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