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

Surgical adhesions can be treated, prevented in mice

November 28, 2018
A cellular culprit—as well as a possible treatment—for a common, sometimes life-threating post-surgical complication has been identified by researchers at the Stanford University School of Medicine.

Cost and weight-loss potential matter most to bariatric surgery patients

November 28, 2018
A JAMA Surgery study found that patients are likely to base their weight loss surgery choice on expected out-of-pocket costs, and how much weight they can lose—not risk of complications or recovery time.

Treating spinal pain with replacement discs made of 'engineered living tissue' moves closer to reality

November 21, 2018
For the first time, bioengineered spinal discs were successfully implanted and provided long-term function in the largest animal model ever evaluated for tissue-engineered disc replacement. A new Penn Medicine study published ...

Screening for colorectal cancer spares male patients from intense treatments

November 21, 2018
While screening for colorectal cancer does not reduce mortality, it does reduce the need for chemotherapy and emergency surgeries among male patients, according to a recent Finnish study.

Rapid response inpatient education boosts use of needed blood-thinning drugs

November 16, 2018
A new study designed to reach hospitalized patients at risk shows that a "real-time" educational conversation, video or leaflet can lower the missed dose rates of drugs that can prevent potentially lethal blood clots in their ...

Race plays role in regaining weight after gastric bypass surgery

November 15, 2018
African Americans and Hispanic Americans who have undergone Roux-en-Y gastric bypass (RYGB) are at greater risk to regain weight as compared to Caucasians. To date, no study has addressed the effect of race on weight regain ...

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.