Anesthesia Management: Hospital prices up 1.7% year-over-year in September

I wanted to share this with our readers since most of us practice in a hospital. The producer price index for acute-care hospitals increased 1.7 percent between September 2013 and September 2014, according to figures from the Bureau of Labor Statistics. Overall hospital prices also increased 0.2 percent between August and September. The PPI for […]

Anesthesia Management: Transition to value-based payments moving fast, but questions remain

This is another general article about payments that can effect our specialty. Providers and payers still must work on forging high-functioning partnerships On the face of it, the industry is making great strides toward adopting value-oriented payment models, but the question of whether or not the industry is also reducing costs and improving care quality […]

Anesthesia Management: Guideline Compliance for Trauma Patients: Room for Improvement

Authors: Shafi S et al., J Am Coll Surg 2014 Aug 219:189 In this study of five trauma centers, compliance with clinical practice guidelines varied widely, and increased compliance was associated with reduced risk for death. To determine if there is an association between trauma guideline compliance and mortality rates in moderately and severely injured […]

Anesthesia Management: Trends in opioid analgesic use for headaches in US emergency departments

This is another study I thought our pain physicians would like reading even with it being based in the ER. Published in Am J Emerg Med. 2014 Sep;32(9):1068-73 Authors: Mazer-Amirshahi M et al OBJECTIVE: Although not recommended as first line therapy by consensus guidelines, opioid analgesics are commonly used to treat headaches. This study evaluates trends […]

Anesthesia Management: The Essence of Leadership

What is the Essence of leadership? What are the qualities one must posses to be a truly great leader? It seems throughout history going back thousands of years, there are essential qualities of character every great leader possessed. Regardless of how much the world changes around us. The essence of leadership remains the same. The […]

Anesthesia Management: Severinghaus Lecture: Methadone Labeling, Clinical Guidelines Wrong

This was a presentation at the ASA national meeting. According to this year’s Severinghaus Lecturer, the labeling approved by the Food and Drug Administration for methadone is wrong. So are the published clinical guidelines for the use of methadone to treat pain and drug addiction in both adult and pediatric patients. The short explanation is […]

Anesthesia Management: Prospective, 10-year evaluation of the impact of Hispanic ethnicity on pain management practices in the ED

I realize this is written about the ER however I thought our readers who practice pain management would like to read it. Published in Am J Emerg Med. 2014 Sep;32(9):1055-9 Authors: Craven P et al INTRODUCTION: Hispanic ethnicity has been reported as an independent risk factor for oligoanalgesia in the emergency department (ED). OBJECTIVES: The […]