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Exton, PA’s West Pharmaceutical Services just announced that the FDA has given it 510(k) clearance for the NovaGuard Staked-needle Automatic safety system, as the push to avoid needlestick injuries gathers momentum. The company says that the device shields the syringe’s exposed needle after it has been activated and contains a tamper-evident safety mechanism to prevent […]
Read MoreScientists from Nevada’s Roseman University of Health Sciences presented their work on a nasal spray formulation of the antipsychotic prochlorperazine for the treatment of migraines at the American Association of Pharmaceutical Scientists annual meeting in San Diego. Venkata Yellepeddi–Courtesy of Roseman University of Health Sciences “Prochlorperazine is a dopamine receptor antagonist that is widely used […]
Read MorePublished in Cardiol Young. 2014 Aug 27:1-5 Authors: Moffett BS et al Introduction: The diagnosis of trisomy 21 in children has been associated with failed extubation after CHD surgery. Dexmedetomidine may be a useful agent to improve postoperative outcomes in these patients, such as ventilator time, ICU length of stay, or hospital length of stay. […]
Read MorePublished in Paediatric Anaesthesia (Sep 2014) Authors: Tobias J One of the long held tenets of pediatric anesthesia has been the notion that the pediatric airway is conical shape with the narrowest area being the cricoid region. However, recent studies using radiologic imaging techniques (magnetic resonance imaging and computed tomography) or direct bronchoscopic observation have […]
Read MoreCountdown to ICD-10 Good news on the coding front: With more than half its coders already using ICD-10 diagnosis codes on a daily basis we have found that the acute documentation and productivity problems many feared would overwhelm the ICD-10 transition have not materialized. We began shifting coders to the new code set in December […]
Read MoreOf the many financial challenges facing physician groups today, cash shortfalls triggered by problems collecting from self-pay patients can be among the most trying and potentially destructive. The growth of high-deductible health plans, including health savings accounts (HSAs), is pushing primary payment responsibility toward individuals and away from insurance companies. That means that unless practices […]
Read MoreThe Center for Medicare & Medicaid Services (CMS) recently announced that it is introducing four new HCPCS modifiers to further scrutinize the use of modifier -59. The implementation date for these modifiers is Jan. 1, 2015, however, local Medicare contractors may implement earlier. The announcement of these new HCPCS modifiers ties closely with an earlier […]
Read MoreThe recent political silly season is over — finally — and once again I was listening for one particular word in the endless ads that peppered the airwaves: accountability. It seems like the only time you hear that word is in the context of blaming one’s opponent for lack of it. I suspect that the […]
Read MoreAuthors: K. Jenkins Published in Br J Anaesth. 2014;113(1):4-6. A Psychological Perspective Needle phobia is probably seen as a simple issue in its purest form. Your patient does not like needles—who does? Use a good topical numbing agent and let’s get on with it. Job done… Or is it? When I first started out as […]
Read MoreAspirin in Patients Undergoing Noncardiac Surgery Devereaux PJ, Mrkobrada M, Sessler DI, et al; POISE-2 Investigators N Engl J Med. 2014;370:1494-1503 Does administration of aspirin during the perioperative period benefit patients undergoing noncardiac surgery? Devereaux and colleagues performed a randomized trial in 10,010 patients recruited from 135 hospitals in 23 countries. Patients undergoing orthopedic procedures […]
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