We appreciate the response from Drs. Carlson and Martin in their comment on our recent article, “Anesthesiologists’ Role in Value-based Perioperative Care and Healthcare Transformation,” and we welcome the opportunity to address their comment.

As stated in our article, we agree that the focus of the anesthesiologist should expand beyond directly providing anesthetic care at a procedural site to innovation in clinical pathway development that will reduce mortality and complications. Anesthesiologists, as clinical experts and leaders in the perioperative space, should guide the development of optimal care delivery models at their healthcare facilities. The comment cited two studies that suggested that nurse-delivered sedation under the guidance of an anesthesiologist for some cardiac procedures, including transcatheter aortic valve replacement, was safe, reliable, and cost-effective and resulted in shorter hospital stays.3,4  Indeed, other care delivery...

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