Pub Date : 2024-01-01Epub Date: 2024-10-28DOI: 10.26502/acc.073
Fihr Chaudhary, Devendra K Agrawal
Healthcare disparities continue to affect communities in the United States that are racially and ethnically diverse, disabled, and economically disadvantaged, even though medical and technological advancements have made great strides in these areas. Disparities in health outcomes and difficulties obtaining care for both acute and chronic illnesses are more common among these populations when compared to the overall population. Disparities in anesthesia care delivery have been documented in multiple studies, and they are based on factors such as patients' racial/ethnic background, gender, sexual orientation, ability to communicate in English, and accessibility to health insurance. Despite this, there are limited reports in academic journals on the differences in general anesthesia. This article provides a critical review of literature on racial and ethnic disparities in the use of general anesthesia for adults having obstetric, general, or pediatric surgeries, as well as for their preoperative, intraoperative, and postoperative anesthesia care.
{"title":"Racial and Ethnic Disparity in the Administration of General Anesthesia.","authors":"Fihr Chaudhary, Devendra K Agrawal","doi":"10.26502/acc.073","DOIUrl":"10.26502/acc.073","url":null,"abstract":"<p><p>Healthcare disparities continue to affect communities in the United States that are racially and ethnically diverse, disabled, and economically disadvantaged, even though medical and technological advancements have made great strides in these areas. Disparities in health outcomes and difficulties obtaining care for both acute and chronic illnesses are more common among these populations when compared to the overall population. Disparities in anesthesia care delivery have been documented in multiple studies, and they are based on factors such as patients' racial/ethnic background, gender, sexual orientation, ability to communicate in English, and accessibility to health insurance. Despite this, there are limited reports in academic journals on the differences in general anesthesia. This article provides a critical review of literature on racial and ethnic disparities in the use of general anesthesia for adults having obstetric, general, or pediatric surgeries, as well as for their preoperative, intraoperative, and postoperative anesthesia care.</p>","PeriodicalId":520377,"journal":{"name":"Anesthesia and critical care (Houston, Tex.)","volume":"6 4","pages":"68-76"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01Epub Date: 2024-10-23DOI: 10.26502/acc.071
Fihr Chaudhary, Devendra K Agrawal
Anesthesiologists and the critical care team may be at increased risk of contracting severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2, COVID-19) due to airway manipulations and intubations performed during anesthesia administration and management of patient undergoing surgery. SARS-CoV-2 infections have been reported among healthcare workers. The virus is transmitted by close personal contact and aerosols. During intubation and other procedures involving the airway, the anesthesiologist is especially susceptible to aerosols. We performed a systematic analysis of the published reports on potential effects of COVID-19 during surgery on the anesthesiologist and critical care team. and identified potential immunomodulatory effects of general anesthetics in the presence of COVID-19 infection in patients. The article also provides critical discussion on the current medical management of COVID-19 and highlights the evidence-based key points for a safer practice during anesthesia administration and surgeries both in children and adults, including obstetric procedures and how it could affect pregnant women receiving anesthesia. With regional anesthesia, airway manipulation is not necessary, and healthcare workers and other patients are less likely to contract the same infection.
{"title":"Strategies to Minimize Virus Transmission During Anesthesia Procedures in COVID-19 Patients.","authors":"Fihr Chaudhary, Devendra K Agrawal","doi":"10.26502/acc.071","DOIUrl":"10.26502/acc.071","url":null,"abstract":"<p><p>Anesthesiologists and the critical care team may be at increased risk of contracting severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2, COVID-19) due to airway manipulations and intubations performed during anesthesia administration and management of patient undergoing surgery. SARS-CoV-2 infections have been reported among healthcare workers. The virus is transmitted by close personal contact and aerosols. During intubation and other procedures involving the airway, the anesthesiologist is especially susceptible to aerosols. We performed a systematic analysis of the published reports on potential effects of COVID-19 during surgery on the anesthesiologist and critical care team. and identified potential immunomodulatory effects of general anesthetics in the presence of COVID-19 infection in patients. The article also provides critical discussion on the current medical management of COVID-19 and highlights the evidence-based key points for a safer practice during anesthesia administration and surgeries both in children and adults, including obstetric procedures and how it could affect pregnant women receiving anesthesia. With regional anesthesia, airway manipulation is not necessary, and healthcare workers and other patients are less likely to contract the same infection.</p>","PeriodicalId":520377,"journal":{"name":"Anesthesia and critical care (Houston, Tex.)","volume":"6 4","pages":"48-59"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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