Anesthesia Editor's Note The American Society of Anesthesiologists (ASA) has published new “Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to health patients undergoing elective procedures.” The document updates its guidelines published in 2011. The guidelines are intended for use…
Editor's Note Introduction of the Perioperative Surgical Home (PSH) model for patients having ambulatory laparoscopic cholecystectomy at a Kaiser Permanente facility was associated with decreased length of stay and unplanned hospital admissions in this study. A total of 878 patients were included in the preimplementation period, and 1,082 in the…
Editor's Note No significant association was found between anesthesia service use and colonoscopy screening or colorectal cancer screening rates, suggesting that more evidence is needed to support the Centers for Medicare & Medicaid Services rule change that defined “screening colonoscopy” to include separately furnished anesthesia services, this study finds. The…
Editor's Note The Food and Drug Administration (FDA) on December 27 issued a warning to healthcare facilities of potential safety risks associated with battery-powered mobile medical carts. The FDA has received reports of explosions, fires, smoking, and overheating of the lithium and lead acid batteries in these carts that required…
Editor's Note The Food and Drug Administration (FDA) on December 14 issued a new warning saying that repeated or lengthy use of general anesthetics and sedation drugs during surgical procedures in children younger than 3 years or pregnant women during the third trimester may affect the development of children’s brains.…
Editor's Note Nonoperating room anesthesia (NORA) is a growing component of anesthesiology practice, this study finds. The proportion of NORA cases overall increased from 28.3% in 2010 to 35.9% in 2014, and the mean age of NORA patients increased significantly faster than OR patients. Compared with OR cases, more NORA…
Comprehensive surgical patient care models are associated with better outcomes, according to studies presented at Anesthesiology 2016 in October. In a study of 1,356 patients undergoing total knee, hip, or shoulder joint replacement surgery, pain management and communication between patients and physicians improved when care was based on the perioperative…
Is it possible to adequately capture the experience of patients undergoing anesthesia when their awareness and perceptions are typically altered by their very experience? A 5-year study of anesthesia patient satisfaction suggests that not only is it possible, but the results are meaningful in providing anesthesia-specific validation and in identifying…
Editor's Note This study found no clinically significant differences between continuous femoral nerve block (cFNB), local infiltration analgesia (LIA), and single femoral nerve block (sFNB) for pain during physical therapy 2 days after total knee arthroplasty. There were no statistically significant differences between groups in 48-hour opioid consumption or functional…
Editor's Note In this meta-analysis, propofol anesthesia was associated with reduced postoperative pain intensity at 30 minutes, 1 hour, and 12 hours as well as reduced morphine-equivalent consumption 0 to 24 hours postoperatively. Fewer patients required postoperative rescue analgesics during 0 to 24 hours after surgery under propofol, and patients…
