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The era of free anesthesia coverage is over

Author: Patsy Newitt Becker’s ASC Review ASC leaders and anesthesia executives say the flat annual subsidy, which long has been treated as the cost of keeping ORs covered, is being replaced by structured deals that tie financial support to room-hour minimums, guaranteed coverage, block utilization and performance metrics. “Flat stipends are dying; there are already negotiations […]

Pseudo-Pulseless Electrical Activity With Anaphylaxis in a Pediatric Surgical Patient

Authors: Stopak J, Herbst M O, Nicolaus A R, et al. Cureus 18(7): e112837. doi:10.7759/cureus.112837 Abstract Pseudo-pulseless electrical activity (p-PEA) is a clinical condition where cardiac output drops severely enough to produce a non-palpable pulse in the setting of organized electrical activity of the heart, but imaging or monitors display evidence of cardiac motion. It […]

Safety of Additional Local Anesthetics Soon After Liposomal Bupivacaine

Authors: Veloria D, Xu L, Rader E, et al. Cureus 18(7): e112872. doi:10.7759/cureus.112872 Introduction Liposomal bupivacaine (LB) produces a prolonged serum bupivacaine level. It carries a warning to avoid additional local anesthetics for 96 hours due to a theoretical additive risk of local anesthetic systemic toxicity (LAST). Whether patients exposed to additional local anesthetics soon […]

Comparative Evaluation of Perfusion Index With Lactate and Base Deficit for Assessing Resuscitation Response in Traumatic Shock Patients Not Requiring Blood Transfusion in the Emergency Department

Authors: Kalathingal A, KJ D, K R, et al. Cureus 18(7): e113061. doi:10.7759/cureus.113061 Introduction Traumatic shock is a life-threatening condition characterized by inadequate tissue perfusion following severe injury. Early recognition of impaired perfusion and monitoring of the response to resuscitation are essential to prevent organ dysfunction. Although lactate and base deficit are commonly used biochemical […]

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