Complete handover of anesthesia care may up complications

January 10, 2018

(HealthDay)—Complete handover of intraoperative anesthesia care is associated with an increased risk of adverse postoperative outcomes among adults undergoing major surgery, according to a study published in the Jan. 9 issue of Journal of the American Medical Association.

In a of adult patients undergoing major surgeries, Philip M. Jones, M.D., from the University of Western Ontario in London, Canada, and colleagues examined whether complete handover of intraoperative anesthesia care is associated with the likelihood of complications compared with no handover. Data were included for 313,066 patients from April 1, 2009, to March 31, 2015.

The researchers found that 1.9 percent of patients underwent surgery with complete handover of anesthesia care from one physician anesthesiologist to another. There was an increase in the percentage of patients with a handover of anesthesiology care each year, reaching 2.9 percent in 2015. The primary outcome (composite of all-cause death, , or major postoperative complications within 30 postoperative days) occurred in 44 and 29 percent of the complete-handover and no-handover groups, respectively, in the unweighted sample. After adjustment, complete handovers were correlated with a significantly increased risk of the primary outcome and with all-cause death and major complications but not hospital readmission.

"Complete handover of intraoperative anesthesia care compared with no handover was associated with a higher risk of adverse postoperative outcomes," the authors write. "These findings may support limiting complete handovers."

Explore further: Longer anesthesia duration tied to more surgical complications

More information: Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Related Stories

Longer anesthesia duration tied to more surgical complications

October 9, 2017
(HealthDay)—Increased anesthesia duration is associated with significantly increased rates of surgical complications, especially the need for postoperative transfusion, among patients undergoing microvascular reconstruction ...

Protocolized handover process sustainable for reducing errors

March 24, 2016
(HealthDay)—A protocolized handover process correlates with a sustained reduction in the number of errors for children being transferred to the intensive care unit (ICU) after cardiac surgery, according to a study published ...

ASA: opioid-free anesthesia feasible for surgical procedures

October 24, 2017
(HealthDay)—Opioid-free anesthesia is feasible and well-tolerated, and only 36 percent of patients requested oral opioids in the post-anesthesia care unit (PACU), according to a study presented at the annual meeting of ...

People tend to overestimate pain from surgery

November 3, 2017
(HealthDay)—Many patients overestimate the amount of pain they'll experience after surgery, resulting in needless anxiety, a new study reports.

Individualized SBP tx cuts risk for post-op organ dysfunction

September 27, 2017
(HealthDay)—Management targeting an individualized systolic blood pressure (SBP) is associated with reduced risk of organ dysfunction among patients undergoing major surgery who are at increased risk of postoperative complications, ...

Femtosecond laser safer for post-vitrectomy cataract surgery

December 20, 2017
(HealthDay)—Femtosecond laser-assisted cataract surgery demonstrates comparable visual outcomes to conventional phacoemulsification, with a trend toward better intraoperative and postoperative safety, according to a study ...

Recommended for you

Antibodies may predict transplant rejection risk

June 19, 2018
The presence of certain antibodies in patients may suggest a higher risk of transplant rejection across multiple organ types, including the kidney, liver, heart and lungs, according to a new study published in PLOS Medicine.

Surgical blood transfusions tied to clot risk

June 13, 2018
(HealthDay)—Blood transfusions around the time of surgery may raise your risk for dangerous blood clots, researchers say.

Tonsil and adenoid removal associated with respiratory, allergic and infectious disease

June 7, 2018
Tonsil and adenoid removal associated with long-term risks of respiratory, allergic and infectious diseases Removing tonsils and adenoids in childhood increases the long-term risk of respiratory, allergic and infectious diseases, ...

Clues found to early lung transplant failure

May 21, 2018
Among organ transplant patients, those receiving new lungs face a higher rate of organ failure and death compared with people undergoing heart, kidney and liver transplants. One of the culprits is inflammation that damages ...

In breakthrough, surgeon builds windpipes from arteries

May 20, 2018
Where others failed, sometimes spectacularly, French surgeon Emmanuel Martinod has helped people whose windpipes have been ravaged by cancer and other diseases to live and breathe normally again.

Blood type O patients may have higher risk of death from severe trauma

May 1, 2018
Blood type O is associated with high death rates in severe trauma patients, according to a study published in the open access journal Critical Care that involved 901 Japanese emergency care patients.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.