Tag: Sedation

Federal regulations require written consent for pelvic exams at hospitals, medical schools

Editor's Note New federal guidelines require obtaining written informed consent before conducting pelvic and other sensitive medical examinations, according to an April 2 Associated Press report. The new guidance from the US Department of Health and Human Services focuses specifically on medical students, nurse practitioners, and physician assistants performing breast,…

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By: Matt Danford
April 15, 2024
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Study: Propofol sedation increases colonoscopy costs without improving outcomes

Editor's Note Although the use of propofol for colonoscopy has been rising due to beliefs that deep sedation leads to greater patient comfort, a recent systematic review and meta-analysis of nearly 1,500 patients from nine randomized controlled trials shows this view is not supported by available evidence. Published March 8…

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By: Matt Danford
March 25, 2024
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Procedural sedation analgesia considerations for ASC leaders

The promise of quicker recovery and fewer complications from sedation, anesthesia, and pain management have drawn clinicians and patients alike to procedures performed in ambulatory surgery centers (ASCs) and other outpatient settings. However, sedation, anesthesia, and analgesia add their own risks to those of the procedure itself. Understanding the latest…

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By: Uyen Vo, BSN, MBA
March 22, 2024
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Obstructive sleep apnea associated with risk of postoperative delirium

Editor's Note Patients with a history of obstructive sleep apnea (OSA) have a higher risk of delirium after high-complexity surgeries but not after those of moderate complexity, according to findings published in the March issue of Anesthesia and Analgesia.   The study included 46,352 hospital patients older than 60 years who…

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By: Matt Danford
March 7, 2024
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Study: Microglia help awaken the brain from anesthesia, protect neurons from aftereffects

Editor's Note A new study finds that the same cells that are involved in preventing damage to the central nervous system – called microglia – help to awaken the brain following anesthesia. The findings appeared January 4 in the journal Nature.  Using electron-microscopy-based synaptic reconstruction, the researchers could see the…

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By: Brita Belli
March 5, 2024
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Administering sedative preoperatively deemed safe for older patients

Editor's Note Researchers conducted the largest randomized study to date on use of the sedative midazolam in older patients, a drug sometimes used to calm patients prior to surgery. The results were published in JAMA Surgery on December 20. Highlights include: The study involved nine German hospitals and included more…

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By: Brita Belli
December 22, 2023
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Patients more likely to be discharged home with anesthesiologist-administered sedation

Editor's Note Anesthesiologist-administered or -directed sedation leads to higher rates of patient discharges to home rather than a long-term care (LTC) facility, according to a study presented at the Anesthesiology 2023 annual meeting. The study focused on interventional radiology (IR) procedures–specifically 9,682 patients who had sedation in the IR suite…

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By: Brita Belli
October 17, 2023
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Study: Introducing propofol to ambulatory anesthesia may improve endoscopy quality metrics

Editor's Note A study presented at the 2023 annual meeting of the Society for Ambulatory Anesthesia suggests that implementing ambulatory anesthesia services with propofol can significantly enhance various quality metrics in outpatient endoscopy procedures, Anesthesiology News August 28 reports. The study, led by Justin Routman, MD, director of non-OR anesthesia…

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By: Tarsilla Moura
September 1, 2023
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COVID-19 driving the move to regional anesthesia

Cancellations of some surgical procedures during the COVID-19 pandemic and case rescheduling have been a major focus for perioperative leaders. But changes are also occurring in anesthesia practices. For many surgical procedures, the use of regional anesthesia or nerve blocks, coupled with light sedation, is reported to double if the…

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By: Steven C. Eror
July 20, 2021
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FDA: Class I recall of Alaris Infusion Pump Module 8100

Editor's Note The Food and Drug Administration, on April 30, identified the recall of the Alaris Infusion Pump Module 8100 as Class I, the most serious. The Pacific Medical Group (DBA Avante Health Solutions) is recalling the infusion pump because the front bezel components may crack or separate, leading to…

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By: Judy Mathias
May 3, 2021
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