Author: Dr Clemens

Uncategorized Published - 26 February, 2024    By - Dr Clemens
Ultrasound-Guided Glossopharyngeal Nerve Block for an Awake Intubation in a Patient Predicted to Have a Difficult Airway: A Case Report

Authors: Wada, Nozomi MD et al  A & A Practice 17(5):p e01682, May 2023. Abstract A peripheral nerve block may be used to improve patient tolerance of awake intubation. During an awake intubation, the glossopharyngeal, superior laryngeal, and recurrent laryngeal nerves can mediate discomfort, pain, cough, glottic closure, and gag reflexes. We describe the use of […]

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Uncategorized Published - 26 February, 2024    By - Dr Clemens
Evaluation of Anemia and Iron Deficiency in French Surgical Departments

AUTHORS: Lasocki, Sigismond MD, PhD et al  Anesthesia & Analgesia 137(1):p 182-190, July 2023. BACKGROUND. Assessment of anemia and iron deficiency before surgery is pivotal for patient blood management (PBM), but few data on current practices are available in the French context. The objective of this study was to describe anemia and iron deficiency management and […]

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Uncategorized Published - 26 February, 2024    By - Dr Clemens
Nociception Effect on Frontal Electroencephalogram Waveform and Phase-Amplitude Coupling in Laparoscopic Surgery

AUTHORS: Wang, Tzu Chun MD et al  Anesthesia & Analgesia July 10, 2023. BACKGROUND: Electroencephalographic pattern changes during anesthesia reflect the nociception-analgesia balance. Alpha dropout, delta arousal, and beta arousal with noxious stimulation have been described during anesthesia; however, data on the reaction of other electroencephalogram signatures toward nociception are scarce. Analyzing the effects of […]

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Uncategorized Published - 26 February, 2024    By - Dr Clemens
10 ways to improve care for in-hospital cardiac arrest

Author: Michael Walter Cardiovascular Business The International Liaison Committee on Resuscitation (ILCOR), a global group focused on improving patient outcomes after in-hospital cardiac arrest (IHCA), has shared 10 steps hospitals can take to improve the quality of care IHCA patients receive at their facilities. The full document was published in Circulation: Cardiovascular Quality and Outcomes.[1] The ILCOR, […]

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Uncategorized Published - 23 February, 2024    By - Dr Clemens
Rethinking In-House Anesthesia Billing: A Closer Look

In the anesthesia industry, the choice between in-house billing and outsourcing is pivotal. While in-house operations may promise control, the reality is complex and costly. The financial burden of in-house billing extends far beyond payroll, encompassing overlooked expenses like office space, software, and compliance measures. Moreover, the intangible costs of staff recruitment, training, and management […]

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Uncategorized Published - 23 February, 2024    By - Dr Clemens
Ultrasound Assessment of Gastric Volume in Parturients After High-Flow Nasal Oxygen Therapy

AUTHORS: Zhou, Shuangqiong MD et al  Anesthesia & Analgesia 137(1):p 176-181, July 2023. BACKGROUND: High-flow nasal oxygen (HFNO) therapy is widely used in critical care obstetrics to improve oxygenation. Much of the benefit of HFNO is linked to the creation of modest levels of positive airway pressure. Pregnant women are generally considered to be at high […]

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Uncategorized Published - 23 February, 2024    By - Dr Clemens
Energy Expenditure Under General Anesthesia

AUTHORS: Briesenick, Luisa MD et al  Anesthesia & Analgesia 137(1):p 169-175, July 2023. BACKGROUND: Perioperative hemodynamic management aims to optimize organ perfusion pressure and blood flow—assuming this ensures that oxygen delivery meets cellular metabolic needs. Cellular metabolic needs are reflected by energy expenditure. A better understanding of energy expenditure under general anesthesia could help tailor perioperative […]

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Uncategorized Published - 23 February, 2024    By - Dr Clemens
Are ASCs cutting ties with Medicare patients?

Author: Paige Haeffele Becker’s ASC Review In wake of CMS’ finalized physician fee schedule, which cut physician pay by 3.4% compared to last year despite rising inflation and practice costs, some practices and physicians made the decision to drop Medicare patients. When adjusting for inflation, Medicare already pays around 26% less than it did in 2001 to […]

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Uncategorized Published - 23 February, 2024    By - Dr Clemens
Perineural and Systemic Dexamethasone and Ulnar Nerve Block Duration

Authors: Mathias Maagaard, M.D. et al  Anesthesiology June 2023, Vol. 138, 625–633. Background The authors hypothesized that both perineural and systemic dexamethasone as adjuncts to bupivacaine increase the duration of an ulnar nerve block compared with bupivacaine alone, and that systemic dexamethasone is noninferior to perineural dexamethasone. Methods The authors performed bilateral ulnar nerve blocks with […]

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Uncategorized Published - 23 February, 2024    By - Dr Clemens
CMS finalizes rule tightening prior authorization turnaround for insurers

Author: Rebecca Pifer Healthcare Dive Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones. Dive Brief: Federally regulated health insurers — including Medicare Advantage plans — will have to turn around prior authorization decisions much more quickly under a rule finalized by the CMS […]

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