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Uncategorized Published - 16 December, 2016    By - Dr Clemens
The Medicare Access and CHIP Reauthorization Act (MACRA): The Dawn of a New Era Quality Queries and Quandaries:

Author: Emil Engels, MD, MBA, CPC ‘If you’re not confused, you’re not paying attention.’ —Tom Peters, writer and expert in business management   For years, physicians pressured Congress to repeal the flawed Sustainable Growth Rate (SGR) formula. It adjusted physician reimbursement based on changes in Gross Domestic Product. Over time, the formula led to draconian […]

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Uncategorized Published - 16 December, 2016    By - Dr Clemens
Paradigm Shift: Oliceridine Found Effective for Pain Relief

Opioids are widely used in the United States to manage moderate to severe acute postoperative pain, but adverse events, including respiratory depression and gastrointestinal dysfunction, can limit the dosing required for analgesic efficacy. Oliceridine—a novel mu-receptor G protein pathway selective modulator—may provide effective, rapid analgesia and reduce typical adverse effects, according to two recent Phase […]

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Uncategorized Published - 16 December, 2016    By - Dr Clemens
Transcutaneous PCO2 Monitoring in Newborn Infants During General Anesthesia Is Technically Feasible

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 1004–1007 AUTHORS: Karlsson, Victoria RN, MMSc et al BACKGROUND: Transcutaneous (TC) measurement of PCO2 (TC PCO2) is a well-established method to monitor assisted ventilation in neonatal intensive care, but its use in the operating room is limited, and the data regarding its performance […]

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Uncategorized Published - 16 December, 2016    By - Dr Clemens
Patient-Controlled Analgesia Plus Background Opioid Infusion for Postoperative Pain in Children: A Systematic Review and Meta-Analysis of Randomized Trials

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 991–1003 AUTHORS: Hayes, Jason MD et al BACKGROUND: Bolus administration of opioids via a patient-controlled analgesia (PCA) device is widely used in the postoperative pediatric population. PCA devices have been shown to provide superior analgesia and greater patient satisfaction compared with intermittent […]

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Uncategorized Published - 16 December, 2016    By - Dr Clemens
FDA Issues Warning on Use of Sedation Drugs in Young Children, Pregnant Women

Repeated use of general anesthetic and sedation drugs — or use for longer than 3 hours — in children under age 3 years and in pregnant women in their third trimester could adversely affect child brain development, the FDA warned on Wednesday. The agency cited animal data showing that early, lengthy exposure to these drugs […]

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