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Medicare beneficiaries have seen a substantial drop in wait times for hearings of appeals, according to a report from Market Watch. Last year, the Office of Medicare Hearings and Appeals announced appeals from individual beneficiaries would be prioritized, while appeals from hospitals and physicians would be put on hold for at least a couple years, […]
Read MoreAnesthesiologists are adjusting induction doses of fentanyl, propofol and midazolam in older patients to account for age, but the reduced doses nonetheless have a tendency to hover at the upper end of recommended limits for these often-fragile patients, leaving the door ajar to a host of potential complications. “It is well known that elderly patients […]
Read MorePublished in Ann R Coll Surg Engl. 2014 Sep;96(6):462-5 Authors: Fernandez MA1 et al INTRODUCTION: Postoperative urinary retention requiring urethral catheterisation increases the risk of joint sepsis following arthroplasty. Spinal anaesthesia with opiate administration is used widely in lower limb arthroplasty. We sought to establish whether the choice of opiate agent had any effect on […]
Read MorePublished in Jpn J Clin Oncol. 2014 Nov; 44(11):1082-7 Authors: Miura T et al OBJECTIVE: Most cancer patients become increasingly anxious toward the end of their life. The objective of this study was to identify predictors of increased opioid dosage in the last week of a terminal cancer patient’s life. METHODS: We retrospectively reviewed charts […]
Read MorePrevention, mitigation programs needed The high rate of burnout among pain specialists found in a recent study may be a wake-up call to the specialty, as it places these physicians at risk for substance abuse, interpersonal difficulties and suicidal tendencies, and also increases the risk for medical errors. The investigators called for preemptive measures to […]
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