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Authors: Leslie Kociemba, M.P.H.; Matthew T. Popovich, Ph.D. ASA Monitor 01 2018, Vol.82, 52-53. On November 2, The Centers for Medicare & Medicaid Services (CMS) published its “CY 2018 Updates to the Quality Payment Program Final Rule with Comment” as well as an Interim Final Rule for “Extreme and Uncontrollable Circumstance Policy for the Transition Year”. Updates to […]
Read MoreAuthors: Lainie Rutkow, J.D., Ph.D., M.P.H., and Jon S. Vernick, J.D., M.P.H. N Engl J Med 2017; 377:2512-2514 December 28, 2017 Opioid-overdose deaths in the United States have steadily increased for the past 15 years, with more than 33,000 such deaths reported in 2015. The epidemic is unfolding on two fronts: use of prescription opioid pain […]
Read MoreAUTHORS: Michael J. Murray, M.D., Ph.D. et al ASA Monitor 01 2018, Vol.82, 40-43. Morbidity and mortality caused by intentional and unintentional trauma, as well as injuries such as intentional and accidental ingestions, are major public health problems worldwide, resulting in billions of dollars of avoidable medical expense as well as critical lost productivity. In addition […]
Read MoreASA Monitor 01 2018, Vol.82, 34. A patient with a history of anaphylaxis to penicillin is most likely to have an increased risk for cross-reactivity to which of the following generations of cephalosporin antibiotics? (A) First-generation, such as cefazolin (Ancef, Kefzol) (B) Second-generation, such as cefuroxime (Ceftin) (C) Third-generation, such as ceftriaxone (Rocephin) (D) Fourth-generation, such as cefepime […]
Read MoreAuthors: Jonathan D. Katz, M.D.; Amanda Burden, M.D. ASA Monitor 01 2018, Vol.82, 26-28. The United States is facing a projected physician shortage. According to a report released by the Association of American Medical Colleges (AAMC), there could be a shortfall of between 40,800 and 104,900 physicians by the year 2030.1 A recent analysis projects a shortage of more […]
Read MoreAuthors: David G. Silverman, M.D.; Trevor Banack, M.D. ASA Monitor 01 2018, Vol.82, 18-19. Research to improve the monitoring of patient temperature perioperativelyhas led to the realization that a patient’s core temperature does not match brain temperature and that monitoring brain temperature could help protect against hypothermic or hyperthermic brain damage and dysfunction, especially during surgery. The […]
Read MoreArchieves of Physical Medicine and Rehabilitation August 2017 Volume 98, Issue 8, Pages 1499–1507.e2 Author: Janna L. Friedly MD Objective To determine the overall long-term effectiveness of treatment with epidural corticosteroid injections for lumbar central spinal stenosis and the effect of repeat injections, including crossover injections, on outcomes through 12 months. Design Multicenter, double-blind, randomized controlled […]
Read MorePresented at the American College of Surgeons 101st Annual Clinical Congress, Scientific Forum, Chicago, IL, October 2015. It was the recipient of a Dedication and Excellence in Research Award. Authors: Mark H. Hanna, MD et al Background The effectiveness of thoracic epidural analgesia (EA) vs conventional IV analgesia (IA) after minimally invasive surgery is still […]
Read MoreIncreased need for anesthetics in children undergoing MRI scans is raising costs and could cause an accountable care organization (ACO) cost containment problem, according to researchers at Nationwide Children’s Hospital, in Columbus, Ohio, who set out to study trends in anesthesia use in children receiving these tests. Researchers obtained insurance claims data from the hospital’s […]
Read MoreAccording to a retrospective analysis of national claims data, use of IV acetaminophen is associated with modestly reduced perioperative opioid utilization and its related adverse effects in patients undergoing open colectomy. Patients given more than one dose of IV acetaminophen on the day of surgery had an 8% reduction in opioid utilization as well as […]
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