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Uncategorized Published - 2 April, 2020    By - Dr Clemens
Medicare Fast-tracks Advance Payment to Providers

Author: Tony Mira The Centers for Medicare and Medicaid Services (CMS) has released a fact sheet explaining how it intends to put money directly into the hands of professional clinicians and hospitals whose surgical caseloads—and income—have plummeted due to the coronavirus (COVID-19) outbreak.  According to the fact sheet, “CMS is authorized to provide accelerated or […]

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Uncategorized Published - 2 April, 2020    By - Dr Clemens
Purchase and Wearing of Personal Protective Equipment by Anesthesiologists and other Anesthesia Professionals

From the ASA COVID-19 community transmission is becoming widespread, and reports of health care workers becoming infected are increasing. Post-procedure infection in apparently healthy patients is also reported. CDC guidance addresses the care of known, potential (persons under investigation) and non-infected individuals.1 This guidance contains recommendations for appropriate personal protective equipment (PPE), including respirators (e.g., N95 […]

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Uncategorized Published - 2 April, 2020    By - Dr Clemens
Goal-Directed Approach for Transthoracic Esophagectomy Reduces Morbidity, Mortality

Author: Michael Vlessides Anesthesiology News Transthoracic esophagectomy may pose a host of challenges, but a new study has found that intraoperative goal-directed therapy can reduce the incidence of major morbidity and mortality after the procedure. The investigation also found that use of goal-directed therapy decreased the hospital length of stay after the procedure. “Transthoracic esophagectomy […]

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Uncategorized Published - 2 April, 2020    By - Dr Clemens
Measuring NT-ProBNP for Preoperative Cardiac Risk Assessment

Authors: Duceppe E et al. Ann Intern Med 2019 Dec 24 Preoperative N-terminal pro–B-type natriuretic peptide levels predicted postoperative adverse cardiovascular events. The VISION (Vascular Events in Noncardiac Surgery Patients Cohort Evaluation) study is a prospective, international cohort study of cardiovascular complications following noncardiac surgery (NEJM JW Gen Med Jun 1 2017 and JAMA 2017; 317:1642). In this substudy […]

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Uncategorized Published - 2 April, 2020    By - Dr Clemens
App Improves Post-op Pain Control, Reduces Opioid Use

Anesthesiology News Patients who underwent total knee replacement and used a smartphone app (PainCoach) at home after surgery consistently reduced opioid use and reported improved pain control, according to research presented at the 2019 Euroanaesthesia Congress in Vienna. The more the study participants used the app, the more likely they were to lower pain scores […]

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