Author: Patsy Newitt Becker’s ASC Review As of March 12, Cigna is lowering reimbursements for non-medically directed procedures performed by certified registered nurse anesthetists by 15 percent, Tony Mira, CEO of Anesthesia Business Consultants, wrote in a blog post. Cigna will lower its reimbursement for claims submitted with the QZ modifier, which indicated a non-medically directed […]
Read MoreAUTHORS: Grogan, Kelly MD et al Anesthesia & Analgesia 136(1):p 152-162, January 2023. BACKGROUND: Atomized intranasal dexmedetomidine is an attractive option when sedation is required for pediatric patients as either premedication or the sole agent for noninvasive, nonpainful procedures. While intranasal dexmedetomidine is used frequently in this population, it is still unclear what dose and time […]
Read MoreAUTHORS: Karam, Cynthia MD et al Anesthesia & Analgesia 136(1):p 25-33, January 2023. Abstract BACKGROUND: The removal of the laryngeal mask airway (LMA®) in children may be associated with respiratory adverse events. The rate of occurrence of these adverse events may be influenced by the type of anesthesia. Studies comparing total intravenous anesthesia (TIVA) with propofol […]
Read MoreAuthor: Hanna Flynn MedicalNewsToday Cluster headaches affect more men than women. However, the gap in diagnosis is narrowing. It is a severely painful condition that can prove debilitation to people affected. Researchers have been aware of the differences between the sexes in the symptoms and triggers for the condition. A recent study of a Swedish […]
Read Moreby SmartTots Nov 2, 2022 Background: In experimental animal studies, exposure to general anesthesia in early childhood may results in changes in infant brain morphology and behavior, potentially leading to the development of autistic behaviors in the long-term. However, in clinical studies the role of exposure to general anesthesia in early childhood and the risk of autism is […]
Read MoreAUTHORS: Hung, Tsung-Yu MD et al Anesthesia & Analgesia December 26, 2022. BACKGROUND: Various regional analgesic techniques have been used in pediatric inguinal surgery to facilitate postoperative recovery. However, each technique’s relative performance was undetermined owing to the lack of quantitative analysis. Methods: We systematically searched MEDLINE, Cochrane Library, EMBASE, and Web of Science for […]
Read MoreAUTHORS: Rosero, Eric B. MD, MSc et al Anesthesia & Analgesia December 26, 2022. BACKGROUND: Major disparities in complications and mortality after appendectomy between countries with different income levels have not been well characterized, as comparative studies at patient level between countries are scant. This study aimed to investigate variations in postoperative complications, mortality, and […]
Read MoreDG Journal Club Chailee Moss, Prerna R Pandya, Lisa Yanek, David Lovejoy Int Urogynecol J. 2022 Dec 21 INTRODUCTION AND HYPOTHESIS Despite the prevalence of anxiety, its impact on postoperative pain remains poorly characterized. The present study was aimed at assessing the impact of preoperative anxiety on postoperative pain in patients undergoing pelvic reconstructive surgery. We […]
Read MoreDG Journal Club Åsa Henning Waldum, Mirjam Lukasse, Anne Cathrine Staff, Ragnhild Sørum Falk Birth. 2022 Dec 18 BACKGROUND A negative childbirth experience has short- and long-term consequences for both mother and child. This study aimed to investigate the association between intrapartum pudendal nerve block (PNB) analgesia and childbirth experience. METHODS Primiparous women with a singleton […]
Read MoreAUTHORS: Dillon, Simon T. PhD et al BACKGROUND: The neuroinflammatory response to surgery can be characterized by peripheral acute plasma protein changes in blood, but corresponding, persisting alterations in cerebrospinal fluid (CSF) proteins remain mostly unknown. Using the SOMAscan assay, we define acute and longer-term proteome changes associated with surgery in plasma and CSF. We […]
Read More