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Anesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 935–942 AUTHORS: Franklin, Sarah W. BA et al BACKGROUND: Bleeding is a serious complication after pediatric cardiopulmonary bypass (CPB) that is associated with an increase in perioperative morbidity and mortality. Four-factor prothrombin complex concentrates (4F-PCCs) have been used off-label to supplement transfusion […]
Read MoreAuthors: Spoletini G et al., JAMA 2016 Mar 15; High-flow oxygen and noninvasive positive pressure ventilation lowered reintubation rates in selected patient populations. During the past few years, interest has grown in using high-flow oxygen (HFO) and noninvasive positive pressure ventilation (NPPV) in lieu of intubation and mechanical ventilation (NEJM JW Gen Med Aug 1 […]
Read MoreAnesthesia & Analgesia: March 2016 AUTHORS: Buckley, Jack C. MD et al BACKGROUND: Endotracheal tube security is a critical safety issue. We compared the mobility of an in situ endotracheal tube secured with adhesive tape to the one secured with a new commercially available purpose-designed endotracheal tube-holder device (Haider Tube-Guard(R)). We also observed for the […]
Read MoreAnesthesia & Analgesia: March 2016 AUTHORS: Ghadimi, Kamrouz MD et al Prothrombin complex concentrates (PCCs) contain vitamin K-dependent clotting factors (II, VII, IX, and X) and are marketed as 3 or 4 factor-PCC formulations depending on the concentrations of factor VII. PCCs rapidly restore deficient coagulation factor concentrations to achieve hemostasis, but like with all […]
Read MoreWhether relating to health outcomes, patient perceptions of care or organizational structure, quality metrics are playing an increasingly substantive role in Medicare payment and reimbursement. As Robert S. Lagasse, MD, explained at the 2016 American Society of Anesthesiologists Practice Management annual meeting, despite the limitations of these measures, the financial stakes for physicians have never […]
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