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Uncategorized Published - 8 March, 2019    By - Dr Clemens
Prolonged perioperative thoracic epidural analgesia may improve survival after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy for colorectal peritoneal metastases: A comparative study

Authors: Lorimier G et al European Journal of Surgical Oncology (EJSO) 44 (11), 1824-1831 (2018) OBJECTIVE To assess the effectiveness of prolonged perioperative thoracic epidural analgesia (PEA) on long term survival of patients who underwent a complete cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for colorectal peritoneal metastases (CPM). BACKGROUND Grade III-IV morbidity affects […]

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Uncategorized Published - 8 March, 2019    By - Dr Clemens
Caring for Critically Ill Patients with the ABCDEF Bundle: Results of the ICU Liberation Collaborative in Over 15,000 Adults

Authors: Pun B, Balas M, Barnes-Daly M et al Critical Care Medicine (Oct 2018) OBJECTIVE Decades-old, common ICU practices including deep sedation, immobilization, and limited family access are being challenged. We endeavoured to evaluate the relationship between ABCDEF bundle performance and patient-centered outcomes in critical care. DESIGN Prospective, multicenter, cohort study from a national quality […]

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Uncategorized Published - 8 March, 2019    By - Dr Clemens
Hospitals Stopped Readmitting So Many Medicare Patients. Did That Cost Lives?

By Paula Span New York Times Jan. 18, 2019 A new government program was supposed to prevent certain Medicare recipients from cycling in and out of hospitals. Now experts worry some older patients are being denied necessary care. It was a well-intended policy. Almost all parties agree on that much. A decade ago, when Medicare beneficiaries […]

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Uncategorized Published - 8 March, 2019    By - Dr Clemens
What ASC anesthesia groups should know about the 2019 final payment rule: 6 insights

Anesthesia practices should prepare to see procedure mix changes at ASCs beginning in 2019 because of CMS’ final payment rule, according to Anesthesia Business Consultants President and CEO Tony Mira. Here are six insights: 1. CMS published the Outpatient Prospective Payment System and ASC Payment System Final Rule, which adds 12 cardiac catheterization procedures and five additional […]

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Uncategorized Published - 7 March, 2019    By - Dr Clemens
Causal Analysis of World Health Organization’s Surgical Safety Checklist Implementation Quality and Impact on Care Processes and Patient Outcomes

Secondary Analysis From a Large Stepped Wedge Cluster Randomized Controlled Trial in Norway Authors: Haugen, Arvid Steinar, MSc, PhD et al Annals of Surgery: February 2019 – Volume 269 – Issue 2 – p 283–290 Objective: We hypothesize that high-quality implementation of the World Health Organization’s Surgical Safety Checklist (SSC) will lead to improved care processes and subsequently reduction of peri- and […]

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