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In stark contrast to a 2010 investigation suggesting that nurse anesthetists frequently provide care unsupervised by physician anesthesiologists, researchers at the University of Texas Medical Branch and the American Society of Anesthesiology’s (ASA) Department of Health Policy have found that the Medicare billing code at the center of that trial—modifier QZ—does not seem to be […]
Read MoreThe American Pain Society, for the first time, has released a clinical practice guideline on managing postoperative pain. The guideline was created with input from the American Society of Anesthesiologists (ASA) and was subsequently approved by the American Society for Regional Anesthesia and Pain Medicine (ASRA), and was based on the 23-member panel’s review of […]
Read MoreAutopsy confirms that the pop star died of an accidental overdose of fentanyl. But questions remain regarding his pain treatment and recovery plans. Interview with Jeffrey Fudin, PharmD, DAAPM, FCCP, FASHPThe autopsy report confirms fentanyl in Prince’s system at the time of death. Since his death, news coverage has speculated about what caused Prince to […]
Read MoreAnesthesia & Analgesia: May 17, 2016 AUTHORS: Liou, Jing-Yang MD et al BACKGROUND: Selecting an effective dose of sedative drugs in combined upper and lower gastrointestinal endoscopy is complicated by varying degrees of pain stimulation. We tested the ability of 5 response surface models to predict depth of sedation after administration of midazolam and alfentanil […]
Read MoreAnesthesia & Analgesia: May 13, 2016 AUTHORS: Tawfik, Mohamed Mohamed MD et al BACKGROUND: Preprocedural ultrasound may improve the efficacy and safety of epidural catheterization, especially in difficult cases. Most studies of ultrasound-assisted epidural catheterization in the obstetric population are dated and nonblinded with inconsistent designs. This double-blind, randomized controlled study aimed to compare the […]
Read MoreAnesthesia & Analgesia: May 13, 2016 Authors: Tusman, Gerardo MD et al Pulse oximetry is an undisputable standard of care in clinical monitoring. It combines a spectrometer to detect hypoxemia with a plethysmograph for the diagnosis, monitoring, and follow-up of cardiovascular diseases. These pulse oximetry capabilities are extremely useful for assessing the respiratory and circulatory […]
Read MoreAUTHORS: Dilmen O et al Clinical Neurology and Neurosurgery 146 90-95 (May 2016) OBJECTIVES The prevalence of moderate to severe pain is high in patients following craniotomy. Although optimal analgesic therapy is mandatory, there is no consensus regarding analgesic regimen for post-craniotomy pain exists. This study aimed to investigate the effects of morphine and non-opioid […]
Read MoreQuality Queries and Quandaries: Confusion surrounds quality reporting for anesthesia providers. The use of acronyms by the government, such as PQRS, MAV, VM, QRUR, QCDR, MACRA and MIPS, only adds to the problem. The “alphabet soup” of government quality programs is bewildering and complex, and even experienced policy wonks struggle to understand them. Many anesthesia […]
Read MoreThe expansion of prescription drug monitoring programs (PDMPs) across state lines is an important tool in preventing individuals from “doctor shopping” for multiple opioid prescriptions, and could have a huge effect on the battle against opioid misuse, abuse and diversion, according to pain medicine experts and state officials. “Right now, we are in the midst […]
Read MoreContinuous ketamine infusion may be a safe and effective adjunct to sedation in mechanically ventilated critically ill patients, and could be a potential alternative to the continuous infusion of benzodiazepines. “Ketamine is a rapid-acting anesthetic with both sedative and analgesic properties,” said Lara Groetzinger, PharmD, of the medical ICU of the University of Pittsburgh Medical […]
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