Larger anesthesia practitioner per operating room ratios are needed to prevent unnecessary non-operative time than to mitigate patient risk: A narrative review.

When choosing the anesthesia practitioner to operating room (OR) ratio for a hospital, objectives are applied to mitigate patient risk: 1) ensuring sufficient anesthesiologists to meet requirements for presence during critical intraoperative events (e.g., anesthesia induction) and 2) ensuring sufficient numbers to cover emergencies outside the ORs (e.

Survey of Lactating Anesthesiologists Using Wearable Breast Milk Pumps While Working in Operating Rooms and Other Clinical Settings.

We performed a prospective Internet survey study of anesthesiologists lactating in 2022 or 2023. Approximately half (48%, 75 of 156) lacked convenient dedicated lactation space and approximately half (55%, 86 of 155) used a wearable breast pump. The vast majority using a wearable pump did so in clinical settings, including operating rooms (88%, 76 of 86).

Feasibility of Anesthesiologists Giving Nurse Anesthetists 30-Minute Lunch Breaks and 15-Minute Morning Breaks at a University's Facilities.

Background Managers of an anesthesia department sought an estimation of how often each anesthesiologist can give lunch breaks and morning breaks to nurse anesthetists to plan staff scheduling. When an anesthesiologist supervising the nurse anesthetists can give a break, it would be preferred because fewer extra nurse anesthetists would be scheduled to facilitate breaks. Methodology Our methodological development used retrospective cohort data from the three surgical suites of a single anesthesia department.

Lactation in Anesthesiology.

There are several work-related barriers to breastfeeding among physician mothers including: lack of appropriate place for breastmilk expression, unpredictable and inflexible schedules, and lack of time to breastfeed or express milk. In a survey of physician mothers, those who were in surgical and procedural subspecialties, including anesthesiology, reported a lack of lactation facilities in close proximity to the operating room as a barrier to breastfeeding. Unlike other physicians and clinicians in different health care environments, anesthesiology is unique in that there is often no built-in time for breaks or a predictable end time to the operating room schedule.

Transient End-Tidal Carbon Dioxide Elevation During Pediatric Upper Endoscopy With Carbon Dioxide Insufflation: Is It True Hypercapnia?

Background: Endoscopic insufflation, long performed using air, is being replaced by carbon dioxide (CO2) at many pediatric centers, despite limited published data on its use in children. We have previously demonstrated that CO2 use during esophagogastroduodenoscopy (EGD) in non-intubated children is associated with transient elevations of end-tidal CO2 (EtCO2). This observation raised concerns about possible CO2 inhalation and systemic absorption.

Low Prevalence of Designated Lactation Spaces at Hospitals and Ambulatory Surgery Centers in Iowa: An Educational Tool for Graduates' Job Selection.

Many anesthesiologists and nurse anesthetists want to continue breastfeeding their babies when returning to work from maternity leave. The cornerstone of breast milk supply maintenance is breast milk pumping sessions at regular intervals. These breast milk pumping sessions require time and private space for lactation.

Suggested Work Guidelines, Based on Operating Room Data, for Departments with a Breast Milk Pumping Supervising Anesthesiologist.

Coordinating breast milk pumping sessions is challenging for lactating anesthesiologists who supervise multiple simultaneous anesthetics. We quantify the minimum percentages of adjacent operating rooms (ORs) for which there could reliably (≥95%) be at least 30 minutes during the surgical time when the anesthesiologist covering three anesthetics could have her rooms covered by another anesthesiologist. The historical cohort study was from a large U.

Percentages of Cases in Operating Rooms of Sufficient Duration to Accommodate a 30-Minute Breast Milk Pumping Session by Anesthesia Residents or Nurse Anesthetists.

Introduction: Accommodating breast milk pumping sessions is required by US federal statute, but fulfillment is challenging for US anesthesia providers (e.g., anesthesia residents and nurse anesthetists).

Maxillomandibular Fixation and Anesthesia Management.

Maxillomandibular fixation (MMF) is a frequent issue encountered during the administration of general anesthesia. This article aims to give an overview of MMF from a surgical perspective, complications that can arise from MMF, anesthesia management strategies in MMF cases, and perhaps most importantly, an overview of how to release a patient from MMF in an emergency. Although not encompassing all situations and variables, these topics are covered in a manner that can be easily incorporated into the anesthetist's practice.

Nd:YAG laser capsulotomy under general anesthesia in the sitting position.

Neodymium-yttrium-aluminum-garnet (Nd:YAG) laser capsulotomy is commonly used to treat posterior capsule opacification after cataract surgery in adults. Children and adults with developmental delay, however, are not always cooperative, and the procedure must be performed under general anesthesia. We describe a technique for Nd:YAG capsulotomy under general anesthesia in the sitting position using the standard widely available Nd:YAG laser.

When fiberoptic intubation fails in patients with unstable craniovertebral junctions.

Fiberoptic intubation (FOI) is generally regarded as the preferred method to achieve endotracheal intubation in patients with cervical spine instability. When performed electively, FOI has a very high level of success. Nevertheless, rarely, FOI may fail.