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Despite being an important part of clinical practice for more than five decades, the American Society of Anesthesiologists (ASA) physical status classification system occasionally is criticized for its subjective nature, a trait that can lead to inconsistent assignments among health care professionals. This problem can be ameliorated, a recent study has found, with the use […]
Read MoreBMC Anesthesiol. 2015;15(120) Authors: Øivind Jans et al Background: Intact orthostatic blood pressure regulation is essential for early mobilization after surgery. However, postoperative orthostatic hypotension and intolerance (OI) may delay early ambulation. The mechanisms of postoperative OI include impaired vasopressor responses relating to postoperative autonomic dysfunction. Thus, based on a previous study on haemodynamic responses during mobilization […]
Read MoreMusic is common in operating rooms, with patients and providers generally agreeing that it’s a positive addition, but they may part ways on the best type of music to promote successful surgery, a new study suggests. U.S. researchers surveyed doctors, nurses and patients and found differences – for instance, anesthesiologists more often prefer blues or […]
Read MoreIntravascular Complications of Central Venous Catheterization by Insertion Site Authors: Parienti JJ, Mongardon N, Mégarbane B, et al N Engl J Med. 2015;373:1220-1229 Study Summary The optimal location for central venous catheter (CVC) placement remains a contentious debate, despite years of use and thousands of published reports. This study was designed to randomly assign adult intensive […]
Read MoreA study that attempted to quantify the cost of retained surgical items (RSIs) during primary total joint arthroplasty likely underestimates the true hit that hospitals take when these events occur, both the authors and another expert said. The poster of the study, presented at the 2015 annual meeting of the International Society for Pharmacoeconomics and […]
Read MoreImprovements in infection control and antibiotic prescribing could save 37,000 lives over five years and billions of dollars in medical care costs, according to a new report from the Centers for Disease Control and Prevention (CDC). Inappropriate antibiotic use and slack infection control practices have led to the spread of C. difficile and drug-resistant bacteria, such as […]
Read MoreParacetamol, known as acetaminophen in the United States, may have more risks than originally thought, particularly when it is taken at the higher end of standard therapeutic doses, according to a new systematic review. The authors and an outside expert recommend caution when interpreting the data, as they are observational in nature and are subject […]
Read MoreThe risks associated with opioid analgesics in the chronic pain setting have been well documented, and many pain management physicians have initiated steps to reduce their overall use of these agents for long-term treatment. Now, surgeons in multiple specialties have begun to pay greater attention to their prescribing of opioids for even the short-term management […]
Read MoreMembers of the Society of Anesthesia and Sleep Medicine (SASM) and the Anesthesia Closed Claims Project have established a registry to investigate unanticipated perioperative deaths and near misses in patients with obstructive sleep apnea (OSA). By assembling a series of detailed case reports for analysis, researchers hope to identify recurring patterns and themes associated with […]
Read MoreAlthough many institutions would like to improve operating room (OR) efficiency, a University of Colorado School of Medicine research team his taken it one step further by documenting the details of their case-start and turnover delays. As their study revealed, improving efficiencies can only lead to financial benefits when health care professionals across a range […]
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