Workflow for ICU patients with severe dignity-related distress. Poor forecast accuracy pt in ICU from statistical models. Thus, assessment & treatment should not be only ICU team (e.g., palliative care service since follows patient while hospitalized). cureus.com/articles/13421…

Quantifying and Interpreting Inequality in Surgical Site Infections per Quarter Among Anesthetizing Locations and Specialties. The 50% (10%) of locations with the fewest (most) infections accounted for 5% (40%) of infections. cureus.com/articles/14521…

Departments using semi-annual or annual surveys of trainees regarding supervision quality, reporting those raw counts, will have lower estimates of supervision quality vs. when calculated accurately using daily evaluations of individual anesthesiologists. sciencedirect.com/science/articl…

No reliable evidence that patients undergoing elective inpatient surgical surgery in Florida any sicker in 2019 vs 2007. The more comorbidities and complications documented over time are billing, not patient, changes. Unrelated to ICD-9 to 10 transition. journals.lww.com/anesthesia-ana…

Meta-analysis methodology for group comparisons using published means and standard deviations of extubation times, operative times, postanesthesia care unit times, or surgical times. lnkd.in/gSWjBezb

Deshur et al. from Univ. of Chicago had anesthesiologists enter their location/site preferences for daily assigned cases, available to schedulers. More often got 1st choice of location. lnkd.in/dQYJx4qc

Hospital with 23% tracheal extubations prolonged (>=15 minutes). Why many? Anesthesia provider (CRNA, resident) having finished <5 cases before with surgeon over past 3 yr associated 16% greater odds prolonged extubations. Assignme…lnkd.in/gevT6bgw lnkd.in/gtw4bVa2

Recent psychological and mathematical papers provide useful insights for anesthesia departments for scheduling holiday workforce. lnkd.in/gjcSNA-B

Matava et al. from Toronto on psychometrics of Anesthesia Clinical Encounter Assessment (ACEA) and Entrustable Professional Activities (EPAs) for resident physicians. Valid but caution, large rater leniency/severity without adjustment. rdcu.be/db4tR

Planning workforce of palliative care consultation team for ICU patients. Approximately one-fifth of critically ill patients were awake, alert, and without delirium. Evaluate for psychological distress. cureus.com/articles/16040…

64% patients who received an intravenous antibiotic also underwent anesthetic. Because most (P<0.0001) do, greater use of effective infection control measures in anesthesia operating room workspace has the potential to substantively reduce overall rates of hospital infections.

Nichol and Saari. U Wisconsin Madison. Risk of errors in surgical instruments from surgeon's hand to next case. 104 tasks. Improve central sterilization work environment, full staffing, etc, could reduce total risk 71%. Visualizati…lnkd.in/gAgXf7Gh lnkd.in/g_VaChMm

Prolonged times to tracheal extubation (>=15 min). Meta-analysis 78 studies. Desflurane 65% relative reduction in incidence vs sevoflurane (95% CI >49%). 78% vs isoflurane (>58%). Implication. As new drugs/techniques developed/improved, hold to standard. “Large benefit" is >=50%

If anesthesiologist currently breastfeeding or stopped 2023, we invite you to participate. A research study conducted by investigators from Univ of Iowa. Purpose is to learn about lactation among anesthesiologists. We expect the survey to take 1-3 min. FDshort.com/Lactating

I returned from a busy #ESRAworld2023 yesterday and cleared off my CJA - Canadian Journal of Anesthesia editor’s to-do list A rare occurrence, so I wanted to share it. I'm not sure how long will it last🤫 Thanks to all the reviewers & board members, especially Franklin Dexter, for his rapid reviews

Great review!

Thank you, I try hard to provide useful reviews.

rdcu.be/dq5pt Rupp et al. model for predicting which ambulatory surgery center patients will stay in phase I PACU >4 hours. Useful for facilities with many PACU beds, never full, but without overnight stay nursing.

Among the 11 authors >1% OR management publications, 9 anesthesiologists, & other 2 coauthors of anesthesiologists. But, anesthesia journals publishing decreasing fraction. Reading anesthesia journals no longer sufficient to know of field's advances.journals.lww.com/anesthesia-ana…

Studying the role of leadership. Anesthesia department chairs and departments with annual performance evaluations that included items related to environmental sustainability reported more activities to promote sustainability. (authors.elsevier.com/a/1iRtJ3OfKxso…)