Anesthesia Care Team Composition and Surgical Outcomes

Anesthesiology
Eric C SunLaurence C Baker

Abstract

WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: In the United States, anesthesia care can be provided by an anesthesia care team consisting of nonphysician providers (nurse anesthetists and anesthesiologist assistants) working under the supervision of a physician anesthesiologist. Nurse anesthetists may practice nationwide, whereas anesthesiologist assistants are restricted to 16 states. To inform policies concerning the expanded use of anesthesiologist assistants, the authors examined whether the specific anesthesia care team composition (physician anesthesiologist plus nurse anesthetist or anesthesiologist assistant) was associated with differences in perioperative outcomes. A retrospective analysis was performed of national claims data for 443,098 publicly insured elderly (ages 65 to 89 yr) patients who underwent inpatient surgery between January 1, 2004, and December 31, 2011. The differences in inpatient mortality, spending, and length of stay between cases where an anesthesiologist supervised an anesthesiologist assistant compared to cases where an anesthesiologist supervised a nurse anesthetist were estimated. The approach used a quasirandomization technique known as instrumental variables to reduce confounding. The...Continue Reading

References

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Citations

Jul 6, 2018·Anesthesiology·Richard P Dutton
Jan 16, 2019·JAMA Network Open·Eric C SunAnupam B Jena
Jun 6, 2020·JACC. Cardiovascular Interventions·N Patrick Mayr
Sep 9, 2020·British Journal of Anaesthesia·Wilton A van KleiJ Robert Sneyd

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