Anesthetists

Latest Issue of OR Manager
March 2021

Strong new tactics to support COVID-19 financial recovery

The end of the COVID-19 pandemic is in sight, but hospital surgery departments will not likely see a rapid return to normal. Since the start of the pandemic, perioperative leaders have had to stay flexible and act quickly. Over the next 12 months, OR leaders will need to reassess the…

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By: Jeffry A. Peters, MBA
February 17, 2021
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Parsing COVID-19 transmission routes informs levels of protection needed

Information about COVID-19 transmission and treatment has evolved between the time this infectious disease first emerged and now. As evidence-based knowledge grows and protocols change, and as populations are vaccinated to develop herd immunity, there is increasing optimism about the ability to combat the virus. Meanwhile, it is important to…

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By: Judith M. Mathias, MA, RN
January 19, 2021
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Effect of intubation barrier devices on aerosol exposure

Editor's Note Barrier devices used for intubation may reduce operator exposure to infectious droplets and aerosols, but there is wide variation in aerosol containment, this study finds. Fully enclosed barrier devices reduced vapor and aerosol content in the area of the operator. If no barrier device was used, aerosol content…

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By: Judy Mathias
December 14, 2020
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Effect of elective surgery cancellation on ICU capacity in New York State

Editor's Note Suspension of elective surgical procedures in response to the COVID-19 pandemic in New York State had only a minor effect on ICU capacity, this study finds. State authorities suspended all elective surgical procedures in mid-March 2020 to increase hospital and ICU bed capacity. However, the effect of canceling…

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By: Judy Mathias
November 2, 2020
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Consider a PSH as a post-pandemic strategy

Across the US, surgical services are estimated to comprise around 20% of national health spending and typically generate up to 70% of total health system revenue.1, 2 That makes surgical services the largest revenue generator for a hospital, supporting access to numerous other healthcare services. Considering the average hospital has…

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By: Barbara McClenathan, MBA-HCM, BSN, RN, CNOR and Lisa Branding, MHSA
October 21, 2020
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Study finds significantly less risk of COVID-19 transmission from anesthetic procedures

Editor's Note In this study, researchers from the University of Bristol in the UK, find that intubation and extubation of patients during general anesthesia may produce only a fraction of the aerosols previously thought, much less than that produced during a regular cough. The researchers conducted real-time, high-resolution environmental monitoring…

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By: Judy Mathias
October 7, 2020
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COVID-19 testing of all children before anesthesia saves PPE

Editor's Note Universal COVID-19 testing of children before they have general anesthesia promotes efficient use of personal protective equipment (PPE), finds this study presented October 3 at the Anesthesiology 2020 annual meeting. Overall, 1,033 children who had anesthesia at Children’s Hospital of Philadelphia between March 26 and May 11, 2020,…

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By: Judy Mathias
October 5, 2020
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Efficacy of povidone-iodine nasal antiseptic for rapid inactivation of SARS-CoV-2

Editor's Note This controlled, in-vitro study investigates the minimum contact time for povidone-iodine nasal antiseptic to inactivate the SARS-CoV-2 virus. All laboratory work was conducted in biosafety level 3 laboratories at the Institute for Antiviral Research at Utah State University, Logan. Povidone-iodine was tested at diluted concentrations of 0.5%, 1.25%,…

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By: Judy Mathias
September 21, 2020
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FDA warns against use of protective barrier enclosures without negative pressure during intubation, extubation of COVID-19 patients

Editor's Note In an August 21 letter, the Food & Drug Administration (FDA) warns that the use of passive protective barrier enclosures without negative pressure when treating patients (such as during intubation, extubation) who are known or suspected to have COVID-19 may pose increased health risk to patients and healthcare…

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By: Judy Mathias
August 26, 2020
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Panel issues guidelines for safe resumption of elective orthopedic surgery

Editor's Note An expert panel from the American Association of Hip and Knee Surgeons on July 15 issued guidelines that include recommendations for when hospitals and surgical centers can resume elective orthopedic procedures. A set of 30 recommendations are presented in four categories: General—includes criteria based on factors, such as…

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By: Judy Mathias
July 20, 2020
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