A Retrospective Study: Multimodal Analgesia Quality Measure Implementation and Patient Outcome Assessment.

Current research has demonstrated that nonopioid multimodal analgesia decreases perioperative opioid consumption, postoperative nausea and vomiting (PONV), and pain scores. However, no research has been conducted to examine the patient outcomes of Merit-based Incentive Payment System (MIPS) 477. This study evaluates those outcomes following implementation of MIPS 477.

Pandemic, Economic Uncertainty, and Protests: What Will Happen to Student Registered Nurse Anesthetists--Resiliency or Burnout?

Nurse anesthesiology education is inherently stressful, and student registered nurse anesthetists (SRNAs) must demonstrate a high level of resilience for successful completion. Because of the coronavirus disease 2019 (COVID-19) pandemic, social unrest from racial protests, and uncertain economic conditions, SRNAs are facing unprecedented levels of stress. Additionally, traditional clinical and didactic training has been drastically interrupted, leading to feelings of anxiety and uneasiness.

Postdischarge Nausea and Vomiting Risk Assessment in Breast and Gynecologic Surgical Patients.

Purpose: Postdischarge nausea, vomiting, and retching often occur after the time of discharge from the postanesthesia care unit (PACU) in patients who have undergone outpatient surgeries. At a large mid-Atlantic Academic Hospital, 40% of gynecologic outpatient surgical patients had postdischarge nausea and vomiting (PDNV). The purpose of this quality improvement project was to implement and evaluate the effectiveness of and staff compliance with the Apfel Postdischarge Nausea and Vomiting Risk Assessment tool to improve PDNV risk screening in the PACU.

Marijuana Use in the Anesthetized Patient: History, Pharmacology, and Anesthetic Considerations.

Marijuana consumption is growing in the United States because of state legalization for recreational and medical use. However, many anesthesia practitioners are unaware of the potential adverse effects that may occur if marijuana is taken before the administration of an anesthetic. This review provides a history of marijuana use, the current laws and regulations, the pharmacology of marijuana, and best evidence-based practices related to anesthetic care of the marijuana user.