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By Karen at A Penned Point Six-year-old Caleb Sears: His death was preventable I’m not a pediatric anesthesiologist. Most of us in anesthesiology – even those who take care of children in the operating room or the ICU every day – probably will never give anesthesia to a child in a dentist’s or oral surgeon’s office. […]
Read MoreResults of a Predefined Secondary Analysis of the VISION Study Authors: T. E. F. Abbott et al Br J Anaesth. 2016;117(2):172-181. Background: Increased baseline heart rate is associated with cardiovascular risk and all-cause mortality in the general population. We hypothesized that elevated preoperative heart rate increases the risk of myocardial injury after non-cardiac surgery (MINS). […]
Read MoreAuthors: Anthony Plunkett MD et al Journal of American Academy of Pain Medicine 29 December 2016 Objective.The management of postoperative pain is a major health care issue. While the cost of intravenous acetaminophen (IVA) is significantly greater than its oral acetaminophen (OA) counterpart, less is known regarding comparative effectiveness of these routes. The purpose of this study […]
Read MoreThe Centers for Medicare & Medicaid Services (CMS), accreditation agencies and other reimbursement platforms will be requiring non–operating room anesthesia (NORA) practices to be written, recorded and measured for quality assurance purposes. Anesthesia providers should be more aware of the policies used to dictate standards and practice measures, according to a session on NORA policies […]
Read MoreGeneral anesthesia combined with modern volatile anesthetics for use in cardiac surgery correlated with fewer deaths and less postoperative pulmonary and other complications, when compared with total IV anesthesia (TIVA). That was the finding from a literature review of 68 randomized controlled trials that included 7,104 patients. In noncardiac surgery, however, volatile anesthetics were not […]
Read MoreOren Bernstein, MD Private Practice Anesthesiologist Pacific Anesthesia, Inc. The Queen’s Medical Center Honolulu, Hawaii The number of patients eligible for transcatheter aortic valve replacement is rapidly expanding, and TAVR centers are under growing production pressure with steadily increasing caseloads. As such, anesthesiologists can play an i mportant role in maximizing procedural efficiency while maintaining […]
Read MoreOver the last few months, there has been an explosion of interest in the legislature to rein in oxycodone and to limit its use for pain management. Health care providers are painted as the major culprits who are causing an explosion of drug abuse, as reported by the media. Many excellent physicians in the field […]
Read MoreA picture might be worth a thousand words, but the right label can save thousands of dollars. By replacing text-heavy instruction labels for blood transport coolers with icon-driven labels, providers at the University of Florida (UF) College of Medicine have shown a dramatic reduction in blood product waste—saving their hospital almost $20,000 in just five […]
Read MoreThere is a growing body of literature demonstrating that obstructive sleep apnea (OSA) is directly linked to an increase in adverse maternal and fetal complications. Although there are a number of OSA screening tools available, they have been found to be less accurate in pregnant women, making OSA diagnosis and treatment even more challenging in […]
Read MoreAnesthesia & Analgesia:November 2016 – Volume 123 – Issue 5 – p 1163–1171 AUTHORS: Silva, João Manoel Jr MD, PhD et al BACKGROUND: Metabolic acidosis frequently i s present in surgical patients; however, different types of metabolic acidosis (hyperlactatemia, hyperchloremia, and others) may have different relationships to perioperative outcomes. We hypothesized that in postoperative surgical […]
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