Anesthesia Care Transitions and Risk of Postoperative Complications

Anesthesia and Analgesia
Joseph A HyderVictor M Montori

Abstract

A patient undergoing surgery may receive anesthesia care from several anesthesia providers. The safety of anesthesia care transitions has not been evaluated. Using unconditional and conditional multivariable logistic regression models, we tested whether the number of attending anesthesiologists involved in an operation was associated with postoperative complications. In a cohort of patients undergoing elective colorectal surgical in an academic tertiary care center with a stable anesthesia care team model participating in the American College of Surgeons National Surgical Quality Improvement Program, using unconditional and conditional multivariable logistic regression models, we tested adjusted associations between numbers of attending anesthesiologists and occurrence of death or a major complication (acute renal failure, bleeding that required a transfusion of 4 units or more of red blood cells within 72 hours after surgery, cardiac arrest requiring cardiopulmonary resuscitation, coma of 24 hours or longer, myocardial infarction, unplanned intubation, ventilator use for 48 hours or more, pneumonia, stroke, wound disruption, deep or organ-space surgical-site infection, superficial surgical-site infection, sepsis, septic shock,...Continue Reading

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Citations

Sep 7, 2016·Surgical Infections·Brendan T WantaJoseph A Hyder
Jan 25, 2017·Current Opinion in Anaesthesiology·Jean Marty, Emmanuel Samain
Mar 7, 2018·The Clinical Teacher·Susan C LeeAlice O'Brien
Nov 20, 2016·Anesthesia and Analgesia·David B Wax, Patrick J McCormick
Apr 18, 2019·Anesthesia and Analgesia·Aalok V AgarwalaJeffrey B Cooper
Dec 19, 2015·Anesthesia and Analgesia·Meghan B Lane-Fall
Dec 5, 2019·International Anesthesiology Clinics·Elizabeth H LazzaraMeghan B Lane-Fall
Jul 29, 2016·Anesthesiology·Maxim A TerekhovJonathan P Wanderer
Jun 7, 2018·JAMA : the Journal of the American Medical Association·Philip M JonesDuminda N Wijeysundera
Dec 9, 2020·BMJ Quality & Safety·Thomas KannampallilJoanna Abraham
May 11, 2020·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Jiale HuSuzanne Wright
Mar 12, 2021·Der Anaesthesist·Christina MassothUNKNOWN HandiCAP Investigators
Apr 8, 2021·Der Anaesthesist·Christina Massoth, Melanie Meersch
May 26, 2021·Anesthesia and Analgesia·Joanna AbrahamThomas Kannampallil
Jul 10, 2021·British Journal of Anaesthesia·Rachel N DouglasKaren B Domino
Aug 23, 2021·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Thomas Kannampallil, Joanna Abraham

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