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AUTHORS: Ellis, Margaret K. Menzel MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 58–65 BACKGROUND: Economic, personnel, and procedural challenges often complicate and interfere with efficient and safe perioperative care of patients with cardiovascular implantable electronic devices (CIEDs). In the context of a process improvement initiative, we created and […]
Read MoreBy Joseph F. Answine, MD Pain medications, especially opioids, have understandably undergone intense scrutiny due to recent public concern over prescription drug abuse, as well as the known side effects of opioids limiting enhanced recovery programs (e.g., somnolence impeding early ambulation and feeding, increased postoperative nausea and vomiting, higher incidence of ileus after colorectal surgery […]
Read MoreAUTHORS: Evron, Shmuel MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 103–109 BACKGROUND: The Temple Touch Pro (TTP) is a novel system that estimates core temperature from skin over the temporal artery. We tested the hypothesis that this noninvasive system estimates core temperature to an accuracy within 0.5°C. METHODS: Core […]
Read MoreSpinal fusion, which restricts segmental motion, is the conventional surgical treatment for low back pain associated with degenerative disc disease. Long-term, clinically important improvement in chronic low back pain can be achieved with lumbar total disc replacement and multidisciplinary rehabilitation in patients whose low back pain does not respond to conservative therapy, according to a […]
Read MoreThe Official Journal of the Anesthesia Patient Safety Foundation Oct 2017 By Aalok Agarwala, MD, MBA, and Meghan Lane-Fall, MD, MSHP We submit that the preponderance of published literature suggests that perioperative handoffs are associated with patient harm, and that this harm may be mitigated by handoff standardization. However, many questions remain about the optimal […]
Read MoreIt’s difficult to talk about pain control these days without mentioning the opioid epidemic. Despite the dramatic rise in opioid prescriptions over the last decade, pain scores and patient satisfaction have remained the same. Opioid-related deaths, on the other hand, have quadrupled in the United States. According to Karim Ladha, MD, MSc, from the Department […]
Read MoreAUTHORS: Oh, Tak Kyu MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 156–161 BACKGROUND: Opioid analgesics decrease the minimum alveolar concentration of inhalation agents during the acute phase response. However, the effect of chronic opioid exposure on minimum alveolar concentration of inhalation agents remains unknown. This study aimed to […]
Read MoreAUTHORS: Miles, Lachlan F. MBBS Anesthesia & Analgesia: June 2017 BACKGROUND: BACKGROUND:Regional patterns of practice in cardiopulmonary bypass remain poorly understood with conflicting evidence regarding the best choices in pump priming preferences with respect to colloid and crystalloid and different types of fluid within these categories. In light of the variation in the literature, we hypothesized […]
Read MoreAuthor: Emil Engels, MD, MBA, CPC MACRA Madness: The Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, shifts the Medicare payment base from volume to value. This landmark legislation aims to move Medicare from fee-for-service to a system that rewards quality and low cost. As recently as the summer of 2016, 50% of […]
Read MoreAUTHORS: Dunham, Alexandra M. MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 38–43 BACKGROUND: Both patient characteristics and intraoperative factors have been associated with a higher risk of stroke after cardiac surgery. We hypothesized that poor systemic oxygenation in the perioperative period is associated with increased risk of stroke […]
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