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Types of anesthesia care providers subject of recent study - General Sessions - Brief Article

AORN Journal,  June, 2003  

Although some patients may prefer to have anesthesia administered by an anesthesiologist, administration of anesthesia by a certified RN anesthetist (CRNA) is just as safe, according to a recent article in the AANA Journal. Researchers reviewed Medicare data and the mortality rates from more than 400,000 procedures to determine whether an anesthesiologist alone, a CRNA alone, or a team of an anesthesiologist and a CRNA performed better.

Study results showed no significant difference in risk-adjusted mortality rates by type of anesthesia care provider. Emergency and other high-risk procedures were excluded from the study, thereby increasing the probability that coexisting serious acute conditions were not present at the time of surgery.

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The study, however, has some limitations. Non-Medicare cases were not included, and Medicare data may not capture the true preoperative risk of death. Also, the Medicare database does not permit precise identification of cause of death.

M Pine, K D Holt, Y Lou, "Surgical mortality and type of anesthesia provider," AANA Journal 71 (April 2003) 109-116.

COPYRIGHT 2003 Association of Operating Room Nurses, Inc.
COPYRIGHT 2003 Gale Group