National Incidence of Use of Monitored Anesthesia Care

Bayman, Emine O.; Dexter, Franklin; Laur, John J.; Wachtel, Ruth E.

doi:10.1097/sa.0b013e318242c0e9

Cited by 9 publications

(12 citation statements)

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“…Second, the number of anesthetics used in our analysis should closely correlate with any measure based on units. [1][2][3][4] There were 8 cohorts of "opt-out" states: states opt- For each cohort, we calculated the average annual anesthesia utilization rate in the 3 years before and the 3 years after "opt-out." We then calculated the percentage change in the anesthesia utilization rate and compared this change against the change among non-"opt-out" states during the same time period.…”

Section: Methodsmentioning

confidence: 99%

In the United States, “Opt-Out” States Show No Increase in Access to Anesthesia Services for Medicare Beneficiaries Compared with Non–“Opt-Out” States

Sun

Miller

Halzack³

2016

A & A Case Reports

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In the United States, anesthesia care can be provided by anesthesiologists or nurse anesthetists. Since 2001, 17 states have exercised their right to "opt-out" of the federal requirement that a physician supervise the administration of anesthesia by a nurse anesthetist, with the majority citing increased access to anesthesia care as the rationale for their decision. By using Medicare data, we found that most (4 of 5) cohorts of "opt-out" states likely experienced smaller growth in anesthesia utilization rates compared with non-"opt-out" states, suggesting that opt-out was not associated with an increase in access to anesthesia care.

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Section: Methodsmentioning

confidence: 99%

In the United States, “Opt-Out” States Show No Increase in Access to Anesthesia Services for Medicare Beneficiaries Compared with Non–“Opt-Out” States

Sun

Miller

Halzack³

2016

A & A Case Reports

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“…17 Although there is little doubt that this is a huge development, it remains unclear whether this development is one we want, one we follow or one we undergo. How should we control the growth of this activity?…”

Section: Consequences Of the Improvement In Anaesthesia Safetymentioning

confidence: 97%

The challenges of anaesthesia for the next decade

Clergue

2015

European Journal of Anaesthesiology

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“…The final data set contained 160,207 cases in adults of 1,253 elective procedures (table 1). 15,18,19 …”

Section: Methodsmentioning

confidence: 99%

“…† Many hospitals have ophthalmology as the second-most-common specialty by numbers of cases after nonoperating room (e.g., endoscopy), since cataract surgery cases are so brief. 15,18,19 However, no ophthalmology cases were included because cataract and retinal surgery was not performed at the hospital. There was a separate facility for ophthalmology and those cases are done by a different anesthesia group without an anesthesia information management system.…”

Section: Statisticsmentioning

confidence: 99%

Systematic Criteria for Type and Screen Based on Procedure's Probability of Erythrocyte Transfusion

Dexter¹,

Ledolter

Davis

et al. 2012

Anesthesiology

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Background: At many hospitals, the type and screen decision is guided by the hospital's maximum surgical blood order schedule, a document that includes for each scheduled (elective) surgical procedure a recommendation of whether a preoperative type and screen be performed. There is substantial heterogeneity in the scientific literature for how that decision should be made. Methods: Anesthesia information management system data were retrieved from the 160,207 scheduled noncardiac cases in adults of 1,253 procedures at a hospital. Results: Neither assuming a Poisson distribution of mean erythrocyte units transfused, nor grouping rare procedures into larger groups based on their anesthesia Current Procedural Terminology code, was reliable. In contrast, procedures could be defined to have minimal estimated blood loss (less than 50 ml) based on low incidence of transfusion and low incidence of the hemoglobin being checked preoperatively. Among these procedures, when the lower 95% confidence limit

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National Incidence of Use of Monitored Anesthesia Care

Cited by 9 publications

References 0 publications

In the United States, “Opt-Out” States Show No Increase in Access to Anesthesia Services for Medicare Beneficiaries Compared with Non–“Opt-Out” States

In the United States, “Opt-Out” States Show No Increase in Access to Anesthesia Services for Medicare Beneficiaries Compared with Non–“Opt-Out” States

The challenges of anaesthesia for the next decade

Systematic Criteria for Type and Screen Based on Procedure's Probability of Erythrocyte Transfusion

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