Author: 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 […]
Read MoreAuthors: Mike Charlesworth and Andrew Klein #TheanesthesiaBlog April 2023 This month, we are delighted to publish a narrative review and guideline on human factors in anaesthesia. The guideline recently received > 11k downloads after being shared widely by Martin Bromiley and holds an Altmetric score of > 200, having been tweeted by 250 users and reported by two news […]
Read MoreAuthor: Bettinger J. Pract Pain Manag. 2023 March/April;23(2). From novel synthetic opioids to psychedelics and cocaine, a guide to today’s illicit substance market, including the underlying mechanisms and physiologic effects that can lead to severe interactions and interrupt care. Polysubstance and Illicit Substance Use Continue to Rise Drug-related overdose deaths have continued to climb over […]
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