Publications by authors named "Mahesh Desilva"
Background: Regional anesthesia has been associated with improved postoperative outcomes. Disparities in regional anesthesia utilization exist; however, no studies have examined utilization rates as a function of hospital region.
Methods: A national hospital database (Hospital Corporation of America {HCA}) was queried for patients aged 18 years or older that received selected surgical procedure codes between January 2016 and June 2021.
Article Synopsis
- Nasotracheal intubation is crucial for anesthesia in intraoral and mandibular surgeries but can be difficult, sometimes requiring initial oral intubation.
- Various techniques exist for converting an oral endotracheal tube (ETT) to a nasal ETT, but these can be challenging and depend on available resources.
- This report reviews traditional conversion methods and introduces a new approach that utilizes commonly available equipment in the operating room to simplify the process.
Article Synopsis
- Regional anesthesia (RA) may lead to better patient outcomes like fewer complications and quicker recoveries, but more research is necessary to understand its usage across different patient demographics.
- The study analyzed over 51,000 patients who underwent various surgeries between 2016 and 2021, finding that only 4.1% received RA, with notable disparities based on race and insurance type.
- Results indicated that black patients, those with Medicaid insurance, and certain surgical procedures had lower odds of receiving RA, while total shoulder arthroplasty had higher odds compared to other surgeries.