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Author: Patsy Newitt Becker’s ASC Review Anesthesia reimbursement denials are on the upward swing, according to a June 26 blog post from Rita Astani, president of anesthesia for Coronis Health. Payers seem to be using “computer algorithms or narrowly trained staff to deliberately slow down or sabotage payouts,” according to the post, which cited a KFF report […]
Read MoreAuthor: Girish P. Joshi, MBBS, MD, FFARCSI ASA Monitor June 2022, Vol. 86, 24. Minimally invasive approaches, facilitated with advanced technology such as augmented reality, mixed reality, and robotics, as well as artificial intelligence (AI), novel imaging, innovative navigation systems, and 3D printing, will extend the capabilities of surgeons and proceduralists. Next-generation surgical robotics will be […]
Read MoreAuthors: Allan M. Klompas, M.B.B.Ch. et al Anesthesiology August 2023, Vol. 139, 153–163. Background Delayed cold storage of room temperature platelets may extend shelf life from 5 to 14 days. The study hypothesized that the use of delayed cold-stored platelets in cardiac surgery would be associated with decreased postoperative platelet count increments but similar transfusion and […]
Read MoreAuthors: Michael R. Mathis, M.D. et al Anesthesiology August 2023, Vol. 139, 122–141. Background Conflicting evidence exists regarding the risks and benefits of inotropic therapies during cardiac surgery, and the extent of variation in clinical practice remains understudied. Therefore, the authors sought to quantify patient-, anesthesiologist-, and hospital-related contributions to variation in inotrope use. Methods In […]
Read MoreAuthor: Dawn Schell, MD ASA Monitor February 2023, Vol. 87, 31. Currently, nearly 70% of all surgeries in the United States are performed as outpatient procedures, with almost 23 million of these performed annually in ambulatory surgery centers (ASCs) alone (Natl Health Stat Report 2017;102:1-15). And the numbers continue to grow. Over 6,000 Medicare-certified ASCs now […]
Read MoreAuthors: Mark A. Shulman, Ph.D. et al Anesthesiology July 2023. Background Older patients are vulnerable to developing new or worsening disability after surgery. Despite this, patient or surgical characteristics predisposing to postoperative disability are poorly defined. Our aim was to develop and validate a model, subsequently transformed to point-score form, to predict 6-month death or […]
Read MoreAuthors: Craig T. Yamaguchi, B.S. et al Anesthesiology July 2023. Transesophageal echocardiography images were acquired from a 30-year-old patient with group 1 pulmonary hypertension during bilateral orthotopic lung transplantation. The relative chamber sizes are shown pre (fig. 1) and post (fig. 2) transplantation. Preoperative pulmonary artery pressures were 142/54 with a systemic blood pressure of […]
Read MoreAuthors: Angela C. Lee, M.D.; Chaitanya Challa, M.D. Anesthesiology July 2023. The most common types of medication error in pediatric anesthesiology are wrong dose and syringe swap. Another source of medication error is syringe dead space, which is defined as residual volume left between the plunger and syringe tip after the total dose is given. A previous […]
Read MoreAuthors: Gaurav P. Patel, M.D., F.A.S.A. et al Anesthesiology July 2023. Nasogastric tube placement is not without risk. A patient admitted for severe hyperemesis in the setting of chronic alcoholism required nasogastric tube placement. Immediately after nasogastric tube placement, his mental status changed dramatically, and he was urgently intubated by an anesthesiologist. Computed tomography imaging […]
Read MoreAuthors: Chin-Tsang Yang, Ph.D. et al Anesthesiology July 2023. Background Spinal cord stimulation (SCS) is an important pain treatment modality. We hypothesized that a novel pulsed-ultrahigh-frequency SCS (pUHF-SCS) could safely and effectively inhibit spared nerve injury-induced neuropathic pain in rats. Methods Epidural pUHF-SCS (± 3V, 2Hz pulses comprising 500 kHz biphasic sinewaves) was implanted at […]
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