A recent postoperative pain study sponsored by AcelRx Pharmaceuticals has demonstrated the safety and efficacy of sublingual sufentanil for controlling moderate to severe acute postoperative pain. AcelRx has an Investigational New Drug (IND) application with the U.S. Food and Drug Administration (FDA) to prove that sublingual sufentanil mini tablets are safe and efficacious in the treatment of moderate to severe acute postoperative pain. The sponsor approached Sheridan Clinical Research in April, 2016 about participating in this multicenter, randomized study of its 30-mcg sublingual sufentanil tablet, which must be administered by a healthcare professional. Sheridan anesthesiologist Juan Restrepo, MD, who had participated...
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Category Archives: Anesthesia
15 December 2016
Opioid abuse remains a devastating public health concern, and the health care community has grappled with its role in the crisis and medical professionals’ responsibility to patients struggling with substance use. U.S. Surgeon General Vivek Murthy has responded with a report released last month analyzing the current opioid crisis and providing several recommendations for treating and preventing substance use disorders. These recommendations include:
1. Eliminate stigma
Misconceptions and negative judgments about people with substance use disorder abound, and the report stresses that even medical professionals are not immune to seeing addiction as a “moral failing or character...
14 December 2016
Even simple, inexpensive changes can have a big impact on solving challenging problems. A great example is the University of Florida (UF) College of Medicine successful initiative that dramatically reduced blood product waste and saved the hospital nearly $20,000 in five months, just by replacing text-heavy instruction labels for blood transport coolers with intuitive, icon-based labels.
A multidisciplinary committee comprising blood bank staff, anesthesiology staff and operating room managers determined that a significant cause of operating room blood product waste was units that were stored and/or returned outside the required temperature range established by the American Association of Blood Banks (AABB), according to...
13 December 2016
Now more than ever, hospitals and ambulatory surgery centers are seeking anesthesia partners capable of driving positive change in their operating rooms. However, for many anesthesia providers, there are hurdles that must be overcome before such change can be realized.
Anesthesia groups of any size, regardless of their financial strength, can employ proven strategies to ensure the success of facility-wide patient care improvement initiatives. Here are five such strategies that Dr. Adam Blomberg, Sheridan’s national education director, has found to be effective.Collaborate with nursing and surgeons on incremental steps toward larger improvements
Securing the buy-in of nursing and surgical staff is...
6 December 2016
The American Society of Anesthesiologists (ASA) annual meeting has been the world’s most comprehensive anesthesia-related educational event for the past 66 years. ANESTHESIOLOGY 2016, held October 22-26 in Chicago, Illinois, attracted more than 15,000 anesthesia professionals from more than 90 countries, including physician anesthesiologists, nurse anesthetists, anesthesiologist assistants, respiratory therapists and pharmacists. Attendees participated in their choice of more than 600 educational sessions spanning 12 clinical tracks. The more than 100 world-class presenters, anesthesiology thought leaders, included 16 Sheridan physicians.
Eight Sheridan physicians and physician leaders presented nine of the topical...
3 November 2016
Sheridan is proud that the cover of the AANA Journal’s October issue features a photo of Sheridan Certified Registered Nurse Anesthetist (CRNA) Jobina Ruiz setting up for an obstetric fistula repair surgery in Rwanda. Ruiz participated in a global anesthesia immersion experience in Rwanda with the International Organization for Women and Development (IOWD) at the beginning of this year, when she was a student registered nurse anesthetist at Northeastern University. The IOWD is a non-profit organization that, among other things, provides free treatment and care to Rwandan patients suffering from obstetric fistulae, gynecologic and pelvic floor disorders. Ruiz, who was invited to participate in the mission at the invitation...
28 October 2016
For an outsider looking in, a clinical Kaizen event may appear chaotic. Consisting of individuals well-versed in the sequence and flow of clinical processes, clinical Kaizen teams are charged with the task of deconstructing, analyzing and reconstructing critical workflows to maximize the creation of value for the patient. With its roots in the Toyota Production System, Kaizen provides cross-functional teams with a structured approach to process decomposition and waste reduction by allowing the team to systematically analyze process performance in an objective and comprehensive fashion. In practice, this typically involves engaging in activities, such as value-stream mapping, “trystorming,” simulation and direct...
24 October 2016
The shift to value-based care and the imminent implementation of MACRA have made efficiency healthcare’s new mantra, and U.S. hospitals and healthcare systems have made operating rooms a high-priority target for optimization. ORs in U.S. hospitals generate about 70% of a hospital’s revenues and operate at a staffed-capacity utilization of 60-70% and OR time costs roughly $80 an hour, so it’s not surprising that metrics like on-time starts, turnover times, same-day cancellations and OR under- and overutilization are under scrutiny. But speed is not the same thing as efficiency, and the faster OR teams work, the greater the risk of something going wrong.
Dr. Adam Blomberg, National Education...
19 October 2016
The annual three-day Sheridan Leadership Conference is Sheridan Leadership Academy’s flagship event. This year’s conference took place Sept. 30-Oct. 2 in Orlando, Florida and was attended by nearly 600 physician and allied health leaders.
Strengthening the Core
President of Physician Services Robert Coward and CEO Chris Holden provided opening remarks and introduced this year’s conference theme, “Strengthening the Core,” which focused on the key attributes required to succeed as a Sheridan clinical leader. Throughout the conference, each service line held multiple breakout sessions to promote discussion and knowledge sharing of topics related to the...
19 September 2016
The ongoing drug shortage crisis in the U.S. is sending prices for some medications skyrocketing, forcing hospitals and physicians to scramble for alternatives and threatening the safety of patients. These shortages have been causing major problems nationwide for several years, but the causes are complex and not easily fixed, and doctors, hospitals, health systems and acute-care facilities continue to struggle to find effective workarounds.
The number of drugs in short supply in this country has more than tripled in the past decade. Since 2012 when the Food and Drug Administration Safety and Innovation Act (FDASIA) took effect, that number has decreased overall. Yet shortages of drugs commonly used for unscheduled acute...
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- Women's and Children's