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Anesthesiology published on 1 2016 Authors: Peter Szmuk, M.D. et al Background: Pulse oximetry provides no indication of downward trends in Pao2 until saturation begins to decrease. The Oxygen Reserve Index (ORI) is a novel pulse oximeter–based nondimensional index that ranges from 1 to 0 as Pao2 decreases from about 200 to 80 mmHg and is measured by optically […]
Read MoreResearch suggesting nurse anesthetist standalone care is equivalent to physician-led care is flawed, according to a new study published in Anesthesia & Analgesia. Here are six insights: According to study results, the frequently used billing code gives a false impression that many nurse anesthetists practice without the supervision of physician anesthesiologists. Nurse anesthetists have two coding options for […]
Read MoreAnesthesiology 2 2016, Vol.124, 339-352. Authors: Miklos D. Kertai, M.D., Ph.D. et al Background: Cardiac surgery requiring cardiopulmonary bypass is associated with platelet activation. Because platelets are increasingly recognized as important effectors of ischemia and end-organ inflammatory injury, the authors explored whether postoperative nadir platelet counts are associated with acute kidney injury (AKI) and mortality after coronary […]
Read MoreConsent requirements would be eased for providers releasing their patients’ substance abuse diagnosis and treatment records under a proposed rule released earlier this week by the Department of Health and Human Services (HHS). The proposed rule seeks to “modernize the [current federal law on substance abuse confidentiality] by facilitating the electronic exchange of substance use disorder information […]
Read MoreThe administration of intraoperative opioids was significantly associated with post-discharge nausea and vomiting (PDNV) in children, and long-acting opioids had far worse effects than their short-acting counterparts. “This study started out along the lines of a quality-assurance project into unexplored territory in children,” said Proshad Efune, MD, currently a fellow in the Pediatric Critical Clinical […]
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