Anesthesia Management: Pediatric procedural sedation with propofol using a higher initial bolus dose

Published in Pediatr Emerg Care. 2014 Oct;30(10):689-93 Authors: Young TP et al OBJECTIVES: We sought to describe the doses of propofol used for sedation in our pediatric emergency department, along with the range of procedures performed under propofol sedation. We also planned to describe clinically important physiologic changes seen and physician satisfaction with propofol at […]

Anesthesia Management: House-Passed Bill for Disabled Could Alter Medicare Physician Fee Schedule

A bill written to assist disabled persons that passed the U.S. House of Representatives could result in across-the-board Medicare payment cuts to physicians. The bill, H.R. 647, the Achieving a Better Life Experience (ABLE) Act, would allow people with disabilities to create special savings accounts for education, housing and other needs without risking their government […]

Anesthesia Management: Hospitals to Congress: Don’t Delay ICD-10

Several hospital associations, characterizing the twice-postponed implementation of the ICD-10 diagnostic coding set as “disruptive and costly,” are urging House and Senate leaders to avoid any further delays. The nation’s leading hospital associations want the lame duck Congress to avoid further delays of the Oct. 1, 2015 implementation date for the ICD-10 diagnostic coding set. […]

Anesthesia Management: Small Change in Opioid Prescribing May Have Big Impact

A Change in Opioid Prescribing In the latest change to controlled substance prescribing, hydrocodone has moved to Schedule II among controlled substances. In recognition of well-publicized reports that 99% of the worldwide supply of hydrocodone in 2007 was consumed in the United States,[1] the US Drug Enforcement Administration (DEA) enacted the Final Rule on October […]

Anesthesia Management: Comparison of pressure and volume-controlled ventilation in laparoscopic cholecystectomy operations

Published in Clin Respir J. 2014 Oct 13 Authors: Aydın V et al BACKGROUND AND AIMS: Laparoscopic cholecystectomy has many advantages such as shorter hospital stay of patients, minimal postoperative pain, rapid recovery after the operation; however, systemic disadvantages because intra-abdominal pressure, position and general anaesthesia may also appear. In this study, pressure-controlled ventilation (PCV) […]

Anesthesia Management: FDA Panel Warns Against Certain Back Pain Injections

Epidural steroid injections (ESIs) should be contraindicated under certain circumstances in the management of back pain, the US Food and Drug Administration’s (FDA’s) Anesthetic and Analgesic Drug Products Advisory Committee has concluded. After 2 days of presentations and discussions, committee members agreed that injecting a particulate steroid in the cervical region, using the transforaminal approach, […]

Anesthesia Management: Highly Concentrated Potassium Chloride Injection, 10 mEq per 100 mL by Baxter: Recall – Mislabeled Overpouch

ISSUE: Baxter International Inc. voluntarily recalled one lot of Highly Concentrated Potassium Chloride Injection, 10 mEq per 100 mL to the user level due to a complaint of mislabeling of the overpouch. Some containers of Product Code 2B0826, Highly Concentrated Potassium Chloride Injection, 10 mEq per 100 mL, Lot Number P319160, Exp. 06/30/2015, NDC 0338-0709-48 […]

Anesthesia Management: Common Painkillers Combined With Other Drugs Increase Risk of GI Bleeding

Non-steroidal anti-inflammatory drugs (NSAIDs) increase one’s risk of upper gastrointestinal bleeding. However, when taken in combination with other drugs, this risk is significantly higher, according to a study published in the journal Gastroenterology. “These findings may help clinicians tailor therapy to minimise upper gastrointestinal bleeding, and are especially valuable in elderly patients who are likely […]