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The rising out-of-pocket costs for health insurance force millions of middle-class Americans to forego checkups and other needed medical care. The newspaper reported that even an employer-sponsored health plan “now often requires workers to pay so much out-of-pocket that many feel they must skip doctor visits, put off medical procedures, avoid filling prescriptions and ration […]
Read MoreAdherence rates on six core Surgical Care Improvement Project (SCIP) measures improved annually between 2008 and 2012 by hospitals performing heart valve surgery. The research was performed at the University of Chicago. “SCIP is a national initiative to help improve surgical care by reducing surgical complications,” said Lisa Sun, MD, an investigator who is now […]
Read MoreAn audit of a hospital pharmacy’s drug accountability system uncovered a significant discrepancy rate with the anesthesia department of opioid and sedative use and emphasized the need for an electronic dispensing and auditing system. Opioid and sedative use in the operating room at the University of Oklahoma Medical Center (UOMC), Oklahoma City, is reconciled by […]
Read MoreMedicare beneficiaries have seen a substantial drop in wait times for hearings of appeals, according to a report from Market Watch. Last year, the Office of Medicare Hearings and Appeals announced appeals from individual beneficiaries would be prioritized, while appeals from hospitals and physicians would be put on hold for at least a couple years, […]
Read MoreAnesthesiologists are adjusting induction doses of fentanyl, propofol and midazolam in older patients to account for age, but the reduced doses nonetheless have a tendency to hover at the upper end of recommended limits for these often-fragile patients, leaving the door ajar to a host of potential complications. “It is well known that elderly patients […]
Read MorePublished in Ann R Coll Surg Engl. 2014 Sep;96(6):462-5 Authors: Fernandez MA1 et al INTRODUCTION: Postoperative urinary retention requiring urethral catheterisation increases the risk of joint sepsis following arthroplasty. Spinal anaesthesia with opiate administration is used widely in lower limb arthroplasty. We sought to establish whether the choice of opiate agent had any effect on […]
Read MorePublished in Jpn J Clin Oncol. 2014 Nov; 44(11):1082-7 Authors: Miura T et al OBJECTIVE: Most cancer patients become increasingly anxious toward the end of their life. The objective of this study was to identify predictors of increased opioid dosage in the last week of a terminal cancer patient’s life. METHODS: We retrospectively reviewed charts […]
Read MorePrevention, mitigation programs needed The high rate of burnout among pain specialists found in a recent study may be a wake-up call to the specialty, as it places these physicians at risk for substance abuse, interpersonal difficulties and suicidal tendencies, and also increases the risk for medical errors. The investigators called for preemptive measures to […]
Read MoreImplementation of ICD-10 ranks among the top 10 issues for physicians to watch in 2015, according to a list published by the American Medical Association. The list notes that myriad regulatory requirements, which take time away from patient care, are among physicians’ greatest frustrations. Relief from the multiple government mandates was among the three “Congressional […]
Read MorePublished in Obes Surg. 2014 Sep Authors: Weingarten TN et al BACKGROUND: Nicotine is a known analgesic. Our primary aim was to test the hypothesis that intranasal nicotine administered intraoperatively reduces the need for postoperative opioids. The secondary outcomes included evaluation of both postoperative pain and nausea and vomiting (PONV). MATERIAL AND METHODS: Nonsmoking female […]
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