Port strike could cause severe healthcare supply shortages, AORN warns
Editor's Note A joint communication from AORN and the Association of Healthcare Value Analysis Professionals (AHVAP, a strategic partner of AORN) provides advice and resources for affiliated healthcare professionals who could be impacted by the recent strike by port workers across major US shipping ports. Issued September 30, the statement…
Statistical models aim to improve surgical patient pain management
Editor's Note Researchers at MIT and Massachusetts General Hospital (MGH) have developed statistical models to improve how anesthesiologists manage unconscious pain, or nociception, during surgery, according to a September 23 report in News Medical. Derived from over 18,000 minutes of surgery data across 101 abdominal procedures, the models aim to…
California updates guidance on CRNA scope of practice
Editor's Note Confusion about the scope of practice for Certified Registered Nurse Anesthetists (CRNAs) prompted The California Department of Public Health to update guidelines for acute care hospitals, MedPage Today reported September 18. Issued after violations at two Modesto hospitals resulted in hundreds of cancelled surgeries, a letter from the…
Anesthesia staffing, communication, patient safety: Q&A with OR Manager Conference speakers
Editor's Note Capacity issues persist within the anesthesia workforce, leaving perioperative leaders tasked with maintaining efficient operations and safe practices for patients through surgery. We spoke with leaders from SCA Health, Stormont Vail Health, and Heartland Anesthesia & Consulting to find out other challenges anesthesia providers are facing, and how…
Study: Preoperative depression boosts risk of postoperative delirium
Editor's Note Patients with depressive symptoms are nearly twice as likely to experience delirium after major surgery, according to a meta-analysis published September 4 in the journal Anaesthesia. The evaluation of the link between preoperative depression and postoperative delirium included data from 42 studies involving more than 4.6 million patients.…
Flexibility for clinicians in managing RAS inhibitors in noncardiac surgery
Editor's Note A new study, the Stop-or-Not Trial, has found no significant difference in outcomes for patients undergoing noncardiac surgery who either continued or discontinued their renin-angiotensin system (RAS) inhibitor therapy, MedPage Today August 31 reports. The randomized clinical trial, which included over 2,200 patients, reported the rate of death…
Anesthesia workforce challenges taking center stage
Every year, OR Manager shines a light on staffing issues via the Salary/Career Survey. In this issue, two articles take a careful look at the career and profile of the perioperative leader in both inpatient and outpatient settings. Next month, two more articles will do the same with salary trends…
Propofol study shows how consciousness research could improve anesthesia safety
Editor's Note Propofol research published in the journal Neuron has broader implications for enabling more precise, safer doses of anesthesia, according to an August 14 report in Anesthesiology News. According to the article, anesthesiologists tend to use higher doses of anesthetics because they rely on indirect measures, such as heart…
Anesthesiologists sound alarm on wildfire smoke, surgical outcomes
Editor's Note The rising frequency of wildfires has anesthesiologists concerned about potential for adverse surgical outcomes to exposed patients, according to an article in the Online First edition of Anesthesiology, the peer-reviewed journal of the American Society of Anesthesiologists (ASA). As of an August 6 report from ASA, nearly 100…
1,000 California surgeries cancelled amid CRNA credentialing confusion
Editor's Note A CMS citation for immediate jeopardy this past June allegedly resulted in the cancellation of nearly 1,000 surgeries at Doctors Medical Center in Modesto, California, according to a July 30 article in Becker’s ASC Review. Citing a July 26 letter from California Assemblymen Heath Flora and Juan Alanis…
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- Repeal of CON laws for ASCs expands healthcare access, number of facilities in rural areas
- Spatial computing trial shows promise for enhancing OR efficiency, reducing strain on surgeons
- Vice presidential debate highlights healthcare, abortion policy differences