Anesthesia Deconstructed: Science. Policy. Realities.
Anesthesia Deconstructed: Unraveling the Complexities of Modern Anesthesia Practice
Founded in 2018 by Mike MacKinnon, DNP, FNP, CRNA, FAAN, and later joined by co-host Joe Rodriguez, DNAP, CRNA, Anesthesia Deconstructed is an award-winning podcast that consistently ranks as the nation's top-downloaded anesthesia podcast, with two of the most well-known CRNAs in the country as hosts. We feature industry experts from across the spectrum, exploring scientific issues, policy matters, and the day-to-day realities of anesthesia practice.
Our mission is to deconstruct complex topics, recognizing that the truth often lies in the nuanced middle ground rather than at extremes. We bring unique value to our listeners by examining the nexus of clinical practice, education, and policy, offering insights that go beyond any single perspective.
Join us for thought-provoking discussions that bridge the gap between theory and practice in the world of anesthesia.
Anesthesia Deconstructed: Science. Policy. Realities.
Should C-Sections Be Performed on an Outpatient Basis? Florida is going to find out.
Summary
The conversation discusses the topic of out-of-hospital cesarean sections and the potential risks and implications. Dr. Matt Mazurek, a physician anesthesiologist and assistant professor of anesthesiology at Yale School of Medicine, provides insights and raises concerns about the definition of low-risk cesarean deliveries, the dangers of complications during and after the procedure, and the lack of resources and training in outpatient settings. The conversation also touches on the financial incentives and potential cherry-picking of patients by private equity-owned medical facilities. The need for increased access to obstetrical care and support for OBs in rural areas is highlighted as a more effective solution to address maternal morbidity and mortality rates.
Keywords
out-of-hospital cesarean sections, risks, complications, low-risk deliveries, resources, training, financial incentives, private equity, access to care, maternal morbidity, maternal mortality
Takeaways
- Defining low-risk cesarean deliveries is challenging and depends on various factors.
- Complications during and after cesarean sections can be life-threatening, especially in outpatient settings.
- The financial incentives of performing cesarean sections may lead to an increase in unnecessary procedures.
- Investing in more OBs and supporting them financially is crucial to improve access to obstetrical care in rural areas and reduce maternal morbidity and mortality rates.
Key Quotes
- "OB is still very dangerous, both in the OR and postoperatively"
- "It's much more common and more likely to happen in this particular group. So do we really want to gamble with people's lives in this setting?"
- "It has happened and it's happened to younger, healthier patients out of the blue."
Chapters
00:00
Introduction and Background
01:23
The Challenges of Defining Low-Risk Cesarean Deliveries
06:01
The Financial Incentives and Potential Risks of Outpatient C-Sections
08:20
Improving Access to Obstetrical Care in Rural Areas
