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Author: Emil Engels, MD, MBA, CPC MACRA Madness: The Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, shifts the Medicare payment base from volume to value. This landmark legislation aims to move Medicare from fee-for-service to a system that rewards quality and low cost. As recently as the summer of 2016, 50% of […]
Read MoreAUTHORS: Dunham, Alexandra M. MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 38–43 BACKGROUND: Both patient characteristics and intraoperative factors have been associated with a higher risk of stroke after cardiac surgery. We hypothesized that poor systemic oxygenation in the perioperative period is associated with increased risk of stroke […]
Read MoreAUTHORS: Melton, M. Stephen MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 313–319 BACKGROUND: The effect of interscalene block (ISB) on pulmonary function of obese participants has not been investigated. The goal of this study is to assess the association of obesity (body mass index [BMI] >29 kg/m2 vs BMI […]
Read MoreA pocket-sized ultrasound device for spinal anesthesia guidance accurately predicts Tuohy needle depth to epidural space. In addition, using the epidural insertion point identified by the hand-held device was associated with high first-pass success and minimal needle redirections. “This preliminary feasibility study in laboring parturients showed that the hand-held ultrasound [device] accurately predicted Tuohy needle […]
Read MoreLast month, the Japanese Society of Anesthesiologists permanently banned Yuhji Saitoh of the Yachiyo Medical Center and Tokyo Women’s Medical University for fraud and data manipulation. Saitoh was a frequent co-author of papers with Yoshitaka Fujii, an infamous fraudster within the anesthesia community. “An editorial in anesthesiology-related journal ‘Anaesthesia’ outlining the alleged fraud cited numerous publications where […]
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