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Authors: Basem B. Abdelmalak, MD, FASA, SAMBA-F et al ASA Monitor April 2023, Vol. 87, 46–48. Developing leaders with a strong background in quality is essential for the optimal functioning of an anesthesiology department, perioperative services, hospitals, and health care systems. Anesthesiologists are uniquely positioned to instill and guide a culture of patient safety and quality […]
Read MoreAuthor: Avery Hurt Practical Pain Management March 2023 Chronic pain is known to be associated with dementia, and many studies have explored the connection. For example, a large study published in 2021 looked at data from 9,000 patients, going back in some cases as long as 27 years. The researchers found that people with dementia […]
Read MoreAuthor: Doheny K. Pract Pain Manag. 2023 March/April;23(2). How to accurately diagnose and treat this painful condition. Plus, why primary care and pain specialists need to collaborate when patients present with glossopharyngeal neuralgia symptoms. The incidence rate of glossopharyngeal neuralgia is less than 1 per 100,000. Still, the rare pain disorder can be debilitating and […]
Read MoreAuthors: Amr E. Abouleish, MD, MBA, FASA et al ASA Monitor April 2023, Vol. 87, 37–39. The economic fundamentals of anesthesiology practice are under greater stress than at any time in recent history. Although our ASA Conversion Factor Survey shows commercial conversion factors increasing over recent years, the positive effect on revenues may be ending. We […]
Read MoreAuthor: Malini Ghoshal, RPH, MS Practical Pain Management March 2023 The US Drug Enforcement Administration (DEA) proposed changes in late February 2023 to the pandemic-era tele-prescribing regulations, extending some regulations and curtailing others. DEA developed the draft rules with support from the US Department of Veterans Affairs (VA) and the US Department of Health and […]
Read MoreAuthors: Diana C. Mosquera, MD, MBA et al ASA Monitor April 2023, Vol. 87, 30–32. The Centers for Medicare & Medicaid Services (CMS) received bipartisan support for accelerating a transition from traditional fee-for-service to performance-based health care payments that link compensation to quality outcomes. Given the significance of perioperative services to a hospital’s financial performance, this […]
Read MoreAuthors: Paulo Henrique Xavier, M.D. et al Anesthesiology April 2023, Vol. 138, 420–435. Background Gradually changing respiratory rate (RR) during time to reduce ventilation-induced lung injury has not been investigated. The authors hypothesized that gradual, compared with abrupt, increments in RR would mitigate ventilation-induced lung injury and that recruitment maneuver before abruptly increasing RR may prevent […]
Read MoreThis is for our readers who treat chronic pain patients Authors: Lambrinos N, Pope Z, Vu L D. Pract Pain Manag. 2023 March/April;23(2). A brief case report illustrates the importance of considering COVID-19 as a factor in the recurrence of chronic pain. Chronic pelvic pain syndrome (CPPS) is a multifactorial disorder in which patients typically […]
Read MoreAuthors: Justin Calvert, MD et al ASA Monitor April 2023, Vol. 87, 23–26. The role and value of an anesthesiologist in the perioperative setting extends far beyond simple clinical throughput. Anesthesiologists connect both clinically and administratively with almost all facets of their respective health care systems. As the “gate keeper” of the procedural amphitheater, they serve […]
Read MoreAuthors: Kimberly Howard-Quijano, M.D., M.S. et al Anesthesiology April 2023, Vol. 138, 372–387. Background Neuraxial modulation, including spinal cord stimulation, reduces cardiac sympathoexcitation and ventricular arrhythmogenesis. There is an incomplete understanding of the molecular mechanisms through which spinal cord stimulation modulates cardiospinal neural pathways. The authors hypothesize that spinal cord stimulation reduces myocardial ischemia–reperfusion—induced sympathetic excitation […]
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