Improving Anesthesia Start Time Documentation Through a Departmental Education Initiative at Yale New Haven Hospital, New Haven, United States.

Background Reimbursement for anesthetic services in the United States utilizes a formula that incorporates procedural and patient factors with total anesthesia time. According to the Centers for Medicare & Medicaid Services and the American Society of Anesthesiologists, the period of billable time starts when the anesthesia practitioner assumes care of the patient and may include transport to the operating room from the preoperative holding area. In this report on a quality improvement effort, we implemented a departmental education initiative aimed at improving the accuracy of anesthesia start-time documentation.

Environmental and financial impacts of perioperative paracetamol use: a multicentre international life-cycle assessment.

Background: Pharmaceuticals account for 19-32% of healthcare greenhouse gas (GHG) emissions. Paracetamol is a common perioperative analgesic agent. We estimated GHG emissions associated with i.

Impact of Intravenous Methadone Administered Intraoperatively on Postoperative Opioid Utilization.

Background: Studies have shown that intravenous methadone intraoperatively can reduce opioid usage postoperatively.

Objective: This study's purpose was to evaluate the effect of intravenous methadone on postoperative opioid use.

Methods: A prospective, single-center observational study was conducted to evaluate patients who received intravenous methadone intraoperatively.