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The use of spray cryotherapy (SCT) for airway lesions demands stellar intraoperative airway management and vigilance for intraoperative desaturations. “The fact that we are putting liquid nitrogen into the airway, and only doing intermittent ventilation in some cases, in patients who often have diseased lungs to begin with—that demands intraoperative vigilance,” explained Megan Friedman, DO, […]
Read MoreFinders keepers, losers weepers. Except in connection with overpayments from Medicare, then it’s a violation of the federal False Claims Act leading to significant liability—that is, unless you repay the overpaid sum within 60 days. But when does the 60-day period begin? On Feb. 12, the Centers for Medicare & Medicaid Services (CMS) answered that […]
Read MoreJ Am Geriatr Soc. 2016;64(3):602-607. AUTHORS: Erin J. Aiello Bowles, MPH et al Objectives: To evaluate the associations between anesthesia and dementia or Alzheimer’s disease (AD) risk using prospectively collected data. Design: Cohort study. Participants: Community-dwelling members of the Adult Changes in Thought cohort aged 65 and older and free of dementia at baseline (N = 3,988). Measurements: Participants self-reported […]
Read MoreAnesthesia & Analgesia: May 2016 AUTHORS: Grevstad, Ulrik MD, PhD et al BACKGROUND: Single-injection adductor canal block (ACB) provides analgesia after knee surgery. Which nerves that are blocked by an ACB and what influence-if any-local anesthetic volume has on the effects remain undetermined. We hypothesized that effects on the nerve to the vastus medialis muscle […]
Read MorePatients receiving liposomal bupivacaine (Exparel, Pacira) injection after total knee arthroplasty (TKA) spent less time in the hospital and were significantly less likely to need to go to a rehabilitation center after discharge, a recent study found. Patients given liposomal bupivacaine spent a half-day less in the hospital than those administered routine, opioid-based pain medications, […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 206–212 AUTHORS: Vacas, Susana MD, PhD et al BACKGROUND: Sleep disruption in critically ill adults can result in acute decrements in cognitive function, including delirium, but it is underdiagnosed in the setting of the intensive care unit (ICU). Although sleep stages can […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 165–167 Authors: Bernstein, Jeffrey MD et al The obstetric anesthesiologist must consider the risk of spinal–epidural hematoma in patients with thrombocytopenia when choosing to provide neuraxial anesthesia. There are little data exploring this complication in the parturient. In this single-center retrospective study […]
Read MoreI thought this was interesting so I wanted to share with our readers. New projections show that the programs will begin to spend more than they earn by the end of this decade. Medicare and Social Security will begin to spend more than they earn by the end of this decade, new projections showed Wednesday, […]
Read MorePhysician training on the risks of prescription opioids should be mandatory and include information on immediate-release (IR) as well as extended-release (ER) and long-acting (LA) formulations, a US Food and Drug Administration (FDA) advisory panel concludes. At a 2-day joint meeting, the FDA’s Drug Safety and Risk Management Advisory Committee and its Anesthetic and Analgesic […]
Read MoreA&A Case Reports: 1 May 2016 – Volume 6 – Issue 9 – p 283–285 AUTHORS: C. MD, PhD et al In the United States, anesthesia care can be provided by anesthesiologists or nurse anesthetists. Since 2001, 17 states have exercised their right to “opt-out” of the federal requirement that a physician supervise the administration […]
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