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Daniel J. Pallin, MD, MPH Reviewing Bhat R et al., Am J Emerg Med 2016 Sep 28; A single-center chart review shows that obese patients are at high risk for underdosing. Current recommendations are that succinylcholine and etomidate be dosed according to total body weight (1–1.5 mg/kg and 0.2–0.4 mg/kg, respectively). Investigators reviewed records from a single emergency […]
Read MoreStanley W. Stead, M.D., M.B.A; Sharon K. Merrick, M.S., CCS-P ASA Monitor 10 2016, Vol.80, 58-65. ASA is pleased to present the annual commercial conversion factor survey for 2016. Each summer we anonymously survey anesthesiology practices across the country. We ask them to report up to five of their largest managed care (commercial) contract conversion factors (CF) and […]
Read MoreSarah Gebauer, M.D. ASA Monitor 10 2016, Vol.80, 8-9. Anesthesiologists are uniquely positioned to provide specialist care in pain and symptom management as well as a nuanced perspective of the likely course for critically ill patients. Additionally, the ability to coordinate and balance the often disparate priorities of multiple coworkers, which so routinely occurs in the O.R., […]
Read MoreKilgannon JH et al., Resuscitation 2016 Sep 22; Compression rates of 120–140 per minute increased odds of return of spontaneous circulation relative to the guideline-recommended rate of 100–120. For patients with cardiac arrest, quality cardiopulmonary resuscitation (CPR) should be the first priority for providers. In 2015, American Heart Association/European guidelines changed the recommendation for chest compression rate […]
Read MoreAnesthesiology published on October 6, 2016. Authors: Jukka Kortelainen, M.D., Ph.D. et al Background: Slow waves (less than 1 Hz) are the most important electroencephalogram signatures of nonrapid eye movement sleep. While considered to have a substantial importance in, for example, providing conditions for single-cell rest and preventing long-term neural damage, a disturbance in this neurophysiologic phenomenon […]
Read MoreAnesthesiology published on October 6, 2016 Authors: Thomas Godet, M.D., Ph.D. et al Background: The decision to extubate brain-injured patients with residual impaired consciousness holds a high degree of uncertainty of success. The authors developed a pragmatic clinical score predictive of extubation failure in brain-injured patients. Methods: One hundred and forty brain-injured patients were prospectively included after the […]
Read MoreConservative oxygen therapy is associated with lower mortality risk in the ICU, according to an open-label study in JAMA presented at the European Society of Intensive Care Medicine’s Annual Congress. Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, FASAM In an Italian hospital, researchers randomized nearly 500 adult ICU patients to conservative or conventional oxygen therapy. […]
Read MoreHealthLeaders Media News, October 5, 2016 A crackdown on a Seattle pill mill has disrupted care for thousands of Medicaid patients. Patients of a network of now-closed pain treatment centers in Seattle have been seeking care in the regions’ emergency rooms, according to data from the Washington state Department of Health. The state has been tracking […]
Read MoreAnesthesiology 10 2016, Vol.125, 716-723 Authors: Yoshinobu Nakayama, M.D., Ph.D. et al Background: The main cause of unsuccessful peripheral radial artery catheterization using traditional palpation is imprecisely locating the arterial center. The authors evaluated factors causing disparities between the arterial centers determined by palpation versusultrasound. The authors applied them to create and test a novel catheterization training program. […]
Read MoreAnesthesiology 10 2016, Vol.125, 690-699. Authors: Maxim A. Terekhov, M.S., M.B.A. et al Background: Whether anesthesia care transitions and provision of short breaks affect patient outcomes remains unclear. Methods: The authors determined the number of anesthesia handovers and breaks during each case for adults admitted between 2005 and 2014, along with age, sex, race, American Society of Anesthesiologists […]
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