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Author: Tony Mira F1rst News Summary It’s not getting any easier for anesthesiologists and anesthetists who provide services in pain clinics. Medicare recently released a new policy that will make it more difficult to get paid in facet intervention cases. From the crease of the valley below, you can see the degree of the slope […]
Read MoreDG News Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen provide better pain control and have fewer adverse effects than codeine when prescribed after outpatient surgery, according to a study published in the Canadian Medical Association Journal. “In all surgery types, subgroups, and outcome time-points, NSAIDs were equal or superior to codeine for postoperative pain,” wrote Matthew […]
Read MoreAuthors: Timothy J. Demchak, PhD, ATC, LAT, Christopher Carraway, DC, DIBCN, CLS and Dakota Miles, DPT Candidate Practical Pain Managemt Vol 21 Issue 3 The majority of first-line and second-line pain medications aim to either decrease the formation of PGE2 or decrease the transmission for pain in the posterior horn via pre-synaptic or post-synaptic inhibition. However, there is […]
Read MoreAuthors: Alexandre Joosten, M.D., Ph.D. et al Anesthesiology August 2021, Vol. 135, 258–272. Background Individualized hemodynamic management during surgery relies on accurate titration of vasopressors and fluids. In this context, computer systems have been developed to assist anesthesia providers in delivering these interventions. This study tested the hypothesis that computer-assisted individualized hemodynamic management could reduce […]
Read MoreASA Monitor May 2021, Vol. 85, 37. Nothing strikes fear in the hearts of anesthesiologists more than the difficult airway… except for maybe… the pediatric difficult airway. This Patient Safety Tip of the Month provides updated suggestions for the safe approach to both normal and difficult pediatric airways based on recent findings from the literature. First, we […]
Read MoreAuthors: Ya-Ting Du, M.D. et al Anesthesiology August 2021, Vol. 135, 233–245. Background Experimental and observational research suggests that combined epidural–general anesthesia may improve long-term survival after cancer surgery by reducing anesthetic and opioid consumption and by blunting surgery-related inflammation. This study therefore tested the primary hypothesis that combined epidural–general anesthesia improves long-term survival in […]
Read MoreAuthor: Uday Jain, MD, PhD, FASA ASA Monitor March 2021, Vol. 85, 23. As technology and its skillful use advance, older techniques fall into disuse. Over time, this leads to deskilling in older techniques. Newer technologies may not be as widely available as the older ones, even within the United States. Newer technologies are often unavailable […]
Read MoreAuthors: René Miguel Gonzalez, MD et al ASA Monitor April 2021, Vol. 85, 40–41. An early laboratory illustration of one method of using an SSE to divert, collect and reduce respiratory aerosol load generated by patient coughing during intubation or extubation. Note the SSE unit in the background (in this case, built in to the Stryker […]
Read MoreAuthor: Tony Mira F1rst News Summary It’s that time of year again. The government has released its massive proposed 2022 Medicare Physician Fee Schedule, and it contains more disappointing news relative to anesthesia and ancillary reimbursement. Some suggestions can be rather upsetting, and some recommendations can be downright discouraging. Such is the case for the […]
Read MoreBy Peter Staats, MD, MBA, Jeff Gudin, MD and Jeffrey Fudin, PharmD, DAIPM, FCCP, FASHP Practical Pain Management Vol 21 Issue 3 Pages 65-66 Dr. Fudin: Could you start by telling us how you got started in pain management and how it led you to found the pain medicine division at Johns Hopkins University in 1994? Dr. Staats: Well, it wasn’t […]
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