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Uncategorized Published - 2 January, 2017    By - Dr Clemens
CMS exempts MIPS clinicians in disaster areas

CMS recently issued an interim final rule with comment period that exempts MIPS-eligible clinicians in disaster areas from submitting data for the quality, improvement activities and advancing care information performance categories. The interim final rule includes the Extreme and Uncontrollable Circumstances policy, which applies to MIPS clinicians who have been affected by the Northern California wildfires and Hurricanes […]

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Uncategorized Published - 30 December, 2016    By - Dr Clemens
STOP-Bang Questionnaire Ably Identifies Risks for Perioperative Complications

If there were any doubts about the efficacy of the STOP-Bang questionnaire to predict perioperative complications, they can be put to rest, thanks to a meta-analysis by a group of Ontario researchers. The investigators found that patients who score high on the obstructive sleep apnea (OSA) STOP-Bang questionnaire are at higher risk for perioperative complications, […]

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Uncategorized Published - 30 December, 2016    By - Dr Clemens
Video Laryngoscopy Tops All Rescue Methods

Study Summary A team of investigators retrospectively analyzed 346,861 anesthesia cases that involved attempted tracheal intubation from 2004 to 2013 at seven academic centers. Of these, 1427 patients (0.41%) had a failed direct laryngoscopy, leading to 1619 subsequent intubation attempts. The majority of these rescue attempts (69%) were managed with video laryngoscopy, followed in frequency […]

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Uncategorized Published - 30 December, 2016    By - Dr Clemens
Opioids Overprescribed After Surgery

Patients need only half of the opioids they’re prescribed after surgery and take only a fraction of the opioids they receive, according to new research published in the Annals of Surgery, which suggests overprescribing the painkillers increases the risk of abuse. Researchers at Dartmouth-Hitchcock Medical Center in Lebanon, N.H., assessed the post-op opioid prescription fill […]

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Uncategorized Published - 30 December, 2016    By - Dr Clemens
Suprascapular Block Provides Analgesia Without Compromised Pulmonary Function

The interscalene and supraclavicular nerves may be the blocks of choice in shoulder surgery, but both present the risk for respiratory distress. Ultrasound guidance provides a third option: the suprascapular block. Indeed, the suprascapular block provides analgesia similar to the other two blocks, but without compromise in pulmonary function. “For years, the standard for shoulder […]

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