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Issue #7 of July 28, 2026. Four things worth knowing before today's first case.
   
Clock Out & Connect

The Anesthesia Brief  ·  Issue #7

If you're thinking it, we're talking about it.

By Marc Smith, DNP, CRNA & Shantall Ruiz Cummins, DNP, CRNA

Four things worth knowing today. Let's get into it.

📌  This Week's Top Story

The ASA fought your job title for two years

   

Here is an update to the name fight that you may have missed, and it is about what you are allowed to call yourself. At the end of June the American Society of Anesthesiologists closed out a two-year effort to block the AANA from trademarking the term nurse anesthesiologist, and the physician side is calling it a win.

Start with the part that matters to you, nothing about your job changed. Your license, your certification, and the anesthetic you delivered the next morning are the same, and depending on your state you can still call yourself a nurse anesthesiologist. A trademark filing does not touch your scope.

But do not shrug it off. Somebody spent real lawyer money, for two years, to control one word on a badge. You do not do that over a title unless the title is starting to matter. Our take on what that really signals is at the bottom of this issue.

Our take is at the bottom of this issue ↓

📊  This Month's Number
   

124

active CRNA scope and AA bills we are tracking

That is how many active CRNA scope and anesthesiologist assistant bills we are tracking across 36 states. None moved this week, but that is the point, while the news is quiet, someone is still writing the rules for what you are allowed to do. So do not wait for the headline. Find your state on the map, see which bills are live, and if one matters to you, a five-minute email to your representative counts for more than you think.

→ Find your state on the map

💊  Drug Shortage Flash

Do you know what's short in your cart?

   
  Bupivacaine  Ropivacaine  Lidocaine  Succinylcholine

Do you actually know what is short in your cart this week? The list moves fast, and right now half the local anesthetics are out at once. See what is missing, what still ships, and what to reach for instead.

→ Full shortage list

🔭  Coming to Your OR

AI is coming for the OR

   

The next thing changing your OR is not a drug, it is an algorithm, and the honest way to read it is the way we once read pulse oximetry. The clearest example already has FDA clearance, the Hypotension Prediction Index, which watches the arterial line and flags a likely pressure drop before it shows up on the monitor. This is not about replacing the provider, it is another early warning in the room, the way SpO2 gave us one for oxygenation. The outcome data is still early, so keep an eye on it, because this could be coming to your OR soon.

→ Tech watch

🎤️  Our Take

On the name fight, and the one that matters

   

A word is not a license, so why fight this hard over it? Because the other side can see where this is going, and they do not like it. You do not spend two years of legal budget to stop a title unless you are worried about who the public is starting to trust with their anesthesia.

So take the loss on the word and keep the plot straight. The title fight always follows the scope fight, and on scope we are winning, 27 states plus Guam off the federal supervision rule. The move is not to argue about a name online. It is to give an hour or a check to your state association this month. That is the fight that actually decides what you get to do in the OR.

- Marc & Shantall

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Legislative data, LegiScan & OpenStates (CC BY 4.0). Drug shortage data, ASHP / openFDA. Federal regulatory data, FederalRegister.gov (public domain). Compensation, Marit Health, BLS, AANA.

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