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Authors: Pierre Bouzat, M.D., Ph.D. et al Anesthesiology 8 2016, Vol.125, 346-354. Background: To assess the performance of transcranial Doppler (TCD) in predicting neurologic worsening after mild to moderate traumatic brain injury. Methods: The authors conducted a prospective observational study across 17 sites. TCD was performed upon admission in 356 patients (Glasgow Coma Score [GCS], 9 to […]
Read MoreAndy Slavitt, CMS Acting Administrator, published a blogpost detailing different options that eligible clinicians may follow for participation in MACRA in 2017. Earlier this year, ASA submitted comments on the MACRA proposed rule arguing that CMS not sacrifice the care necessary in developing a smart and defensible payment program under MACRA for an aggressive implementation timeline. It […]
Read MoreOne-in-four medical practices is now owned by a hospital or health system, and hospitals employed 38% of all U.S. physicians in 2015. Hospitals have gone on a physician feeding frenzy, with the number of practices owned by hospitals and health systems rising 86% from 2012-15, a study from the Physicians Advocacy Institute shows. The acquisitions are occurring […]
Read MoreOnly a fraction of Medicare patients who have opioid use disorder receive opioid agonist therapy (OAT) with buprenorphine-naloxone (multiple brands), say US researchers, who found that nonspecialist physicians are the least likely to prescribe the drug. The Medicare population of 55 million patients has one of the largest and fastest growing rates of opioid use […]
Read MoreAuthors: Shiyang Li et al BMC Anesthesiol. 2016;16(24) Background: Propofol and fentanyl are the most widely administered anesthesia maintaining drugs during colonoscopy. In this study, we determined the median effective concentration (EC50) of propofol required for colonoscopy in elderly patients, and the purpose of this study was to describe the pharmacodynamic interaction between fentanyl and propofol when […]
Read MoreCommon surgical procedures were associated with increased risk for chronic opioid use in the first year after surgery by opioid-naïve patients and some patients were particularly vulnerable, according to a study published online by JAMA Internal Medicine. Opioid sales have increased dramatically over the last decade, especially to relieve noncancer pain, resulting in increased opioid-related […]
Read MoreWomen who undergo axillillary node surgery for breast cancer are much more likely to develop chronic pain, according to a study published in the Canadian Medical Association Journal (CMAJ). “Ten-year survival rates for breast cancer patients are now around 83%, but up to 60% of women who undergo surgery as part of cancer treatment, may develop […]
Read MoreResearchers have uncovered a more effective way of treating fibromyalgia by combining with duloxetine. The combination can safely improve outcomes in patients with fibromyalgia, including relief from pain, physical function, and overall quality of life. “Previous evidence supports added benefits with some drug combinations in fibromyalgia,” said Ian Gilron, MD, Queen’s University, Kingston, Ontario. “We […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 488–492 AUTHORS: Ghisi, Daniela MD et al BACKGROUND: In this randomized, controlled, observer-blinded study, we evaluated analgesia provided by transversus abdominis plane (TAP) block after elective total laparoscopic hysterectomy in terms of reduced postoperative morphine consumption as the primary end point. METHODS: […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 436–444 AUTHORS: Kim, Jeongmin MD, PhD et al BACKGROUND: In this study, we examined the relationship between postoperative cognitive dysfunction (POCD) and intraoperative regional cerebral oxygen saturation (rSO2) in elderly patients undergoing spinal surgery. METHODS: We enrolled 87 patients older than 65 […]
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