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Uncategorized Published - 16 August, 2019    By - Dr Clemens
Monitoring, prevention and treatment of side effects of long-acting neuraxial opioids for post-cesarean analgesia

Authors: Yurashevich et al International Journal of Obstetric Anesthesia August 2019 Volume 39, Pages 117–128 Highlights •Neuraxial morphine is the “gold standard” for post cesarean delivery analgesia. •The most serious complication is respiratory depression, but is very rare. •Pruritus, nausea and vomiting are the most common side effects. •Intrathecal morphine can contribute to hypothermia, but […]

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Uncategorized Published - 16 August, 2019    By - Dr Clemens
Acute Citrate Toxicity Linked to Excess Citrate-Phosphate-Dextrose Solution in Autologous Blood Transfusion

Authors: Brian Butala, DO et al    Anesthesia Patient Safety Foundation Volume 34, No. 1 June 2019 SUMMARY: We present a case of intraoperative acute, severe citrate toxicity secondary to autologous blood transfusion after aortic valve replacement, along with steps taken to develop a protocol for autologous blood transfusion practice at our institution. Introduction Autologous blood […]

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Uncategorized Published - 16 August, 2019    By - Dr Clemens
Overlapping Surgery Shown Safe, but With Caveats

Author: Christina Frangou Anesthesiology News Concurrent Surgery Not Addressed; Surgeons Stress Disclosure to Patients The common but controversial practice of overlapping surgery has been found to be safe, with two exceptions: patients deemed preoperatively to be at high risk for death or complications and those undergoing coronary artery bypass graft (CABG) surgery, according to a […]

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Uncategorized Published - 16 August, 2019    By - Dr Clemens
How the 2019 QPP Impacts Anesthesiology

The Centers for Medicare and Medicaid Services (CMS) always keeps us on our toes. Performance year 2019 is no exception. We break down the key changes to the Quality Payment Program (QPP) that will impact the specialty of anesthesiology. Discontinued Measures Merit-based Incentive Payment System (MIPS) measures 426 (PACU Transfer of Care Checklist) and 427 […]

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Uncategorized Published - 16 August, 2019    By - Dr Clemens
ASA Concerned About ‘Medicare for All’ Proposal

The American Society of Anesthesiologists (ASA) issued a press release expressing “serious concerns” about the concept of “Medicare for All.” Medicare for All legislation was set to be the subject of a hearing in the U.S. House of Representatives’ Committee on Rules on the day of the ASA press release. Medicare for All proposes that […]

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