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Uncategorized Published - 24 January, 2017    By - Dr Clemens
Preoperative Heart Rate and Myocardial Injury After Non-cardiac Surgery

Results of a Predefined Secondary Analysis of the VISION Study Authors: T. E. F. Abbott et al Br J Anaesth. 2016;117(2):172-181. Background: Increased baseline heart rate is associated with cardiovascular risk and all-cause mortality in the general population. We hypothesized that elevated preoperative heart rate increases the risk of myocardial injury after non-cardiac surgery (MINS). […]

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Uncategorized Published - 24 January, 2017    By - Dr Clemens
A Preliminary Examination of the Comparative Efficacy of Intravenous vs Oral Acetaminophen in the Treatment of Perioperative Pain

Authors: Anthony Plunkett MD et al Journal of American Academy of Pain Medicine 29 December 2016 Objective.The management of postoperative pain is a major health care issue. While the cost of intravenous acetaminophen (IVA) is significantly greater than its oral acetaminophen (OA) counterpart, less is known regarding comparative effectiveness of these routes. The purpose of this study […]

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Uncategorized Published - 23 January, 2017    By - Dr Clemens
What To Consider When Drafting NORA Rules

The Centers for Medicare & Medicaid Services (CMS), accreditation agencies and other reimbursement platforms will be requiring non–operating room anesthesia (NORA) practices to be written, recorded and measured for quality assurance purposes. Anesthesia providers should be more aware of the policies used to dictate standards and practice measures, according to a session on NORA policies […]

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Uncategorized Published - 23 January, 2017    By - Dr Clemens
Reductions in Mortality and Other Complications Seen With Use of Volatile Anesthetics in Cardiac Surgery

General anesthesia combined with modern volatile anesthetics for use in cardiac surgery correlated with fewer deaths and less postoperative pulmonary and other complications, when compared with total IV anesthesia (TIVA). That was the finding from a literature review of 68 randomized controlled trials that included 7,104 patients. In noncardiac surgery, however, volatile anesthetics were not […]

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Uncategorized Published - 23 January, 2017    By - Dr Clemens
The Minimalist Approach to Anesthesia Care for Transcatheter Aortic Valve Replacement

Oren Bernstein, MD Private Practice Anesthesiologist Pacific Anesthesia, Inc. The Queen’s Medical Center Honolulu, Hawaii The number of patients eligible for transcatheter aortic valve replacement is rapidly expanding, and TAVR centers are under growing production pressure with steadily increasing caseloads. As such, anesthesiologists can play an i mportant role in maximizing procedural efficiency while maintaining […]

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