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AUTHORS: McIlroy, David R. MBBS, MD, MClinEpi, FANZCA et al Anesthesia & Analgesia 138(1):p 123-133, January 2024. BACKGROUND: Guidelines for the evaluation and grading of diastolic dysfunction are available for transthoracic echocardiography (TTE). Transesophageal echocardiography (TEE) is used for this purpose intraoperatively but the level of agreement between these 2 imaging modalities for grading diastolic dysfunction […]
Read MoreAUTHORS: Zhu, Shouqiang MD et al Anesthesia & Analgesia November 22, 2023. BACKGROUND: Although loop diuretics (LDs) have been widely used in clinical practice, their effect on mortality when administered to patients experiencing cardiac surgery–associated acute kidney injury (CS-AKI) remains unknown. The study aimed to investigate the effectiveness of LD use in patients with CS-AKI. […]
Read MoreAuthor: Michael Walter Cardiovascular Business | Weekly treatments of semaglutide can reduce the risk of cardiovascular death, heart attack or stroke among obese patients without diabetes, according to new data presented at the American Heart Association’s Scientific Sessions 2023 conference and simultaneously published in The New England Journal of Medicine.[1] Subcutaneous treatments of semaglutide, a GLP-1 receptor agonist […]
Read MoreAuthor: Michael Walter Cardiovascular Business Malcolm Kirk, MD, a veteran cardiologist who specializes in electrophysiology has been reprimanded by the Rhode Island Board of Medicine Licensure and Discipline for performing a surgery one day after testing positive for COVID-19. WJAR in Providence, Rhode Island, reported on the story, noting that Kirk performed the procedure on Jan. 12 […]
Read MoreAuthor: Claire Wallace Becker’s ASC Review Medicare’s average anesthesia rate for 2023 is down 5.5% from 2019 as inflation continues to rise nationwide, according to an analysis by Coronis Health. Another analysis, from VMG Health, found that Medicare reimbursements for anesthesia services decreased from $22.2730 per unit in 2019 to $21.1249 in 2023 under CMS’ final rule. While many advocacy […]
Read MoreAUTHORS: Ju, Jae-Woo MD et al Anesthesia & Analgesia November 21, 2023. BACKGROUND: Many studies have suggested that volatile anesthetic use may improve postoperative outcomes after cardiac surgery compared to total intravenous anesthesia (TIVA) owing to its potential cardioprotective effect. However, the results were inconclusive, and few studies have included patients undergoing heart valve surgery. […]
Read MoreAUTHORS: Samost-Williams, Aubrey MD, MS et al Anesthesia & Analgesia November 22, 2023. BACKGROUND: Intraoperative handoffs have been implicated as a contributing factor in many perioperative adverse events. Despite conflicting data around their impact on perioperative outcomes, they remain a vulnerable point in the perioperative system with significant attention focused on improving them. This study […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant The state of Alabama executed inmate Kenneth Smith on January 25, 2024, by forcing him to breathe 100% nitrogen gas. It was the first known execution in the United States by this method. Smith was 58 years old. He was sentenced to death for his role in a 1988 […]
Read MoreMichael Walter Cardiovascular Business Robotic-assisted coronary artery bypass grafting (CABG) procedures are associated with significant cost savings compared to traditional CABG, according to new research published in the American Journal of Cardiology.[1] This was even true after adding in the high cost—more than $1 million—of the state-of-the-art robot. “The use of robotic-assisted CABG has been slow […]
Read MoreAUTHORS: Leaman, Esrom E. MBBS et al Anesthesia & Analgesia November 22, 2023. BACKGROUND: Initiatives in perioperative care warrant robust cost-effectiveness analysis in a cost-constrained era when high-value care is a priority. A model of anesthesia-led early high-acuity postoperative care, advanced recovery room care (ARRC), has shown benefit in terms of hospital and patient outcomes, […]
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