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Smoking just one cigarette daily is associated with a “much greater than expected” increase in risk for coronary heart disease (CHD) and stroke, researchers conclude in The BMJ. In a meta-analysis, the researchers analyzed 141 prospective studies examining the association between smoking and CHD or stroke in millions of generally healthy people. Overall, compared with never-smoking, […]
Read MoreAUTHORS: Duce, Lorent MD et al Anesthesia & Analgesia: August 2017 BACKGROUND: Erythropoiesis-stimulating agents, such as erythropoietin (EPO), can be used to treat preoperative anemia. Some studies suggest an increased risk of mortality and thrombotic events, and use in cardiovascular surgery remains off-label. This study compares outcomes in cardiac surgery patients declining blood transfusion who received EPO […]
Read MoreAuthors: Elizabeth M. S. Lange, M.D. et al Anesthesiology published on January 18, 2018. Background: Programmed intermittent boluses of local anesthetic have been shown to be superior to continuous infusions for maintenance of labor analgesia. High-rate epidural boluses increase delivery pressure at the catheter orifice and may improve drug distribution in the epidural space. We hypothesized that […]
Read MoreThis will be impacting both our patients and our own anesthesia staff. By Lena H. Sun What does the flu do to the human body? Here’s a look at how the flu virus infects the body and produces symptoms.(Joyce Koh/The Washington Post) A nasty flu season is in full swing across the United States, with a sharp increase […]
Read MoreAuthors: Sachin Kheterpal, M.D., M.B.A. et al Anesthesiology 2 2018, Vol.128, 272-282. Background: The authors hypothesized that a multiparameter intraoperative decision support system with real-time visualizations may improve processes of care and outcomes. Methods: Electronic health record data were retrospectively compared over a 6-yr period across three groups: experimental cases, in which the decision support system was used […]
Read MoreThis is another article I thought was very interesting even with it not being about anesthesia so I wanted to share it with our readers. By Jane E. Dutton and Julia Lee for Harvard Business Review Whether we realize it or not, we are constantly given small opportunities to build up or put down our coworkers in […]
Read MoreThe simple addition of ultrasound guidance to traditional thoracic paravertebral blockade does not necessarily add safety and technical ease. According to a recent comparative analysis, a modified ultrasound-guided proximal intercostal block in women undergoing breast surgery offers sonoanatomic and technical advantages over the traditional ultrasound-guided paravertebral block, without compromising pain-related outcomes. “Our findings demonstrate that […]
Read MoreAuthor: Emil Engels, MD, MBA, CPC The Centers for Medicare & Medicaid Services (CMS; see acronyms sidebar) released two final rules in early November that will affect payment for physician services. On Nov. 2, CMS released the Medicare Physician Fee Schedule Final Rule, which governs payment for physician services beginning Jan. 1, 2018. In addition, […]
Read MoreManual ventilation with a bag mask is a safe method to use while transporting patients from the cardiac surgery operating room (OR) to the ICU, a study has found. Manual ventilation caused a greater excursion in end-tidal carbon dioxide (EtCO2) than machine ventilation of intubated patients during a short transport from surgery to the ICU, […]
Read MoreI thought this was interesting even if it doesn’t involve anesthesia. Jagdip Singh, a professor of marketing at the Weatherhead School of Management at Case Western Reserve University, explains his research team’s new findings about customer satisfaction. He says apologizing is often counterproductive and that offering customers different possible solutions is usually more effective. He […]
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