Sub-Tenon block does not provide superior postoperative analgesia vs intravenous fentanyl in pediatric squint surgery

Published in Eur J Ophthalmol. 2014 Jul 24;24(5):643-9 Authors: Ramachandran R et al PURPOSE: We evaluated the efficacy of sub-Tenon block in decreasing perioperative pain, incidence of intraoperative oculocardiac reflex (OCR), and postoperative nausea and vomiting (PONV) in pediatric squint surgery. METHODS: A total of 67 children age 2-12 years, American Society of Anesthesiologists Physical […]

CBO ratchets down long-term healthcare spending forecast

Cost controls implemented under the Affordable Care Act (ACA) will lead to slower overall federal healthcare spending over the next 25 years. A new forecast by the Congressional Budget Office (CBO) concludes that overall federal spending will represent 8 percent of the gross domestic product (GDP) by 2039. Although that’s one-tenth of one percent lower […]

ICD-10 delay: How docs can capitalize

Healthcare providers–and practice managers, in particular–would be wise to take advantage of the most recent ICD-10 delay, not by shifting their focus to other projects, but instead shoring up potential areas of weakness. Those who have turned off the engine altogether will likely regret that decision as new deadlines approach. To that end here are […]

What payers need to know about the False Claims Act

Anti-Fraud spoke to Sean McKenna, J.D., to learn how theFalse Claims Act–a federal law dating back to the Lincoln administration–helps combat today’s healthcare fraud. McKenna is a partner in the Dallas office of Haynes and Boone, LLP. His professional background includes 15 years in law enforcement, most of which he spent working for the federal […]

Bundled payments need quality guidelines

This is not about our specialty however it is very important to us so I wanted to share it More healthcare organizations are using bundled payments to lower costs, but they must supplement such arrangements with solid quality care guidelines. That’s why UPMC Health Plan in Pittsburgh has developed several parameters to judge the success […]

Growing Trend: Hospitals Post Procedure Prices Online

It’s a trend that’s been growing across the country. Hospitals listing prices for procedures on their websites. Some states are even mandating it. While New York isn’t one of them, handful of hospitals across the state are making their prices public. “We started this process in the fall of last year, so it’s about a […]

Telephone-Based Intervention Improves Pain Symptoms

Telephone-based pain management can improve symptoms in patients with chronic musculoskeletal pain, according to a study conducted at Veterans Affairs primary care clinics and published in JAMA. Some 250 patients with musculoskeletal pain lasting at least 3 months were randomized to a telecare intervention or usual care. The intervention included frequent automated symptom monitoring (via […]

Video vs. Direct Laryngoscopy in Patients with Cervical Spine Immobilization

Authors: Ilyas S et al., Anaesthesia 2014 Aug 2; Better laryngoscopic views with video laryngoscopy do not equal intubation success. Intubating a trauma patient with cervical spine immobilization can be difficult. Prior studies in this population have shown that video laryngoscopy improves laryngoscopic view and reduces intubation difficulty (NEJM JW Emerg Med Mar 14 2008). […]

Continuous Capnography During Propofol Deep Sedation

Authors: van Loon K et al., Anesth Analg 2014 Jul 119:49 Hypoxic events occurred in similar numbers of patients with and without CO2 monitoring. Undetected hypoventilation is associated with complications in propofol sedation. To evaluate whether capnography reduces episodes of hypoxia during propofol sedation, researchers in the Netherlands randomized 427 healthy women undergoing deep sedation […]

Is Oral Contrast Necessary with Computed Tomographic Scanning for Suspected Appendicitis?

Authors: Drake FT et al. Ann Surg 2014 Aug. In an observational study, oral contrast did not improve accuracy in patients who received intravenous contrast. In three single-center, randomized trials, oral contrast — given in addition to intravenous (IV) contrast — did not improve the diagnostic accuracy of computed tomographic (CT) scanning for suspected appendicitis. […]