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On 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 […]
Read MoreInterview with Michael Clark, MD Antidepressants are commonly prescribed to manage chronic pain so a meta-analysis was conducted to determine how well this class of medications was tolerated, and the extent of adverse effects occurring in patients with chronic pain. Chronic pain affects 36% of the US population and accounts for 12% of all medication […]
Read MoreAuthors: Nasir Hussain, M.Sc., M.D et al Anesthesiology published on October 12, 2017. Background: Interscalene block provides optimal shoulder surgery analgesia, but concerns over its associated risks have prompted the search for alternatives. Suprascapular block was recently proposed as an interscalene block alternative, but evidence of its comparative analgesic effect is conflicting. This meta-analysis compares the analgesic […]
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