…

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By: OR Manager
February 20, 2019
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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…

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By: Judy Mathias
February 12, 2019
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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…

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By: Judy Mathias
January 24, 2019
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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…

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By: Judy Mathias
January 17, 2019
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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)…

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By: Judy Mathias
January 16, 2019
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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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