Safety, quality & education

United States' anesthesia workdays in 2022–2023 – Implications for national workforce assessments

J Clin AnesthPublished Retrospective registry study

Authors' conclusion

Nationwide, anesthesia times on regular workdays sum to substantially less than 8 h and even less than in 2013.

Study context

Population
Anesthetics in the US National Anesthesia Clinical Outcomes Registry, 2022–2023, excluding labor epidurals
Participants
13,901,414 anesthetics
Exposure
Regular workdays vs weekends; 2022–2023 vs 2013
Outcome
Distribution of anesthetic minutes
Methodological detailsnational registry (NACOR), comparison with 2013 data
  • National registry (NACOR)
  • Comparison with 2013 data

Main finding

As reported in the abstract

Regular workdays, share of total anesthetic minutes
95.5 %
Regular workdays, 7:30 AM to 3:29 PM share of workday anesthesia minutes (SE 0.1 %), >0.8, P < .0001
82.9 %
All anesthetic minutes on regular workdays before 1:00 PM (SE 0.1 %), >53.0 % in 2013, P < .0001
61.2 %
All anesthetic minutes on regular workdays 7:30 AM to 3:29 PM (SE 0.1 %), >70.3 % in 2013, P < .0001
79.2 %
Anesthetic minutes covered by 7:30 AM to 1:59 PM (SE 0.1 %)
67.9 %
Minutes in mornings (SE 0.1 %), more than half, P < .0001
51.6 %
Case minutes on weekends (SE 0.1 %), <5.2 % in 2013, P < .0001
4.1 %
Similarity of procedure categories, regular workdays 7:30 AM to 3:29 PM vs weekends (SE 0.002), <0.55 in 2013, P < .0001
0.511

Observational data: associations, not effects.

Original publication

United States' anesthesia workdays in 2022–2023 – Implications for national workforce assessments. J Clin Anesth. Published 22 September 2025. doi:10.1016/j.jclinane.2025.111988

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