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Should Elective Surgeries Be Permitted to Be Performed in the Evening? (PC10) In an era where quality measurements are used to grade and reimburse physicians, perioperative teams are in the spotlight if outcomes are less than optimal. One area drawing attention is elective surgeries performed late in the day, when perioperative teams could be tired […]
Read MoreShahzad Shaefi, M.D., M.P.H.: ‘Pharmacologic prevention and treatment of delirium remains controversial, and non-pharmacologic management of delirium remains the cornerstone of delirium prevention and treatment.’ Delirium is associated with increased morbidity and mortality in older surgical patients, and its causes and treatments are not well understood. Recent research, though, has produced advances in recognition of […]
Read MoreBuilding the Best Cardiac Operating Room Team: Lessons in Leadership, Teamwork and Communication (218) By Atilio Barbeito, M.D., M.P.H and Jonathan B. Mark, M.D. Good chemistry is required in medicine — not just in pharmaceutical treatments but among the members of the treatment team. The qualities of a good team and how they can be […]
Read MoreAtul Gawande, M.D.: ‘What we are working for is pretty simple. It’s the right care at the right time every time.’ Anesthesia and sterile environments are seen as the first two foundations of improved outcomes in surgery, but teamwork is establishing itself as an equally important part of that foundation. Atul Gawande, M.D., explained that […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology published on October 5, 2017. Background: There is consistent and significant variation in neuraxial anesthesia use for hip fracture surgery across jurisdictions. We measured the association of hospital-level utilization of neuraxial anesthesia, independent of patient-level use, with 30-day survival (primary outcome) and length of stay and costs […]
Read MoreAuthors: Ramon Abola, M.D. et al ASA Monitor 10 2017, Vol.81, 22-25. Ramon Abola, M.D., is Assistant Professor, Stony Brook Medicine, Stony Brook, New York. T.J. Gan, M.D., M.B.A., M.H.S., FRCA, is Professor and Chairman, Stony Brook Medicine, Stony Brook, New York. How can I ensure that this patient does well through today’s surgery? How can I […]
Read MoreAuthors: Richard D. Urman, M.D., M.B.A., CPE, FASA et al ASA Monitor 10 2017, Vol.81, 16-17. Recently, the Centers for Medicare & Medicaid Services (CMS) finalized a proposal to reimburse providers for end-of-life counseling as part of advanced care planning. This was in response to a push to further engage patients, families and surrogates in their medical […]
Read MoreJAMA. 2017;318(13):1250-1259. Authors: Shang-Hung Chang, MD, PhD et al Non-vitamin-K oral anticoagulants (NOACs) are associated with major bleeding episodes caused by drug-drug interactions, a Taiwanese study finds. The authors note that the findings might not apply to Western populations. Using national databases, investigators retrospectively examined major bleeding episodes with NOAC use alone or with concurrent use of 12 […]
Read MoreAUTHORS: Jaeger, Melanie T. MD, FRCPC et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 147–155 BACKGROUND: Hospital and surgeon volume are related to postoperative complications and long-term survival after radical cystectomy. Here, we describe the relationships between these provider characteristics and anesthesiologist volumes on early and late outcomes after radical […]
Read MoreAUTHORS: Ngan Kee, Warwick D. MD, FANZCA, FHKCA et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 117–123 BACKGROUND: We previously described the use of closed-loop feedback computer-controlled infusion of phenylephrine for maintaining blood pressure (BP) during spinal anesthesia for cesarean delivery. In this study, we report a modified system in […]
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