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Authors: Lukas Lannemyr, M.D. et al Anesthesiology 2 2017, Vol.126, 205-213. Background: Acute kidney injury is a common complication after cardiac surgery with cardiopulmonary bypass. The authors evaluated the effects of normothermic cardiopulmonary bypass on renal blood flow, glomerular filtration rate, renal oxygen consumption, and renal oxygen supply/demand relationship, i.e., renal oxygenation (primary outcome) in patients undergoing cardiac […]
Read MoreThis was not written for anestheia but it is great advice for all providers. By Emily Aaronson, MD Fellow Harvard Medical School Fellowship in Patient Safety and Quality Improvement Massachusetts General Hospital Despite the growing emphasis on “patient-centered care,” patient safety lapses attributed to poor communication are still commonplace. Noting this, during my fellowship at […]
Read MoreThe Centers for Medicare and Medicaid Services (CMS) has posted additional information about global surgery data collection requirements. Physicians and other healthcare providers in FL, KY, LA, NV, NJ, ND, OH, OR and RI will be required to submit information-only claims for services provided within the global period for specific procedures with a 10 or […]
Read MoreImplementation of a quality improvement initiative substantially reduced excessive use of neostigmine while improving train-of-four–guided neostigmine administration. Over a six-month period, the initiative led to a decrease in the mean dose of intraoperative neostigmine from 2.9 to 2.5 mg, researchers reported. “Preliminary data have shown that these interventions led to a statistically significant reduction in […]
Read MorePatient access to anesthesia care for seven common surgical procedures is not increased when states “opt-out” of the Medicare rule that requires anesthesia to be administered with physician supervision, reports a study published in the Anesthesiology, the peer-reviewed medical journal of the American Society of Anesthesiologists (ASA). The study showed that “opt-out” states did not […]
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