Anesthesia

Latest Issue of OR Manager
December 2020

FDA: Class I recall of Medfusion 4000 Syringe Pumps

Editor's Note The Food & Drug Administration (FDA) on December 19, 2019, identified the recall by Smiths Medical ASD, Inc of its Medfusion 4000 Syringe Pumps as Class I, the most serious. The recall was initiated because of malfunctioning low-battery alarms, which may lead to an interruption of therapy. The…

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By: Judy Mathias
January 7, 2020
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Effect of cannabis use disorder on postop outcomes

Editor's Note In this study, active cannabis use disorder was linked to an increased risk of postoperative myocardial infarction (MI). Researchers retrospectively analyzed 4,186,622 elective surgery patients in the Nationwide Inpatient Sample. Of 27,206 patients in the propensity-score matched-pairs cohort, there was no statistically significant difference between those with (400…

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By: Judy Mathias
December 12, 2019
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Patient, personnel, induction factors that affect OR start times

Editor's Note Though patient and personnel factors affect the order of case induction, induction time is most dependent on patient factors, this study finds. Of 15,823 cases analyzed, predictors of later patient induction included add-on case, ASA class 3 or more, neuraxial anesthesia, and CRNA staffing. In 11,093 (70.1%) cases,…

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By: Judy Mathias
December 5, 2019
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Automated software app reduces perioperative controlled substance discrepancies

Editor's Note In this study, a software app that tracks perioperative controlled substance use and is integrated into the electronic health and pharmacy records and database systems was associated with a decrease in management errors. This analysis includes data on missing controlled substance medications, controlled substance kits, and witness return…

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By: Judy Mathias
November 21, 2019
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Use of alcohol-based hand rub on gloves by anesthesia providers

Editor's Note In this study, the use of alcohol-based hand rub on nitrile examination gloves did not compromise glove integrity or hamper the ability of anesthesia providers to safely perform anesthesia functions. A total of 50 new gloves (not exposed to alcohol-based hand rub) were tested for integrity, and one…

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By: Judy Mathias
November 20, 2019
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One in three patients have side effects after ketamine infusion

Editor's Note Ketamine use has grown as a pain management alternative to opioids, but more than one in three patients experience side effects such as hallucinations and visual disturbances, finds this study, which was presented October 21 at the Anesthesiology 2019 annual meeting in Orlando, Florida. Duke University researchers categorized…

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By: Judy Mathias
October 23, 2019
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Factors affecting patient satisfaction with anesthesiologist

Editor's Note This survey of patients' satisfaction with their anesthesiologists found that some factors governing satisfaction are beyond the ability of the anesthesiologist to control. Of 629,220 patients administered the “Anesthesia Patient Satisfaction Questionnaire” 51,676 patients responded for a 9.3% response rate. After multivariate regression analysis, no patient or procedural…

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By: Judy Mathias
October 14, 2019
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Postop delirium linked to long-term decline in elderly

Editor's Note In this study, postoperative delirium in patients averaging 80 years old was linked to long-term detrimental outcomes after major orthopedic surgical procedures. Of 130 patients analyzed, 34 developed postoperative in-hospital delirium. Patients with postoperative delirium had a greater decline in activities of daily living at 2 to 3…

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By: Judy Mathias
August 13, 2019
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Music reduces anxiety before regional anesthesia

Editor's Note Music is a viable alternative to IV midazolam in reducing anxiety before a preoperative peripheral nerve block, this study finds. A total of 157 adult patients were randomly assigned to one of two options 3 minutes before peripheral nerve block−either an injection of 1-2 mg of midazolam or…

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By: Judy Mathias
July 23, 2019
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Influence of age, weight on oxygenation impairment during anesthesia

Editor's Note Oxygenation was impaired by anesthesia more often in patients with greater age or body mass index, this study finds. This retrospective analysis of data from two hospitals found key contributors to impaired oxygenation were low ventilation/perfusion ratios because of airway narrowing and closure in the elderly and atelectasis-induced…

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By: Judy Mathias
June 27, 2019
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