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Authors: Tomonori Takazawa, M.D., Ph.D. et al Anesthesiology December 2022. Background There are no effective pharmacologic interventions for preventing postoperative cognitive dysfunction in daily practice. Since the antibiotic minocycline is known to suppress postoperative neuroinflammation, this study hypothesized and investigated whether minocycline might have a preventive effect on postoperative cognitive dysfunction after noncardiac surgery. Methods […]
Read MoreAuthor: Tony Mira F1rstNews blog Summary Projecting group revenues into the coming year is a difficult proposition for many practices. At the very least, groups should calculate the likely potential relative to three key factors: case volume, case acuity and unit yield. As we close out 2022, most of our clients are wondering what their […]
Read MoreNEJM Journal Watch Allan S. Brett, MD, reviewing Pfeifer KJ et al. Mayo Clin Proc 2021 Dec Oprea AD et al. Mayo Clin Proc 2022 Feb Oprea AD et al. Mayo Clin Proc 2022 Feb During 2021 and 2022, a multidisciplinary group has issued consensus statements on perioperative management of drugs commonly used in pulmonary, gastroenterology, neurology, psychiatry, and rheumatology practice. Sponsoring […]
Read MoreAuthor: Tony Mira F1rstNews Summary The year-end coding and compliance rule changes have been finalized and widely addressed, but there are always a few smaller actions by federal officials that don’t get as much attention. In this alert, we take a look at some recent rules and […]
Read MoreNEJM Journal Watch Patricia Kritek, MD, reviewing PRISM trial group. Lancet Respir Med 2021 Nov Routine use of CPAP after abdominal surgery didn’t prevent pneumonia, reintubation, or death. Respiratory complications (e.g., hypoxemia, pneumonia) are common after abdominal surgery and are thought to be related to postoperative atelectasis. Although adequate analgesia and incentive spirometry are important to minimize atelectasis, […]
Read MoreAUTHORS: Kim, Hee Jung MD, PhD et al Anesthesia & Analgesia November 01, 2022. BACKGROUND: We examined the relationship between blood transfusion and long-term adverse events to evaluate the clinical impact of red blood cell (RBC) transfusion on patients undergoing cardiac valve surgery. METHODS: From the National Health Insurance Service database, individuals undergoing heart valve […]
Read MoreAUTHORS: Murugaiyan, Abishek MD et al Anesthesia & Analgesia November 01, 2022. BACKGROUND: Postoperative sore throat (POST) is a distressing complaint in adults after endotracheal intubation. This study aimed to evaluate the effect of topical application of a eutectic mixture of local anesthetics (EMLA) cream over the endotracheal tube (ETT) cuff on the incidence and severity […]
Read MoreNEJM Journal Watch Neil H. Winawer, MD, SFHM, reviewing Owen AR et al. J Bone Joint Surg Am 2022 Sep 7 Patients who received spinal anesthesia had less pain and opioid use and fewer intensive care admissions. The optimal choice of anesthesia — spinal or general — often is debated for patients undergoing total hip arthroplasty (THA). Mayo […]
Read MoreAUTHORS: Dankert, André MD et al Anesthesia & Analgesia October 29, 2022. Abstract BACKGROUND: Pulmonary function tests (PFTs) such as spirometry and blood gas analysis have been claimed to improve preoperative pulmonary risk assessment, but the scientific literature is conflicting. The Preoperative Diagnostic Tests for Pulmonary Risk Assessment in Chronic Obstructive Pulmonary Disease (PREDICT) […]
Read MoreNEJM Journal Watch Patricia Kritek, MD In two trials, restrictive fluid resuscitation was adequate and even preferable to more-aggressive resuscitation. Resuscitation is a central part of the care of many critically ill patients, including those with septic shock and severe pancreatitis. For years, emphasis was placed on rapid administration of large volumes of fluid to […]
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