Explanipedia

Does Anesthesia Provider Type Affect Veteran Satisfaction With Care? Open

Kevin N. Griffith, Julia J. Harris, Jeffrey R Darna, Richard P. Dutton · 2025

Importance: Anesthesia care is delivered by Certified Registered Nurse Anesthetists (CRNAs) working independently, physician anesthesiologists working alone, and anesthesia care teams with CRNAs supervised by physician anesthesiologists. T…

Limited National Potential for Reducing Anesthesia Clinician Staffing for Cataract Surgery: A Historical Cohort Study Using a Large United States Anesthesia Registry Open

Richard H. Epstein, Franklin Dexter, Steven Gayer, Richard P. Dutton · 2025

Background Cataract surgery, the most frequently performed surgical procedure worldwide, is increasing, with many patients receiving intravenous sedation by anesthesia clinicians. Given anesthesia clinician shortages and ambulatory surgery…

Statistical Power Analyses for Quantifying the Similarity of Categories of Surgical Procedures Among Pairs of Hospitals and Ambulatory Facilities Open

Franklin Dexter, Richard H. Epstein, Richard P. Dutton, Rachel A. Hadler · 2025

Disparities in Anti-emetic Prophylaxis Care Processes are Predicted by Patient Neighborhood: A Retrospective Cohort and Geospatial Analysis Open

Jiuying Han, Neng Wan, Cameron K. Jacobson, Nathan L. Pace, Cade K. Kartchner , et al. · 2024

Background Social Determinants of Health (SDoH) continue to drive persistent disparities in perioperative care. Our team has previously demonstrated racial and socioeconomic disparities in perioperative processes, notably in the administra…

Strategies to Limit Benzodiazepine Use in Anesthesia for Older Adults Open

Mark D. Neuman, Rui Feng, Aesha S. Shukla, Xiaoyan Han, Annamarie D. Horan , et al. · 2024

Importance Despite guidelines recommending avoidance of benzodiazepine administration to older patients, many of them now receive benzodiazepines as a part of anesthesia care. The effectiveness of clinician- and patient-facing intervention…

Early exposure to anesthesiology: a summer preceptorship program for first-year medical students Open

S Long, Cole Sorrels, Richard I. Cook, Sergio Murillo, Richard P. Dutton , et al. · 2024

This program accelerates clinical exposure for preclerkship students, providing insights into anesthesiology early in their medical journey. It provides research and mentorship, fosters professional growth, and enhances individual competit…

American Association for the Surgery of Trauma/American College of Surgeons Committee on Trauma: Clinical protocol for damage-control resuscitation for the adult trauma patient Open

Lacey N. LaGrone, Deborah M. Stein, Christopher Cribari, Krista L. Kaups, Charles Harris , et al. · 2023

Damage-control resuscitation in the care of critically injured trauma patients aims to limit blood loss and prevent and treat coagulopathy by combining early definitive hemorrhage control, hypotensive resuscitation, and early and balanced …

Intraoperative hypotension in ambulatory surgery centers Open

Wael Saasouh, Anna L. Christensen, Desirée Chappell, Josh Lumbley, Brian Woods , et al. · 2023

There was substantial occurrence of IOH in ASCs, similar to that described in academic hospital settings in previous literature. We hypothesize that this may reflect clinician preference not to intervene in perceived healthy patients or as…

Incidence of intraoperative hypotension during non-cardiac surgery in community anesthesia practice: a retrospective observational analysis Open

Wael Saasouh, Anna L. Christensen, Fei Xing, Desirée Chappell, Josh Lumbley , et al. · 2023

Background Intraoperative hypotension (IOH) is well-described in the academic setting but not in community practice. IOH is associated with risk of postoperative morbidity and mortality. This is the first report of IOH in the community set…

Incidence of Intraoperative Hypotension during Non-cardiac Surgery in Community Anesthesia Practice: A retrospective observational analysis Open

Wael Saasouh, Anna L. Christensen, Fei Xing, Desirée Chappell, Josh Lumbley , et al. · 2023

Background : Intraoperative hypotension (IOH) is well-described in the academic setting but not in community practice. IOH is associated with risk of postoperative morbidity and mortality. This is the first report of IOH in the community s…

2023 American Society of Anesthesiologists Practice Guidelines for Monitoring and Antagonism of Neuromuscular Blockade: A Report by the American Society of Anesthesiologists Task Force on Neuromuscular Blockade Open

Stephan R. Thilen, Wade A. Weigel, Michael M. Todd, Richard P. Dutton, Cynthia A. Lien , et al. · 2022

These practice guidelines provide evidence-based recommendations on the management of neuromuscular monitoring and antagonism of neuromuscular blocking agents during and after general anesthesia. The guidance focuses primarily on the type …

Contemporary anesthesia practice for cataract surgery: analysis of the National Anesthesia Clinical Outcomes Registry Open

Anthony Phero, Richard P. Dutton, Catherine L. Chen, Elizabeth L. Whitlock · 2022

Phero, Anthony BS; Dutton, Richard P. MD, MBA; Chen, Catherine L. MD, MPH; Whitlock, Elizabeth L. MD, MSc Author Information

Association Between the COVID-19 Pandemic and Insurance-Based Disparities in Mortality After Major Surgery Among US Adults Open

Laurent G. Glance, Andrew W. Dick, Ernie Shippey, Patrick J. McCormick, Richard P. Dutton , et al. · 2022

In this cross-sectional study, the first wave of the COVID-19 pandemic was associated with a higher risk of mortality after surgery in hospitals with more than 25.0% of patients with COVID-19. However, the pandemic was not associated with …

Rapid Growth in NORA Will Continue: Science Must Follow! Open

Richard P. Dutton · 2022

Association Between the COVID-19 Pandemic and Disparities in Access to Major Surgery in the US Open

Laurent G. Glance, Eeshwar K Chandrasekar, Ernie Shippey, Patricia W. Stone, Richard P. Dutton , et al. · 2022

In this cross-sectional study, the CMS's moratorium on nonessential operations was associated with a 51% reduction in elective operations. It was not associated with greater reductions in operations for racial minority individuals than for…

Scaling up quality in an anesthesia practice Open

Richard P. Dutton, Thomas H Swygert, Matthew Maloney, Mo Azam, D Kurt Jones , et al. · 2022

The resources necessary to improve anesthesia quality and meet reimbursement and regulatory thresholds are scarce, particularly for smaller practices. We examined how small practice integration into a firm with greater resources can facili…

December Is Coming: A Time Trend Analysis of Monthly Variation in Adult Elective Anesthesia Caseload across Florida and Texas Locations of a Large Multistate Practice Open

Anastasia P. Piersa, Avery Tung, Richard P. Dutton, Sajid Shahul, David B. Glick · 2021

Background Anesthesia staffing models rely on predictable surgical case volumes. Previous studies have found no relationship between month of the year and surgical volume. However, seasonal events and greater use of high-deductible health …

The Merit-Based Incentive Payment System and Quality—Is There Value in the Emperor’s New Clothes? Open

Richard P. Dutton · 2021

Laurent G. Glance, MD; Caroline P. Thirukumaran, MBBS, MHA, PhD; Changyong Feng, PhD; Stewart J. Lustik, MD, MBA; Andrew W. Dick, PhD

The Quality Improvement Challenge: A Practical Guide for Clinicians Open

Richard P. Dutton · 2021

The full title of this book from Richard J. Banchs, M.D., and Michael R. Pop, S.S.M.B., M.B.A., says it all: The Quality Improvement Challenge: A Practical Guide for Clinicians. The authors have done an admirable job of creating a readable…

Trends in personal protective equipment use by clinicians performing airway procedures for patients with coronavirus disease 2019 in the USA from the intubateCOVID registry Open

Timothy G. Gaulton, Mark D. Neuman, Timothy G. Gaulton, Mark D. Neuman, Meghan B. Lane‐Fall , et al. · 2021

Preface Open

Laurence C. Torsher, Richard P. Dutton, Thomas M McLoughlin, Francis V. Salinas · 2020

COVID-19 and Trauma Care: Improvise, Adapt, and Overcome! Open

Richard P. Dutton, Thomas E. Grissom, Frank Herbstreit · 2020

See Article, p 326 The global coronavirus pandemic has affected every aspect of modern life, including health care, yet few specialties are so directly affected as trauma anesthesiology. Quieter city streets with less vehicular traffic hav…

Anesthesia Practice on the Rise Open

Richard P. Dutton, Thomas M McLoughlin, Francis V. Salinas, Laurence C. Torsher · 2019

Impact of Choice of Risk Model in Perioperative Guidelines: Reply Open

Laurent G. Glance, Eric Faden, Richard P. Dutton, Stewart J. Lustik, Yue Li , et al. · 2019

We thank Drs. Cohn and Fernandez Ros for their careful review of our study examining the “Impact of the Choice of Risk Model for Identifying Low-risk Patients Using the 2014 American College of Cardiology/American Heart Association Periope…

Prolonged Anesthetic Exposure in Children and Factors Associated With Exposure Duration Open

Caleb Ing, Xiaoyue Ma, Anna J. Klausner, Richard P. Dutton, Guohua Li · 2018

Introduction: Anesthetic exposure duration has come under scrutiny because of a Food and Drug Administration warning against prolonged use of anesthesia in children, defined as exposures longer than 3 hours. Methods: Data for 2,613,344 ped…

Comparison of Anesthesia Times and Billing Patterns by Anesthesia Practitioners Open

Eric Sun, Richard P. Dutton, Anupam B. Jena · 2018

In this study, findings suggest that anesthesia practitioners with the highest tendency to report anesthesia times ending in a multiple of 5 minutes did so with high frequency, which reflects anomalous billing. These practitioners also sou…

Impact of the Choice of Risk Model for Identifying Low-risk Patients Using the 2014 American College of Cardiology/American Heart Association Perioperative Guidelines Open

Laurent G. Glance, Eric Faden, Richard P. Dutton, Stewart J. Lustik, Yue Li , et al. · 2018

Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New Background The 2014 American College of Cardiology Perioperative Guideline recommends risk stratifying patients scheduled to undergo noncardi…

Trauma Hemostasis and Oxygenation Research Network position paper on the role of hypotensive resuscitation as part of remote damage control resuscitation Open

Tom Woolley, Patrick Thompson, Emrys Kirkman, Richard Reed, Sylvain Ausset , et al. · 2018

The Trauma Hemostasis and Oxygenation Research (THOR) Network has developed a consensus statement on the role of permissive hypotension in remote damage control resuscitation (RDCR). A summary of the evidence on permissive hypotension foll…

HEALTHCARE DISPARITIES IN THE PERIOPERATIVE SETTING: AN ANALYSIS OF THE NATIONAL ANAESTHESIA CLINICAL OUTCOMES REGISTRY Open

Jing Song, Iyabo O. Muse, Adrian Liau, Richard P. Dutton, Vilma Joseph · 2017

Trends in Pain Medicine Liability Open

Kelly A. Pollak, Linda S. Stephens, Karen L. Posner, James P. Rathmell, Dermot R. Fitzgibbon , et al. · 2015

Abstract In a review of the Anesthesia Closed Claims Project database, the proportion of malpractice claims in pain medicine increased from 3% in 1980–1989 to 18% in 2000–2012, accompanied by increasing severity of injury, including death …

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