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Atul Gawande, M.D.: ‘What we are working for is pretty simple. It’s the right care at the right time every time.’ Anesthesia and sterile environments are seen as the first two foundations of improved outcomes in surgery, but teamwork is establishing itself as an equally important part of that foundation. Atul Gawande, M.D., explained that […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology published on October 5, 2017. Background: There is consistent and significant variation in neuraxial anesthesia use for hip fracture surgery across jurisdictions. We measured the association of hospital-level utilization of neuraxial anesthesia, independent of patient-level use, with 30-day survival (primary outcome) and length of stay and costs […]
Read MoreAuthors: Ramon Abola, M.D. et al ASA Monitor 10 2017, Vol.81, 22-25. Ramon Abola, M.D., is Assistant Professor, Stony Brook Medicine, Stony Brook, New York. T.J. Gan, M.D., M.B.A., M.H.S., FRCA, is Professor and Chairman, Stony Brook Medicine, Stony Brook, New York. How can I ensure that this patient does well through today’s surgery? How can I […]
Read MoreAuthors: Richard D. Urman, M.D., M.B.A., CPE, FASA et al ASA Monitor 10 2017, Vol.81, 16-17. Recently, the Centers for Medicare & Medicaid Services (CMS) finalized a proposal to reimburse providers for end-of-life counseling as part of advanced care planning. This was in response to a push to further engage patients, families and surrogates in their medical […]
Read MoreJAMA. 2017;318(13):1250-1259. Authors: Shang-Hung Chang, MD, PhD et al Non-vitamin-K oral anticoagulants (NOACs) are associated with major bleeding episodes caused by drug-drug interactions, a Taiwanese study finds. The authors note that the findings might not apply to Western populations. Using national databases, investigators retrospectively examined major bleeding episodes with NOAC use alone or with concurrent use of 12 […]
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