Anesthesia E-ssential

AANA Anesthesia E-ssential, March 26, 2020

Vital Signs

AANA Issues Statement on the Use of Self-Supplied Personal Protective Equipment

The American Association of Nurse Anesthetists (AANA) continues to devote its resources to monitoring the impact of the COVID-19 pandemic on nurse anesthetists, advocating for their safety and that of their patients and communities. To that end, the AANA Board of Directors has issued the following position statement to support healthcare workers on the use of self-supplied personal protective equipment (PPE):

A Position Statement Supporting Healthcare Workers Being Allowed to Use Self-Supplied Personal Protection Equipment
The AANA believes that all healthcare workers should be allowed to use self-supplied Personal Protective Equipment (PPE), including industrial respirators that meet National Institute for Occupational Safety and Health (NIOSH) standards, when providers feel that the equipment being provided by their healthcare facility is not adequate to protect them. The AANA opposes healthcare facility policies that prohibit healthcare providers from self-supplying the PPE they need to be safe.

Furthermore, the AANA supports the appropriate use of PPE by anesthesia providers as described in our position statement on the Use of PPE During the COVID-19 Crisis. The AANA also believes that decisions to change recommendations for the proper use of PPE should be evidence based and not due to challenges with supply.
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Arizona Opts-Out of Federal Physician Supervision

Arizona has become the 18th state to opt-out of the federal physician supervision requirement for Certified Registered Nurse Anesthetists (CRNAs). This decision made by Arizona Gov. Doug Ducey will expand access to care across the state and help meet the growing demand presented by COVID-19 patients. Congratulations Arizona!
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N.Y. Governor Eases Regulatory Requirements for CRNAs, APRNs, and Other Providers

New York Governor Andrew Cuomo issued an executive order March 23 related to the COVID-19 public health emergency to ease regulatory requirements and expand the resources available to address the emergency. That order included the “Waiver of Certain Provider Supervision Requirements” (Source: The National Law Review):
  • Permits an advanced practice registered nurse with a doctorate or master’s degree specialized in administering anesthesia to administer anesthesia in a general hospital or free-standing ambulatory surgery center without the supervision of a qualified physician.
  • Permits physician assistants and specialist assistants to provide medical services within their scope of practice without oversight from a supervising physician.
  • Permits nurse practitioners to provide medical services within their scope of practice without a written practice agreement or collaborative relationship with a physician.
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Updated: Use of PPE by Anesthesia Professionals During the COVID-19 Pandemic

As the healthcare community continues to provide life-sustaining care during the COVID-19 pandemic, the AANA, American Society of Anesthesiologists, and Anesthesia Patient Safety Foundation have updated their position statement on the best use of personal protective equipment to protect anesthesia professionals. Please reference the statement below.

Updated: Use of PPE by Anesthesia Professionals During the COVID-19 Pandemic
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Utilizing CRNAs' Unique Skill Set During COVID-19 Crisis

As healthcare workers across the nation are coming together to fight COVID-19, many are facing circumstances never seen. While working long hours is not uncommon for CRNAs, many will be working tirelessly to save lives.

In this unprecedented time CRNAs will be called upon for their unique skill sets, as healthcare administrators work to optimize their workforce. Below is a statement recognizing the life-saving role you play in critical care management for patients impacted by COVID-19.

CRNAs are revered for their clinical expertise, critical thinking and compassion, positioning you to make a life-sustaining difference in patients' lives. Please reference the statement below.

Utilizing CRNAs' Unique Skill Set During COVID-19 Crisis

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State Government Responses to COVID-19

A state of emergency has now been declared in every U.S. state, territory, and the District of Columbia in response to the COVID-19 crisis, allowing states to free up money, personnel, and supply stockpiles. Twenty state legislatures have gone into recess as a direct result of the Coronavirus.

AANA is tracking state government responses to the situation, which have included actions to encourage the use of telehealth and measures to help protect healthcare workers. You can see which state activity AANA is monitoring (both related to the Coronavirus, and otherwise), by checking this map.

The National Council of State Legislatures also regularly updates a list of Coronavirus-related state actions.
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The Joint Commission Suspends all Regular Surveys

Responding to President Trump’s declaration of a national emergency regarding the COVID-19 pandemic, The Joint Commission (TJC) has suspended all regular and certification surveys effective March 16, 2020, to allow facilities to focus on meeting the healthcare needs of their communities during COVID-19. It may conduct a small number of surveys for critical situations and will release details about those types of surveys soon. There is no defined date when TJC will restart regular surveys. If the accreditation renewal date passes for the healthcare organization while surveys are on suspension, its accreditation will be extended without disruption. The Centers for Medicare & Medicaid Services (CMS) has confirmed that Medicare payment status will not be affected by these accreditation survey delays.

The Joint Commission will continue to provide expert advice and guidance.
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New National Analysis of Nurse Suicide Published

Nurses who suffer from substance abuse are more likely to be open about their issues and accept treatment when they receive mental health screening anonymously, a new national study shows. Find out more at #AANAWellness
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New Outpatient Facility Considerations Available on Resource Page

Providing anesthesia care in freestanding outpatient facilities can be challenging as these types of facilities have different regulations and requirements compared to hospitals. The AANA Practice Committee and Practice staff have developed a resource page for easy access to this information.

Visit to find information on equipment requirements, patient selection, applicable policies and procedures, and more for ambulatory surgery centers and office-based anesthesia settings.
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Open Comments: Patient Safety: CRNAs and Health-Related Impaired Practice

The draft practice document titled, Patient Safety: CRNAs and Health-Related Impaired Practice, Position Statement, Practice Considerations, is available for open comment through March 26, 2020. Please review and provide feedback to Download the draft document at
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March 29: National Vietnam War Veterans Day

In honor of National Vietnam War Veterans Day, observed on March 29 each year, AANA recognizes and thanks the CRNAs who served in Vietnam. Several CRNAs who served in Vietnam are profiled on the AANA website in the Vietnam Voices section.

On March 28, 2017, the Vietnam War Veterans Recognition Act of 2017 was signed by the president. This act officially recognizes March 29 as National Vietnam War Veterans Day. This date was chosen as National Vietnam War Veterans Day because on March 29, 1973, the last U.S. combat troops departed the Republic of Vietnam.
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Hot Topics

CRNA Delegation to Greece Postponed

World Learning’s CRNA Delegation to Greece, led by Debbie Malina, former AANA president, has been postponed to November. The revised schedule is as follows:
  • Departure from the U.S. on November 13;
  • Arrival in Athens on November 14; 
  • Conclusion in Athens on November 20.
Registration will be open to new participants in the following few weeks. More information will be posted as it becomes available.
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2019 MIPS Data Submission Deadline is Extended

The Centers for Medicare & Medicaid Services (CMS) is providing relief to providers impacted by COVID-19 by extending the deadline for 2019 Merit-based Incentive Payment System (MIPS) data submission. The new deadline to submit MIPS data is April 30, 2020, at 8 p.m. EDT. Eligible CRNAs who do not submit data by the deadline will automatically qualify for the 2019 automatic extreme and uncontrollable circumstances policy, and will receive a neutral payment adjustment in 2021. If you can submit your 2019 MIPS data by the new deadline, you will receive a MIPS Final Score and payment adjustment for payment year 2021. Additional CMS information is available here.
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USP <797> Revision Updates

The USP Appeals Panel issued final decisions on the appeals that have delayed the effective date of USP General Chapter <797> Pharmaceutical Compounding – Sterile Preparations, which was published on June 1, 2019. The Appeals Panel granted the appeals to USP <797> and is remanding the chapter to the Compounding Expert Committee with recommendations to engage in dialogue and consideration on the beyond use date issues raised in the appeals.

This means that the current version (2008) of USP <797> remains official. The USP FAQs on the Compounding Appeals state, “The revised … <797> published on June 1, 2019, did not become official and [is] not appropriate for early adoption based on the appeals decision. Facilities that have already early adopted the revised standards should work with their states, regulators, and accreditation bodies to determine what may be required.”

USP stated that due to the public health impact of these standards, it is committed to move forward in an open, transparent, and balanced manner to enable finalization of the chapter. The AANA will continue to follow these developments.
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AANA Foundation: Fellowship and Grant Applications Now Available

One of the goals of the AANA Foundation is to support new and seasoned investigators in nurse anesthesia through fellowships, postdoctoral fellowships, and grants. Programs are designed to develop researchers in nurse anesthesia. Applications are now available on the AANA Foundation website:
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Much More than Malpractice Protection

Did you know the malpractice insurance coverage offered by AANA Insurance Services includes additional coverages such as deposition representation and substitute coverages? Visit the new Additional Coverage Benefits page to learn more about the benefits of securing coverage through AANA Insurance Services. Learn more.
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AANA Journal App: Simpler, Easier, More Functionality at Your Fingertips

Stay current with the latest CRNA research and industry news using the new AANA Journal mobile app! You’ll get the same great AANA Journal content, quickly and conveniently across your mobile devices.
  • Listen to Articles - All articles will include narrated audio.
  • Watch Videos - Video resources can be viewed in the app.
  • Easily Navigate - View external resources and pages online directly from the app.
AANA members – Download the App Today:
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AANA State Leadership Workshop – Denver

When: June 6-7, 2020
Location: Kimpton Hotel Monaco

Join us in Denver, Colo., for a day-and-a-half workshop that will inspire leaders to:
  • Conduct an effective crucial conversation and how to influence change for positive outcomes.
  • Describe the applied skills in emotional intelligence and how this relates to your role as a state leader.
  • Develop strategies for improving association board governance.

See more details and register! Online pre-registration closes Friday, May 22, 2020.
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Submit Your Statement: Celebrate Diversity with the AANA: #IAmMe

Now in its third year, the award-winning I Am Me Campaign celebrates diversity and inclusion within the nurse anesthesia profession. Every April—aka Celebrate Diversity Month—Certified Registered Nurse Anesthetists (CRNAs) and student registered nurse anesthetists (SRNAs) are encouraged to share their "I Am Me" statement with colleagues. Submissions for 2020 are now being accepted through March 31.

There are more than 54,000 nurse anesthetists in the U.S., and while the same high quality, safe, anesthesia care is administered to patients every day, as individuals we bring a wealth of unique experiences. The AANA recognizes the differences in race, gender, ethnicity, language, cultural and religious beliefs, and socio-economic status that our CRNA and SRNA members bring to the nurse anesthesia profession.

Submit your #IAmMe statement here.
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Accepting Applications for Post-graduate Advanced Pain Management Fellowship

The Advanced Pain Management Fellowship at the Texas Christian University School of Nurse Anesthesia, in partnership with AANA, is now accepting applications. The post graduate CRNA fellowship in advanced pain management takes a holistic and multimodal approach in individualizing treatment plans to manage pain, optimize functional ability, and reduce suffering. The program includes online courses and hands-on clinical practice. The deadline is April 1 to apply for the cohort beginning Fall 2020. Learn more.
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FY2021 CRNA-PAC Committee - Application Deadline is April 30, 2020!

CRNAs and SRNAs interested in serving on the CRNA-PAC Committee beginning in the AANA 2021 fiscal year are encouraged to submit an application through the AANA online committee submission form located on the committee page

Responsibilities of Committee members include:
  • Setting the CRNA-PAC income and expenditure policy;
  • Participating in fundraising duties;
  • Reviewing open-seat and challenger candidates for federal office; and
  • Volunteering at CRNA-PAC events and national meetings.
Committee members are expected to attend two in-person meetings per year (Joint Committee Conference in September 2020 and Mid-Year Assembly in April 2021) and conference calls on an as-needed basis.

If you have any questions, please contact Catharine Harris, AANA Associate Director of Political Affairs, at or call (202) 741-9087.

The following is an FEC required legal notification for CRNA-PAC: Gifts to political action committees are not tax deductible. Contributions to CRNA-PAC are for political purposes. All contributions to CRNA-PAC are voluntary. You may refuse to contribute without reprisal. The guidelines are merely suggestions. You are free to contribute more or less than the guidelines suggest, and the association will not favor or disadvantage you by reason of the amount contributed or the decision not to contribute. Federal law requires CRNA-PAC to use its best efforts to collect and report the name, mailing address, occupation, and the name of the employer of individuals whose contributions exceed $200 in a calendar year. Each contributor must be a U.S. Citizen.

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NewsMaker: CRNA Jenny Schmitt Honored by Oklahoma House of Representatives

The Oklahoma House of Representatives honored Jenny Schmitt, MS, CRNA, APRN, as the "Nurse of the Day" at the State Capitol on Oklahoma Nurses' Day earlier this month, as reported in The Edmond Sun. Schmitt practices nurse anesthesiology in Oklahoma City and resides in Edmond. 

"Jenny is a passionate healthcare advocate," State Rep Nicole Miller (R-Edmond) said. "She truly cares about providing quality healthcare for our citizens and improving our healthcare outcomes. House District 82 is proud to claim her as one of our own." Learn more.
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NewsMaker: CRNA Jennifer Pipkin Named to Georgia Coronavirus Primary Care Provider Committee

Last Friday, Georgia Governor Brian P. Kemp announced the members of his four Coronavirus Task Force Committees: Primary Care Provider, Economic Impact, Emergency Preparedness, and Committee for the Homeless and Displaced. Of the 12 members of the Primary Care Provider Committee, Jennifer Pipkin, MSN, CRNA, APRN, is the sole CRNA and nurse on the committee. Learn more.
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CRNACareers - What are your next steps?

Whether you’re graduating soon and researching employers, are a seasoned professional interested in advancing your career or looking to supplement your work with locum tenens options, is the place to help get you started:

  • Search and apply to locum tenens or permanent positions at industry-leading facilities.
  • Upload your resume anonymously and allow employers to contact you.
  • Set up job alerts to receive notifications on new openings.
  • Access free career resources to assist with resume and interview preparation.

Learn more today!

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CRNA: Atrium Health, North Carolina

Immediate Full-time and PRN CRNA opportunities in the Charlotte, North Carolina area. The positions provide professional, competent anesthesia care to a wide variety of patients from neonatal through lifespan population, requiring surgical, obstetrical and other anesthesia services. The CRNA will possess additional training, education and/or experience in the provision of anesthesia care to patients with complex and unique anesthetic requirements. Supports and contributes to the patient-centered care philosophy that every team member is a caregiver, who cares about the needs of each patient.

Essential Functions:
  • Provides anesthesia care to patients with complicated, pre-existing disease and advanced disease states.
  • Provides care to trauma victims requiring resuscitative, diagnostic and surgical restoration, adult patients that undergo cardiothoracic procedures requiring cardio-pulmonary bypass and patients that require intensive monitoring so the surgical procedure can be completed.
  • Coordinates anesthetic patient care with anesthesia teammates.
  • Participates clinically with Student Registered Nurse Anesthetists.
  • Accepts additional departmental duties as determined by management.
Learn more.
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CRNA: Valley Regional Hospital, New Hampshire

Are you an experienced CRNA? Do you need affordable benefits and paid time off? Valley Regional Hospital is looking for an employee like you to join our healthcare team.

The right candidate will provide anesthetic care in our surgical department, from preoperative evaluations to postoperative care of patients. The CRNA is also responsible for ensuring sufficient and effective departmental operations.
This is a full-time, 5 day per week position. The candidate must possess the ability to work independently.

Our 25-bed critical access hospital is located in beautiful New England where recreation can be found year round, surrounded by family friendly communities. Learn more.
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Certified Registered Nurse Anesthetist: Dartmouth-Hitchcock Medical Center, New Hampshire

Are you a dedicated CRNA and wish to pursue a career within a collaborative Anesthesia Care Team? Are you interested in a setting where SRNA clinical rotations and Resident training make a dynamic and challenging teaching environment in which to work and grow?

If so, Dartmouth-Hitchcock's Department of Anesthesiology is growing and looking for additional CRNAs to join the team!

What Dartmouth-Hitchcock can offer:
  • Academic appointment as an Instructor of Anesthesiology from the Geisel School of Medicine at Dartmouth College.
  • Positive workplace culture with career advancement opportunities.
  • The quintessential New England experience – Four season living!
  • No income or sales tax.
  • Communities which have been ranked consistently as one of the best places in the U.S. to live and work.
Why Work at Dartmouth-Hitchcock:
  • Competitive W2 base salary commensurate with experience.
  • Generous loan repayment program.
  • $10k relocation bonus.
  • Fully benefited positions through Dartmouth-Hitchcock Medical Center.
Our practice:
  • D-H is a Tertiary Care referral center with a Level-1 Trauma verification from the American College of Surgeons.
  • 60+ CRNAs - Working in an ACT Model with both an SRNA and Resident training program.
  • The Department of Anesthesiology at D-H provides anesthesia services for over 35,000 cases/year.
  • Services include, General Surgery, Trauma, Maxillofacial, Neurosurgery, Thoracic, Transplant, Vascular and Orthopedics.
Learn more.
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Nurse Anesthetist: Dartmouth-Hitchcock Medical Center, New Hampshire

Dartmouth-Hitchcock is currently seeking Certified Registered Nurse Anesthetists to join the highly anticipated state-of-the-art Ambulatory Surgical Center at Dartmouth-Hitchcock Manchester. The facility will be a well-rounded, multi-specialty surgical center. CRNAs will work in a collaborative team-based environment, where the focus will be centered on quality patient care.

About the Manchester ASC:
  • The ASC will be designed to provide 23-hour care, with six operating rooms and three procedure rooms.
  • Dynamic case mix of pediatrics and adults to include Urology, GI, ENT, Plastic, General Surgery, Breast, Pain, Gynecology, and Ortho.
  • Private Practice feel with the backing of Dartmouth-Hitchcock Medical Center, where CRNAs will work in a collaborative and supportive environment.
  • Developing team – there will be leadership opportunity and growth opportunities as the practice expands.
  • Ten-hour shifts with no weekends, no holidays and no call responsibility.
Why Work at Dartmouth-Hitchcock:
  • Competitive W2 base salary commensurate with experience.
  • $10k relocation bonus.
  • Fully benefited position through Dartmouth-Hitchcock Medical Center.
  • The quintessential New England experience – Four season living!
  • No income or sales tax.
With over 125+ physicians, Dartmouth Hitchcock Manchester is the largest multi-specialty group practice in Southern New Hampshire. Our progressive, physician-led organization utilizes a patient-focused approach to the care, treatment and also supports collaboration across programs and specialties. Having been ranked the #1 Small City and Best Place to Live and Raise a Family (Fortune and Money Magazine), Manchester is within an hour's drive to Boston, the seacoast, the lakes and mountain regions - offering something for everyone. As the largest city in New Hampshire, Manchester offers many cultural and social activities as well as strong school systems to contribute to a balanced lifestyle. Learn more.
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Healthcare Headlines

Healthcare Headlines is for informational purposes, and its content should not be interpreted as endorsements, standards of care, or position statements of the American Association of Nurse Anesthetists.

Ultrasound for Frailty Assessment Explored

Point-of-care ultrasound (POCUS) offers a safe and noninvasive way for anesthesia providers to gauge frailty, a small pilot study concludes. UCLA resident Cecilia Canales, MD, MPH, led the research, which involved 12 adult patients. Each participant underwent a preprocedural CT scan and had ultrasound measurements taken to determine the quantity and quality of their quadriceps muscles. Investigators found that both quadriceps depth and muscle mass in the psoas area correlated well with frailty. Compared with the five patients deemed to be healthy, the seven patients considered to be frail stayed longer in the hospital, had greater readmission rates, and experienced delirium and other adverse postoperative events more frequently. Between-group differences were not statistically significant, however, with one exception: discharge disposition. "We found that 100% of the nonfrail patients went home, whereas patients in the frail group were more likely to go to a skilled nursing facility," Canales reported. "In summary, using point-of-care ultrasound to measure muscle quantity and quality correlated well with frailty. Moreover, the use of ultrasound demonstrated that frail patients had a greater incidence of adverse events and outcomes.” As a bonus, she said, POCUS offers several advantages over CT imaging, including absence of radiation, widespread availability, and lower cost.

From "Ultrasound for Frailty Assessment Explored"
Anesthesiology News (03/23/20) Vlessides, Michael

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In Face of Coronavirus, Many Hospitals Cancel On-Site Training for Nursing and Med Students

The COVID-19 pandemic is taking a toll on the nation's doctors- and nurses-in-training. University campus shutdowns, combined with missed opportunities for rotations at hospitals and nursing homes, have student nurses and medical students worried about meeting the requirements for graduation. While the goal is to limit trainees' exposure, as well as to conserve masks and other personal protective equipment that are sorely needed by active providers, the result could be fewer health care workers entering the field at a time when they are in the greatest demand. "We are in unprecedented times," said Dr. John Prescott, chief academic officer of the Association of American Medical Colleges. "Medical education hasn't faced anything quite like this since the beginning of the second World War." The move to suspend clinical training reflects an abundance of caution meant to avoid a repeat of the 1918 flu pandemic—when hospitals leaned heavily on student nurses, many of whom became ill and/or died. Illustrating this fear, an instructor in Washington State has tested positive after taking a group of nursing students to the Kirkland nursing home where dozens of residents have contracted the virus and 29 have died. The students are now in self-quarantine.

From "In Face of Coronavirus, Many Hospitals Cancel On-Site Training for Nursing and Med Students"
Kaiser Health News (03/17/20) Ostrov, Barbara Feder

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Conscious Sedation Confers Better Outcomes vs. General Anesthesia in TAVR

Use of conscious sedation for transcatheter aortic valve replacement (TAVR) has increased in recent years, the record shows, and is associated with better outcomes in this setting compared with general anesthesia. Investigators analyzed 120,080 patients on the Society of Thoracic Surgery/American College of Cardiology Transcatheter Valve Therapeutics registry who underwent TAVR between 2016 and March 2019. The data revealed that conscious sedation versus general anesthesia translated to lower in-hospital mortality, shorter duration in the hospital, and more frequent discharge to home. However, compared with previous research, the new study found that the degree of benefit from conscious sedation in TAVR appears to be less than thought, likely due to confounding in the earlier projects. Also, while the technique nearly doubled from 33 percent to 64 percent over the study period, its use still varies widely. More widespread adoption, the authors conclude, would save lives, money, and health care utilization—particularly during the COVID-19 crisis and its capacity shortages. "Based on this study's findings, more effort is needed to disseminate knowledge of the benefits of conscious sedation for TAVR and encourage its use in the remaining centers performing TAVR primarily with general anesthesia," said researcher Neel M. Butala, MD, MBA, of Harvard Medical School. He and his colleagues posted their results in JACC: Cardiovascular Interventions.

From "Conscious Sedation Confers Better Outcomes vs. General Anesthesia in TAVR"
Healio (03/19/2020) Swain, Erik

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Spinal Anesthesia Is Associated with Decreased Complications After Total Knee and Hip Arthroplasty

A Cleveland Clinic-led study compared spinal anesthesia with general anesthesia for knee and hip replacement surgery. Researchers used the American College of Surgeons National Surgical Quality Improvement Program database to identify operations of each kind during the period spanning 2011 to 2016. In all, 45,871 total hip arthroplasties and 80,077 total knee arthroplasties were performed under spinal anesthesia versus 65,092 and 103,003, respectively, performed under general anesthesia. Analysis indicated that choice of anesthetic approach did not change 30-day mortality. However, there were differences in complication rates and discharge disposition between the cohorts. Patients who receive spinal anesthesia for total joint arthroplasty suffered fewer 30-day complications—both major and minor—and were less likely to be discharged to somewhere other than their home.

From "Spinal Anesthesia Is Associated with Decreased Complications After Total Knee and Hip Arthroplasty"
Journal of the American Academy of Orthopaedic Surgeons (03/01/20) Vol. 28, No. 5, P. 213 Warren, Jared; Sundaram, Kavin; Anis, Hiba; et al.

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COVID-19 Transmission 'Plausible' on Surfaces, in the Air

The virus that causes COVID-19 illness (SARS-CoV-2) lingers for hours in the air and for days on certain surfaces, scientists have discovered. Vincent Munster, PhD, with the National Institute of Allergy and Infectious Diseases, participated in research that compared SARS-CoV-2 to the closest related coronavirus, SARS-CoV-1, under five different environmental scenarios. The results revealed that the COVID-19 virus remained viable in aerosols for three hours, with infectiousness declining over time. It was less stable on copper and cardboard surfaces, but was detectable in plastic and stainless steel for as long as 72 hours before weakening. Importantly, investigators observed a number of similarities in aerosol and fomite transmission between SARS-CoV-2 and SARS-CoV-1, warning that "these forms of transmission were associated with nosocomial spread and super-spreading events" during the SARS crisis. They reported their findings in a letter to the editor published in the New England Journal of Medicine.

From "COVID-19 Transmission 'Plausible' on Surfaces, in the Air"
MedPage Today (03/17/20) Walker, Molly

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Bringing Machine Learning to the Surgical Room

New technology is in the pipeline that promises to help anesthesia providers manage hypoxemia, a surgical complication. While these professionals already monitor patients to ensure that blood oxygenation levels do not drop too low, a reliable and accurate method of predicting hypoxemia would allow them to take preventive actions and minimize patient harms. The machine learning tool known as Prescience—the brainchild of researchers at the University of Washington, Harborview Medical Center, and Seattle Children's Hospital—may finally answer that call. Developers say it predicts hypoxemia based on multiple health-related factors—including physical status, type of surgical procedure, and diagnoses—plus real-time data captured from patient monitors and anesthesia equipment. "This model that the paper developed will allow us to receive feedback from an intelligence system, based on an individual patient's history," explains Harborview's Monica Vavilala. Based on Prescience predictions, which the study indicates are more accurate than that of anesthesia providers, an at-risk patient might receive different medicines or alternative care.

From "Bringing Machine Learning to the Surgical Room"
The Daily (03/11/20) Singh, Vidhi

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News summaries © copyright 2020 SmithBucklin

Anesthesia E-ssential is an executive summary of noteworthy articles of interest to nurse anesthetists. It is distributed weekly to AANA members.

Anesthesia E-ssential is for informational purposes, and its contents should not be interpreted as endorsements, standards of care, or position statements of the American Association of Nurse Anesthetists.

If you are interested in advertising in Anesthesia E-ssential contact HealthCom Media at 215-489-7000.

For more information on AANA and Anesthesia E-ssential, contact:

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Attn: Cathy Hodson
E–ssential Editor
March 26, 2020