When Do Anesthesiologists Delegate?

  title={When Do Anesthesiologists Delegate?},
  author={Margo L. Rosenbach and Jerry Cromwell},
  journal={Medical Care},
Nurse anesthetists (CRNAs) are a lower cost substitute for anesthesiologists in the delivery of anesthesia services. This article addresses the question of when anesthesiologists delegate in a team approach as opposed to using a solo arrangement. Logistic regression analysis was done using data from the 1986 Anesthesia Practice Survey and revealed that the team approach is more likely in areas with a relatively large supply of CRNAs; in hospitals with large surgical volumes, teaching facilities… 
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The death rate (and why deaths occurred) attributable to anesthesia whether due to agent or technique or to their misapplications is determined and the responsibility of the anesthetist in the total care of the surgical patient when failure occurred is assessed.
The role of anesthesia in surgical mortality.
The role of anesthesia in contributing to surgical mortality has been studied in 33,224 patients given either spinal anesthesia or a general anesthetic to which muscle relaxants were added, and when deaths were related to the use of muscle relaxant, errors of omission or commission were always apparent.
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A consultation network supported by telecommunications deserves consideration as a means of providing CRNAs who work independently in small rural hospitals with a cost-effective team approach to anesthesia care.