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A 61-year-old man with multiple unilateral rib fractures (T3-T8) gained the ability to breathe deeply and to ambulate after ultrasound-guided continuous thoracic paravertebral block and was discharged home after being observed for 15 hours after the block. The ultrasound guidance was helpful in determining the site of rib fractures and the optimal level for catheter […]
Read MoreEpidural injections of corticosteroids to relieve pain — a widespread, off-label use — run the rare risk for blindness, stroke, paralysis, and death, the US Food and Drug Administration (FDA) announced today. The FDA is requiring manufacturers of corticosteroids to revise drug labels to include this warning. In today’s announcement, directed at anesthesiologists and pain […]
Read MoreI thought this was important because occasionally these patients go to the OR. Authors: Arnaout M et al., Crit Care Med 2014 Dec 8; A retrospective cohort study found neurologic causes in 2.3% of survivors. Acute coronary syndrome is the main etiology for out-of-hospital cardiac arrest (OHCA), but identification of patients who arrest secondary to neurologic causes […]
Read MoreOn November 13, 2014, the CY 2015 Medicare Physician Fee Schedule (MPFS) final rule was published in the Federal Register. In order to implement corrections to technical errors discovered after publication of the MPFS rule and process claims correctly, Medicare Administrative Contractors will hold claims containing 2015 services paid under the MPFS for the first […]
Read MoreAnesthesia and surgery significantly increase the risk for dementia, new research suggests. A large population-based study conducted by investigators at the Neurological Institute in Taipei Veterans General Hospital, in Taipei City, Republic of China, showed that the risk of developing dementia nearly doubled within 3 to 7 years of anesthesia and surgery. In addition, the […]
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