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Anesthesia practices expanding their endoscopy services should proceed cautiously, as payers have begun changing their reimbursement policies to limit claims, according to Anesthesia Business Consultants President and CEO Tony Mira. Here’s what you should know: 1. After CMS implemented its policy for anesthesia payment for endoscopy four years ago and other payers followed suit, there […]
Read MoreAuthors: Norian Caporale–Berkowitz and Stewart D. Friedman Harvard Business Review October 12, 2018 A near-constant stream of business and scientific news reminds us that 50% of Americans are lonely. Former Surgeon General Vivek Murthy’s powerful HBR article notes that half of CEOs suffer from loneliness. In addition to its personal toll, there is also an economic cost: workplace loneliness causes burnout, affects job satisfaction, and lowers […]
Read MoreAuthor: Chase Doyle Anesthesiology News Adherence to CDC Sterility Precautions Imperfect An anonymous survey of cardiac anesthesiologists has revealed significant variability in preferences for cannulation site selection and technique used, as well as unexpectedly low compliance with the CDC recommendations on sterility precautions. “There’s been a lot of discussion about sterility precautions for the line […]
Read MoreAuthors: Kristen K. MacKenzie, M.D. et al Anesthesiology 9 2018, Vol.129, 417-427. What We Already Know about This Topic: Up to 20% of patients undergoing major surgery experience postoperative delirium or cognitive dysfunction Intraoperative management strategies to reduce the risk of postoperative delirium remain unclear What This Article Tells Us That Is New: The heterogeneity of […]
Read MoreAuthor: Ajai Raj Anesthesiology News “Significantly Higher” First-Pass Intubation Success The tracheal tube introducer, or bougie, has outperformed the endotracheal tube and stylet in what is perhaps the first randomized clinical trial assessing its efficacy at first-attempt intubation. Although the results, published in JAMA (2018;319[21]:2179-2189), remain provisional, experts said these findings are intriguing and call for a […]
Read MoreAnesthesiology News William Rosenblatt, MD Professor of Anesthesiology Director, Anesthesia for Otolaryngology Department of Anesthesiology Yale School of Medicine New Haven, Connecticut The rapid adoption of video laryngoscopy (VL) has, as the LMA (Teleflex) did in the 1990s, revolutionized the care of patients with routine and difficult airways. Along with careful premanagement evaluation, the routine use […]
Read MoreAuthors: Sérgio M. Pereira, M.D. Anesthesiology 12 2018, Vol.129, 1070-1081. What We Already Know about This Topic: In patients with adult respiratory distress syndrome, physiologic tidal volume and positive end-expiratory pressure (PEEP) are protective In patients without lung diseases undergoing mechanical ventilation under general anesthesia, optimal PEEP is unknown What This Article Tells Us That Is […]
Read MoreAuthor: Basem Abdelmalak, MD, FASA Professor of Anesthesiology, Cleveland Clinic Lerner College of Medicine Director, Anesthesia for Bronchoscopic Surgery Director, Center for Sedation Departments of General Anesthesiology and Outcomes Research Cleveland Clinic President, Society for Head and Neck Anesthesia President-elect, Society for Ambulatory Anesthesia Anesthesiology News Airway management has always been and continues to be […]
Read MoreRegional anesthetic suprazygomatic sphenopalatine ganglion (SPG) block may quickly and effectively relieve status migrainosus, according to a study published in Headache. Although it is known that the SPG plays a critical role in the transmission of pain and other autonomic responses associated with migraine, the current treatment of migraine with SPG block via transnasal lidocaine was found […]
Read MoreAuthors: Sieber F et al JAMA Surgery (Aug 2018) Importance Postoperative delirium is the most common complication following major surgery in older patients. Intraoperative sedation levels are a possible modifiable risk factor for postoperative delirium. Objective To determine whether limiting sedation levels during spinal anesthesia reduces incident delirium overall. Design, Setting, and Participants This double-blind […]
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