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Authors: Upchurch CP et al., Ann Emerg Med 2017 Jan 69:24 An observational study suggests that these two agents are similarly safe but sends a possibly worrisome signal. Several studies have sought — and failed to find — evidence that etomidate is bad for patients due to the adrenal suppression it is known to cause (NEJM JW […]
Read MoreAuthors: Driver BE et al., Ann Emerg Med 2017 Jan 69:1 High-flow oxygen through a nonrebreather mask is noninferior to bag-valve-mask for preoxygenation. Preoxygenation is a key step in rapid sequence intubation and involves allowing the patient to breath spontaneously with supplemental oxygen. The classic method, thought to achieve the highest alveolar oxygen concentration, is to use […]
Read MoreAuthors: Lukas Lannemyr, M.D. et al Anesthesiology 2 2017, Vol.126, 205-213. Background: Acute kidney injury is a common complication after cardiac surgery with cardiopulmonary bypass. The authors evaluated the effects of normothermic cardiopulmonary bypass on renal blood flow, glomerular filtration rate, renal oxygen consumption, and renal oxygen supply/demand relationship, i.e., renal oxygenation (primary outcome) in patients undergoing cardiac […]
Read MoreThis was not written for anestheia but it is great advice for all providers. By Emily Aaronson, MD Fellow Harvard Medical School Fellowship in Patient Safety and Quality Improvement Massachusetts General Hospital Despite the growing emphasis on “patient-centered care,” patient safety lapses attributed to poor communication are still commonplace. Noting this, during my fellowship at […]
Read MoreThe Centers for Medicare and Medicaid Services (CMS) has posted additional information about global surgery data collection requirements. Physicians and other healthcare providers in FL, KY, LA, NV, NJ, ND, OH, OR and RI will be required to submit information-only claims for services provided within the global period for specific procedures with a 10 or […]
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