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The perioperative surgical home requires successful integration of the four phases of care—preoperative, intraoperative, postoperative and post-discharge. A preoperative evaluation clinic can play a key role in enhancing the latter, achieving added and billable value for anesthesiologists in the process. “Many of us in this room are capable of delivering preoperative care just like hospitalists […]
Read MoreAll of that huffing and puffing on the treadmill may be worthwhile to the patient awaiting surgery: A new retrospective study suggests that exercise programs aimed at increasing exercise tolerance before a surgical procedure may decrease morbidity and mortality. “We’ve long known that physical fitness is a factor that appears to affect a patient’s chances […]
Read MoreAnesthesia & Analgesia: April 2016 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: Fifty-two patients were randomly divided into 2 groups: patients […]
Read MoreInternational Journal of Stroke 11 (3), 368-79 (Apr 2016) AUTHORS: Schönenberger S et al BACKGROUND Tracheostomy is a common procedure in long-term ventilated critical care patients and frequently necessary in those with severe stroke. The optimal timing for tracheostomy is still unknown, and it is controversial whether early tracheostomy impacts upon functional outcome. METHOD The […]
Read MoreJournal of Critical Care 32 93-100 (Apr 2016) AUTHORS: Zamani M, Keshavarz-Fathi M et al PURPOSE The aim of this systematic review was to evaluate the effectiveness and safety of dexmedetomidine used for sedation of patients with sepsis. METHODS We searched Medline, Scopus, TRIP and CENTRAL, DART, OpenGrey, and ProQuest without applying any language filter […]
Read MoreWhether relating to health outcomes, patient perceptions of care or organizational structure, quality metrics are playing an increasingly substantive role in Medicare payment and reimbursement. As Robert S. Lagasse, MD, explained at the 2016 American Society of Anesthesiologists Practice Management annual meeting, despite the limitations of these measures, the financial stakes for physicians have never […]
Read MoreExtensive updates to best-practice recommendations for the perioperative care of patients 65 years of age and older have just been released; anesthesiologists take note. “Optimal Perioperative Management of the Geriatric Patient: A Best Practices Guideline,” provides a management checklist for anesthesiologists and other medical professionals when caring for older patients facing surgery. The guidelines cover […]
Read MoreBr J Anaesth. 2016;116(3):339-349 Authors: P. Marik et al Abstract Aggressive fluid resuscitation to achieve a central venous pressure (CVP) greater than 8 mm Hg has been promoted as the standard of care, in the management of patients with severe sepsis and septic shock. However recent clinical trials have demonstrated that this approach does not […]
Read MoreThis is for our readers who treat pain clinic so they often prescribe drugs. An Illinois-based psychiatrist has been sentenced to 9 months in federal prison and ordered to pay nearly $600,000 for accepting hundreds of thousands of dollars in pharmaceutical industry kickbacks. Michael J. Reinstein, MD, was convicted of accepting payments from industry in […]
Read MoreAuthors: Siracuse BL et al JAMA Surg. 2016 Mar 9. Study Summary In this study, investigators analyzed retrospective discharge data on 268,518 patients from New York and California (ie, the derivation cohort) and 153,560 patients from Florida and Washington (ie, the validation cohort) who underwent total hip replacement during 2006-2011.The goal was to determine the […]
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