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Controlling chronic noncancer pain in a patient who has a substance use disorder is a complex and challenging task. But with tools such as empathetic communication, urine drug testing and coprescribing potentially lifesaving naloxone, health care teams can treat patients with these concurrent conditions safely and effectively—even with opioids, according to several leading pharmacists with […]
Read MoreDiversion, waste management go hand in hand Kerri O’Keefe had worked as a care aide in the emergency department at Vancouver General Hospital (VGH), in British Columbia, for more than 15 years, transporting patients and helping them with all their basic needs. She loved her job—but according to news reports in the Vancouver Sun, she also […]
Read MoreOn November 2, 2017, the Centers for Medicare & Medicaid Services (CMS) released its final rule for the CY2018 Medicare Physician Fee Schedule. This 1,250-page rule includes many issues relevant to anesthesia and pain medicine. 2018 Medicare Conversion Factors – Modest Increase in Anesthesia CF: The calculations that result in these figures include the positive […]
Read MoreAuthors: Robert I. Block, Ph.D. et al Anesthesiology 11 2017, Vol.127, 788-799. Background: Anesthetics have neurotoxic effects in neonatal animals. Relevant human evidence is limited. We sought such evidence in a structural neuroimaging study. Methods: Two groups of children underwent structural magnetic resonance imaging: patients who, during infancy, had one of four operations commonly performed in otherwise healthy […]
Read MoreAuthors: Alexandre Joosten, M.D. et al Anesthesiology published on October 26, 2017. Background: The type of fluid and volume regimen given intraoperatively both can impact patient outcome after major surgery. This two-arm, parallel, randomized controlled, double-blind, bi-center superiority study tested the hypothesis that when using closed-loop assisted goal-directed fluid therapy, balanced colloids are associated with fewer postoperative […]
Read MoreAuthors: Tobias Kammerer, M.D. et al Anesthesiology published on October 26, 2017. Background: The use of artificial colloids has declined in critical care, whereas they are still used in perioperative medicine. Little is known about the nephrotoxic potential in noncritically ill patients during routine surgery. The objective of this trial was to evaluate the influences of albumin […]
Read MorePostoperative complications are a problem area in anesthesia, but studies define a road to help reduce them. During Tuesday’s “Neuromuscular Physiology, Pharmacology and Monitoring: Debunking the Myths,” four anesthesiologists examined the need for better guidelines, the use of scientific methods to assess anesthesia recovery, objective monitoring and debunking myths about operating conditions to improve treatment. […]
Read MoreShamsuddin Akhtar, M.D., discusses the effects of aging on the cardiovascular system. The perioperative treatment of geriatric patients is a challenge because increases in frailty and comorbidities affect how the elderly react to anesthesia and the insult of surgery. Two speakers examined the effects of aging on patients and how to deal with them during […]
Read MoreFranklin Dexter, M.D., Ph.D., explains methods to improve O.R. efficiency. He is the Director of the Division of Management Consulting and Professor of Anesthesia at the University of Iowa. In the O.R., time is money. To run an O.R. efficiently, “reduce your hours of over-utilization,” said Franklin Dexter, M.D., Ph.D. In other words, do what […]
Read MoreThe EHR giant called the allegations “fundamental misunderstanding of how claims software works.” Healthcare IT giant Epic Systems has been hit with a False Claims Act suit that alleges the company’s billing system double bills the government for anesthesia services. According to the suit that was made public Thursday, the alleged glitch in the system […]
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