Related Experiment Video
Updated: Dec 21, 2025
05:39
Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
2.1K
Adverse Outcomes Associated With Intraoperative Anesthesia Handovers: A Systematic Review and Meta-analysis
Jiale Hu1, Yan Yang2, Xiaoxue Li3
1Department of Nursing, Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China; Department of Nurse Anesthesia, Virginia Commonwealth University, Richmond, Virginia, USA.
Summary
Intraoperative anesthesia handovers increase the risk of composite morbidity in surgical patients. Improving handover quality and avoiding them in high-risk situations is crucial for patient safety.
Area of Science:
- Anesthesiology
- Patient Safety
- Health Services Research
Background:
- Intraoperative anesthesia handover practices are common but their impact on patient outcomes is not well-established.
- Effective communication during patient care transitions is vital for preventing adverse events.
Purpose of the Study:
- To systematically review and meta-analyze the association between intraoperative anesthesia handover and adverse patient outcomes.
- To synthesize evidence on how anesthesia handovers affect patient care delivery and surgical outcomes.
Main Methods:
- Systematic review and meta-analysis of seven retrospective cohort studies.
- Included studies examined associations between intraoperative anesthesia handover and adverse outcomes.
- Methodological quality assessed using the Newcastle-Ottawa Scale; meta-analysis performed using Review Manager.
Main Results:
- Seven studies with 680,155 patients were included; 20.49% experienced anesthesia handovers.
- Each additional intraoperative anesthesia handover was significantly associated with increased composite morbidity (aOR 1.20, 95% CI 1.12-1.28).
- No significant association found between handovers and composite mortality/morbidity or in-hospital mortality.
Conclusions:
- Intraoperative anesthesia handovers are linked to a higher likelihood of composite morbidity.
- Recommendations include enhancing handover quality and avoiding them during high-risk events or unstable patient status.
Related Concept Videos
01:24General Anesthesia: Overview
491
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
491
01:25Types of Reports I: Hands-off Report
1.4K
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
1.4K
01:24Parenteral Anesthetics: Overview
503
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
503
01:12Local Anesthetics: Adverse Effects
693
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
693
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
194
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
194
01:22Stages of General Anesthesia
1.3K
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
1.3K