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In the anesthesia industry, the choice between in-house billing and outsourcing is pivotal. While in-house operations may promise control, the reality is complex and costly. The financial burden of in-house billing extends far beyond payroll, encompassing overlooked expenses like office space, software, and compliance measures. Moreover, the intangible costs of staff recruitment, training, and management […]
Read MoreAUTHORS: Zhou, Shuangqiong MD et al Anesthesia & Analgesia 137(1):p 176-181, July 2023. BACKGROUND: High-flow nasal oxygen (HFNO) therapy is widely used in critical care obstetrics to improve oxygenation. Much of the benefit of HFNO is linked to the creation of modest levels of positive airway pressure. Pregnant women are generally considered to be at high […]
Read MoreAUTHORS: Briesenick, Luisa MD et al Anesthesia & Analgesia 137(1):p 169-175, July 2023. BACKGROUND: Perioperative hemodynamic management aims to optimize organ perfusion pressure and blood flow—assuming this ensures that oxygen delivery meets cellular metabolic needs. Cellular metabolic needs are reflected by energy expenditure. A better understanding of energy expenditure under general anesthesia could help tailor perioperative […]
Read MoreAuthor: Paige Haeffele Becker’s ASC Review In wake of CMS’ finalized physician fee schedule, which cut physician pay by 3.4% compared to last year despite rising inflation and practice costs, some practices and physicians made the decision to drop Medicare patients. When adjusting for inflation, Medicare already pays around 26% less than it did in 2001 to […]
Read MoreAuthors: Mathias Maagaard, M.D. et al Anesthesiology June 2023, Vol. 138, 625–633. Background The authors hypothesized that both perineural and systemic dexamethasone as adjuncts to bupivacaine increase the duration of an ulnar nerve block compared with bupivacaine alone, and that systemic dexamethasone is noninferior to perineural dexamethasone. Methods The authors performed bilateral ulnar nerve blocks with […]
Read MoreAuthor: Rebecca Pifer Healthcare Dive Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones. Dive Brief: Federally regulated health insurers — including Medicare Advantage plans — will have to turn around prior authorization decisions much more quickly under a rule finalized by the CMS […]
Read MoreAUTHORS: Engoren, Milo MD; Heung, Michael MD Anesthesia & Analgesia February 12, 2024. BACKGROUND: Sugammadex is associated with fewer postoperative pulmonary complications than is neostigmine reversal of neuromuscular blockade. However, the Food and Drug Administration-approved package insert states that its use is “not recommended” in severe renal impairment, separately defined as creatinine clearance <30 mL/min. […]
Read MoreAUTHORS: Yeh, Chou-Ming MD, PhD et al Anesthesia & Analgesia June 30, 2023. BACKGROUND: Paclitaxel (PTX), which is a first-line chemotherapy drug used to treat various types of cancers, exhibits peripheral neuropathy as a common side effect that is difficult to treat. Protein arginine methyltransferase 5 (PRMT 5) is a key regulator of the chemotherapy […]
Read MoreAUTHORS: Siddiqui, Shahla MD, MSc, FCCM et al Anesthesia & Analgesia 137(1):p 162-168, July 2023. BACKGROUND: Patient-centered care is increasing in importance especially in the post-coronavirus disease 2019 (COVID-19) pandemic era. We sought to understand factors affecting compassionate care faced by intensivists in the intensive care unit (ICU). METHODS: Using survey methodology incorporating 3 real-life case […]
Read MoreAuthors: Vijay Krishnamoorthy, M.D., M.P.H., Ph.D. et al Anesthesiology February 2024. Learning healthcare systems are a new and evolving way of integrating data and technology into daily practice in health care. Defined by the National Academy of Medicine (Washington, DC), a learning healthcare system is a system where “science, informatics, incentives, and culture are aligned for […]
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