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…
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.…
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…
FDA approves single-dose propofol amid drug shortage
Editor's Note The Food and Drug Administration (FDA) approved Amneal Pharmaceuticals' Abbreviated New Drug Application for single-dose vials of propofol injectable emulsion, Anesthesiology News August 23 reports. The newly approved formulations include 200 mg/20 mL, 500 mg/50 mL, and 1,000 mg/100 mL vials. Propofol is widely used for anesthesia and…
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…
Less-invasive anesthesia technique improves pediatric surgery safety, patient experience
Editor's Note A needle-based technique that blocks sensory and motor function below the chest without intubation or general anesthesia makes surgery safer for pediatric patients, according to a July 15 report in Michigan Medicine. The University of Michigan's pediatric spinal anesthesia program, also implemented at University of Michigan-Sparrow Health Center,…
Study finds no link between anesthesia dose, postop delirium
Editor's Note Higher doses of anesthesia did not affect risk of postoperative delirium in a study of more than 1,000 heart surgery patients, according to a June 10 United Press International (UPI) article on study findings published in JAMA. The research included 1,140 heart surgery patients, half of whom had…
Kidney transplant performed on awake patient
Editor's Note In a first for Northwestern Medicine, surgeons performed a kidney transplant on an awake patient, CBS News reported June 24. John Nicholas, 28, of Chicago, experienced no pain during the May 24 procedure, in which he received an organ from a childhood friend. He was discharged the next…
Ambulatory endoscopy management strategies keep patients, finances healthy
Gastrointestinal (GI) endoscopy is one of the most common procedures in the US. Performed more than 17.1 million times per year in inpatient and outpatient hospital settings as well as ambulatory surgery centers (ASCs), GI procedures account for 68% of all endoscopies, according to a May 2022 article in Digestive…
Ketamine, other anesthetics show promise for depression, mental health treatment
Editor's Note The advance of ketamine and other anesthetics as depression treatments is spurring collaboration among anesthesiologists and psychiatrists for further advances in mental health treatment, according to an article in the June issue of Anesthesiology, the peer-reviewed journal of the American Society of Anesthesiologists. As the established experts in…
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