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AUTHORS: Wong, Stanley Sau Ching MD et al Anesthesia & Analgesia 137(1):p 59-71, July 2023. BACKGROUND: Buprenorphine is a partial agonist at the µ-opioid receptor and an antagonist at the delta and kappa opioid receptors. It has high affinity and low intrinsic activity at the µ-opioid receptor. Buprenorphine demonstrates no ceiling effect for clinical analgesia but […]
Read MoreAuthor: Michael Walter Cardiovascular Business Salt substitutes are associated with a reduced risk of high blood pressure without increasing the risk of low blood pressure, according to new findings published in the Journal of the American College of Cardiology.[1] “Adults frequently fall into the trap of consuming excess salt through easily accessible and budget-friendly processed foods,” […]
Read MoreAuthors: Patsy Newitt Becker’s ASC Review The percentage of ASCs that are independent shrunk from 70% to 68% from 2022 to 2023, according to a February report from VMG Health. Here are three more notes on ASC consolidation: 1. Because of the highly fragmented industry, there’s room for ASC consolidation at the individual facility level, according to […]
Read MoreAuthor: Michael Walter | Cardiovascular Business A rising number of young patients with severe aortic stenosis are choosing to undergo transcatheter aortic valve replacement (TAVR) over surgery, according to new data presented Sunday, Jan. 28, at STS 2024, the annual meeting of the Society of Thoracic Surgeons (STS). Back in 2020, the American College of Cardiology and American Heart Association issued guidelines […]
Read MoreAuthor: Richard Novak, MD The Anesthesia Consultant Is your doctor an experienced anesthesia provider or a newbie? The list below chronicles the crescendo of growth of as I’ve witnessed it from a newly-trained anesthesia doctor to an expert practitioner. It’s a development of skills, maturity, and judgment over many years. As a patient, the only […]
Read MoreAUTHORS: Wang, Lu MD, PhD et al Anesthesia & Analgesia 137(1):p 48-57, July 2023 BACKGROUND: A systematic review and meta-analysis was conducted to investigate the prevalence and characteristics of persistent (≥3 months) postoperative pain (PPP) after thoracic surgery. METHODS: For this purpose, Medline, Embase, and CINAHL databases were searched for the prevalence and characteristics of […]
Read MoreBAuthors: randi Bottiger, M.D. et al Anesthesiology February 2024. In 2021, the Organ Procurement and Transplantation Network (Richmond, Virgina) recorded greater than 40,000 solid organ transplants, despite the COVID-19 pandemic. Most of them were kidney transplants, an operation with less blood loss and need for allogeneic transfusions compared to liver, heart, or lung transplantation. Due to […]
Read MoreAUTHORS: Kim, Hee Jung MD, PhD et al Anesthesia & Analgesia 137(1):p 153-161, July 2023. BACKGROUND: We examined the relationship between blood transfusion and long-term adverse events to evaluate the clinical impact of red blood cell (RBC) transfusion on patients undergoing cardiac valve surgery. METHODS: From the National Health Insurance Service database, individuals undergoing heart valve […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review Here are four pieces of good news and three pieces of bad news affecting the ASC industry at the moment. Good news 1. CMS added 11 procedures to the ASC-covered list that were not included in the proposed rule, including total shoulder arthroplasty. “When I think of my patient population, I […]
Read MoreAuthor: Michael Walter Cardiovascular Business When patients with pacemakers die, what happens to the device? Typically, it ends up being discarded and forgotten—they were designed to be single-use devices, after all—but that does not have to be the case. For several years now, cardiologists, electrophysiologists and other heart specialists with the Frankel Cardiovascular Center at the University […]
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