Anesthesia Care Provided by Nurses

Abstract


 One systematic review, 4 primary studies (observational studies: 3 retrospective and 1 prospective), and 1 economic evaluation were identified.
 A definitive conclusion is not possible regarding the clinical effectiveness of anesthesia provided by non-physician anesthetists compared with physician anesthetists, considering the evidence was from studies of low quality that were associated with considerable risk of bias, and there were inconsistencies in the findings.
 The incremental cost-effectiveness ratio (ICER) for physician anesthesiologists compared with nurse anesthetists was US$77,400 per quality-adjusted life-year (QALY) gained. The 1-way sensitivity analyses showed that with an increase in the cost of nurse anesthetist professional services or an increase in the number of unexpected hospital days, the ICER values would fall below US$50,000 per QALY gained.

Comparison of anaesthesia‐related outcomes in patients monitored by newly recruited nurse anaesthetists and anaesthesiologists: An observational study

“…In some European countries, reports are available on the professional authority of nurse anaesthetists. (Banerjee & Askin, 2021; Tenedios et al., 2018) Nurse anaesthetists have different professional authorities in different countries, even in different regions of the same country. (Banerjee & Askin, 2021; Tenedios et al., 2018) In some Asian countries, to alleviate the shortage of anaesthesiologists, learning the successful practical experience of European countries is necessary to expand the professional authority of nurse anaesthetists.…”

“…(Banerjee & Askin, 2021; Tenedios et al., 2018) Nurse anaesthetists have different professional authorities in different countries, even in different regions of the same country. (Banerjee & Askin, 2021; Tenedios et al., 2018) In some Asian countries, to alleviate the shortage of anaesthesiologists, learning the successful practical experience of European countries is necessary to expand the professional authority of nurse anaesthetists. (Rayborn et al., 2017; Tsumura et al., 2020) Research surveys have reported a shortage of anaesthesiologists in China, and anaesthesiologists are under excessive work pressure and fatigue.…”