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Author: Tony Mira The Anesthesia Insider Summary: The documentation of transesophageal echocardiography poses a number of interesting questions as there are a number of procedural options. As billing guidelines often change, it is always useful to review the current state of CPT and payer policy. There was a time, not too long ago, when cardiovascular […]
Read MoreCardiac Anesthesiologist Heparin-Induced Thrombotic Thrombocytopenia Syndrome (HITTS) is a prothrombotic disorder caused by IgG mediated antibodies to complexes of platelet factor 4 (PF4) and heparin. Diagnosis The detection of HITTS antibodies plus one of the following. unexplained drop in platelet count by 30-50% venous or arterial thrombosis skin lesions at heparin injection site anaphylactoid reactions […]
Read MoreRadius Anesthesia Blog Patients with epilepsy require special attention from anesthesiologists. They may require anesthesia in otherwise routine procedures, such as dental restorations or imaging studies [1]. Anti-epileptic medications (AEMs) can produce various pharmacologic and physiologic effects that impact anesthesia [2]. Additionally, many anesthetics have been reported to have proconvulsant effects, meaning that care must be taken to avoid abrupt intraoperative seizures that […]
Read MoreAuthor: Michael Walter Cardiovascular Business News Sudden cardiac arrest can be much more fatal when a patient is already battling COVID-19, according to a new study published in European Heart Journal. This is true for both out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA). The study included more than 1,900 cases of OHCA and more […]
Read MoreCDC Skin pigmentation may affect the accuracy of pulse oximetry, according to the CDC. In a study cited by the agency, pulse oximetry did not detect occult hypoxemia nearly three times as often in Black patients as white patients. In patients with suspected or confirmed COVID-19, clinicians should use other factors (e.g., high-risk conditions, symptoms) […]
Read MoreAUTHORS: Donovan, Anne L. MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1911-1922 BACKGROUND: Postoperative delirium is a common and serious problem for older adults. To better align local practices with delirium prevention consensus guidelines, we implemented a 5-component intervention followed by a quality improvement (QI) project […]
Read MoreAUTHORS: Thiele, Robert H. MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 442-455 BACKGROUND: Enhanced Recovery (ER) is a change management framework in which a multidisciplinary team of stakeholders utilizes evidence-based medicine to protocolize all aspects of a surgical care to allow more rapid return of function. […]
Read MoreAUTHORS: Trentino, Kevin M. MPH et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 344-352 BACKGROUND: In 2016, a preoperative clinic was implemented to screen, evaluate, and manage anemia and suboptimal iron stores at a major tertiary care medical center in Western Australia. Few studies compare the costs and […]
Read MoreDG Alerts Colchicine may reduce the need for supplemental oxygen therapy and the length of hospitalisation among patients with moderate-to-severe coronavirus disease 2019 (COVID-19), according to a small study published in RMD Open. From April 11 to August 30, 2020, a total of 72 patients were randomly assigned to receive either colchicine (n = 36) or […]
Read MoreAuthor: Michael Walter Cardiovascular Business News Even with numerous vaccines now being distributed, the COVID-19 pandemic continues to cause havoc for health systems all over the world. Numerous studies have confirmed that patients with cardiovascular disease face an especially high risk of serious COVID-related illness or even death, but when might a patient have a […]
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