CRNA or Anesthesiologist – Any Difference in Care ?

Cochrane Summaries   July 2014
Physician anaesthetists versus nurse anaesthetists for surgical patients     

Conclusion: As none of the data were of sufficiently high quality and the studies presented inconsistent findings, we concluded that it was not possible to say whether there were any differences in care between medically qualified anaesthetists and nurse anaesthetists from the available evidence.

Despite the Cochrane Collaboration conclusion, the American Society of Anesthesiologists (ASA) reached a very different conclusion:


Interestingly,  science and physician related websites who were quick to publish the ASA’s public relations opinion have since retracted this blatant PR piece.

An anesthesiologist’s perspective:

“The inability to document the superiority of anesthesiologists versus CRNA’s in the final result doesn’t exactly conform to the screaming headline the ASA is trying to plaster all over the internet. Is the ASA becoming so desperate in its attempt to disparage the nurses that they will twist a scientific paper to justify its own personal beliefs even if the paper doesn’t support that goal in any way?”

“Everyone is entitled to their own opinions, but they are not entitled to their own facts.”   Daniel Patrick Moynihan



AANA Candidate Forum is Up & Running

CF screen shot









The AANA Candidate Forum, an elusive but continually improving venue for Candidates and Members to interact, is up and running. Questions and Responses are coming in and you might be surprised with some of the Questions and Responses.

A glimpse at some of the questions:

What does the Vice President actually do ?

What happens if NBCRNA is replaced ?

What will you do if you lose ?

What sets you apart ?

Whom do you represent ?

Although you’ll catch glimpses of profiles and sound bites on Face Book or Listservers, the AANA Candidate Forum is the only “neutral site” sponsored by AANA that encourages direct interaction. Don’t let your questions remain unasked, become an informed voting member. You just might find it empowering !

VA Inspector General on CRNA Supervision

VA Office of Inspector generalExecutive Summary
The VA Office of Inspector General Office of Healthcare Inspections conducted an inspection to determine the merit of an allegation regarding the Anesthesia Section at the Dayton VA Medical Center, Dayton, OH. A complainant alleged that because of poor oversight by the Anesthesia Section Chief, Certified Registered Nurse Anesthetists (CRNAs) responded to consults and performed preoperative assessments without proper review by physician anesthesiologists. We did not substantiate the allegation that the Anesthesia Section Chief did not provide oversight to CRNAs. We found that all CRNAs were properly credentialed and privileged to perform their assigned duties within the scope of their licenses. In addition, the Anesthesia Section Chief assigned a preceptor anesthesiologist to assess each CRNA twice each month through observation and chart review of specific anesthesia procedures. We made no recommendations.
VA OIG CRNA supervision report