Articles Tagged With: anesthesia
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Informed Consent Practices in Anesthesia Field Raise Ethical Concerns
Rushed or inconsistent anesthesia consent practices threaten patient autonomy and trust. Studies reveal inadequate risk disclosure and variable standards. Ethicists urge earlier, more transparent consent processes and education to align anesthesia practices with ethical principles of autonomy and informed choice.
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Ethical Controversy Persists Regarding Pelvic Exams on Anesthetized Patients
Earlier this year, the Department of Health and Human Services mandated written consent for pelvic exams under anesthesia. Researchers decided to conduct a study to look specifically at the issue of consent involving exams under anesthesia.
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Ethical Considerations with DNR Orders and Anesthesia Care
Because many elements of anesthesia care constitute “resuscitation” in other settings, patients presenting for surgery with do-not-resuscitate orders or other directives limiting treatment pose some unique ethical challenges.
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Safety Incident Reports Often Compromised by Blaming
Healthcare organizations encourage and sometimes require staff to file safety incident reports after any kind of mishap. But many of those reports include improper accusations of wrongdoing and blaming individuals. This undermines the value of the incident reports. -
Pediatric Procedural Sedation and Analgesia in the Emergency Department
Children in the acute care setting may require nonpharmacologic and pharmacologic adjuncts for anxiety, pain, or to successfully complete diagnostic testing or therapeutic interventions. The authors review the requirements and pharmacologic agents necessary to complete a successful pediatric procedural sedation and analgesia.
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Loop Electrosurgical Excision Procedure of the Cervix: Which Is the Best Method of Anesthesia?
In this randomized controlled trial comparing local anesthesia and general anesthesia for loop electrosurgical excision procedure of the cervix, there was no difference in patient satisfaction. However, women in the local anesthesia group had significantly smaller cone volumes and less blood loss than those in the general anesthesia group.
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CMS Report Confirms Need for CRNAs
Tens of thousands of nurse anesthetists helped care for critically ill patients during the COVID-19 pandemic, making certified registered nurse anesthetists among the top specialties that served Medicare patients in non-telehealth during the first few months of the pandemic.
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Toolkit Offers Guidelines to Surgery Centers Treating Obese Patients
The six-page trifold includes a flowchart with guidance on body mass index, sedation levels, and the importance of identifying pre-existing conditions such as obstructive sleep apnea.
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Does Epidural Analgesia for Labor and Delivery Pain Relief Cause Autism?
In this retrospective cohort study of 147,895 singleton births, epidural anesthesia was used in 74.2% of cases and the hazard ratio for the subsequent diagnosis of autism spectrum disorders was 1.37 (95% confidence interval, 1.23-1.53).
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Pain Management in the Emergency Department: Opioids and Alternative Pain Management Therapies
Opioid therapy can be an effective form of pain management in the ED for acute painful conditions. The risk of addiction and abuse should be considered in every case. Alternatives to opioid therapy include systemic agents, such as acetaminophen, NSAIDs, lidocaine, alpha agonists, anticonvulsants, ketamine, corticosteroids, and local and regional anesthesia.