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Publshed in The Journal of the American Society of Anesthesiologists 2 2015, Vol.122, 236-237. doi:10.1097/ALN.0000000000000541 Authors: Charles Marc Samama, M.D., Ph.D., F.C.C.P.; Jerrold H. Levy, M.D., F.A.H.A., F.C.C.M. THE non–vitamin K antagonist K oral anticoagulants (NOACs) represent a major step forward as compared with low-molecular-weight heparins and vitamin K antagonists. Four active molecules are now available on the […]
Read MorePublished in The Journal of the American Society of Anesthesiologists 2 2015, Vol.122, 233-235. doi:10.1097/ALN.0000000000000548 Authors: Duminda N. Wijeysundera, M.D., Ph.D.; Chirag R. Parikh, M.D., Ph.D. ACUTE kidney injury following cardiac surgery is associated with significant morbidity and mortality. This important postoperative complication, termed cardiac surgery–associated acute kidney injury (CS-AKI), is multifactorial in etiology, with postulated causes including […]
Read MoreAuthor: Harriet W. Hopf, M.D. Published in The Journal of the American Society of Anesthesiologists 2 2015, Vol.122, 229-230. doi:10.1097/ALN.0000000000000552 When I started anesthesia residency in 1988, patients undergoing major surgery routinely arrived in the postanesthesia care unit (PACU) with a core temperature of 34.5° to 35°C. We did not fully understand how anesthesia causes hypothermia; […]
Read MoreAuthors: Bennett KM et al., J Vasc Surg 2015 Jan 61:103 The 30-day rate of stroke or death was 3% in a large U.S. cohort. Perioperative complications — especially stroke or death — are key considerations when patients consider carotid endarterectomy. In this study, researchers used a national surgical database to determine rates and predictors of postoperative […]
Read MoreThis in the future will effect the way we get reimbursed. As new payment methods gain traction, the nation’s second-largest insurer is taking leaps and bounds to transition away from the traditional fee-for-service model toward value-based payments, reported Forbes. Anthem wants to focus on enhancing payments for performance and shared-risk arrangements, CEO Joe Swedish said […]
Read MoreI thought this was an article our followers would want to read. Administrative burdens and long hours contribute to rising levels of physician burnout, so too do the emotional repercussions of being involved in an adverse event. Nearly half (46%) of doctors report they felt burnout, up from 40% in 2013, Medscape’s Physician Lifestyle Report, shows. […]
Read MoreIn the budget submitted to Congress on February 2, President Barack Obama is seeking almost $84 billion for the US Department of Health and Human Services (HHS) in fiscal 2016, about a $5 billion increase from the previous year. The funding would cover everything from a replacement of Medicare’s sustainable growth rate (SGR) formula, to […]
Read MoreI included this since anesthesia providers are sitting most of their day. A large analysis in the Annals of Internal Medicine supports earlier observations that the health hazards of sedentary behavior aren’t completely neutralized by exercise. Researchers examined data from 47 studies that assessed the health effects of sedentary behavior adjusted for physical activity. Sedentary behavior was […]
Read MoreAuthors: Fengxian Li, M.D.; Changxiong J. Guo, B.A.; Cheng-Chiu Huang, Ph.D.; Guang Yu, Ph.D.; Sarah M. Brown, Ph.D.; Shiyuan Xu, M.D.; Qin Liu, Ph.D. Published in The Journal of the American Society of Anesthesiologists on 1 2015. Background: Isoflurane is a potent volatile anesthetic; however, it evokes airway irritation and neurogenic constriction through transient receptor potential (TRP) A1 channels and sensitizes TRPV1 channels, […]
Read MorePublished in Br J Anaesth. 2014;113(3):340-343. It is fascinating and alluring—the evidence is converging that with goal-directed haemodynamic therapy we can actively contribute to better postoperative outcomes of our patients, particularly in our high-risk patients. And this is potentially possible, as suggested by an overwhelming number of publications from recent years, with completely non-invasive advanced […]
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