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Uncategorized Published - 19 November, 2024    By - Dr Clemens
Cannabis Use and Inhalational Anesthesia Administration in Older Adults

Authors: Ruba Sajdeya, M.D., Ph.D. et al  Anesthesiology November 2024, Vol. 141, 870–880. Background Cannabis use is associated with higher intravenous anesthetic administration. Similar data regarding inhalational anesthetics are limited. With rising cannabis use prevalence, understanding any potential relationship with inhalational anesthetic dosing is crucial. Average intraoperative isoflurane or sevoflurane minimum alveolar concentration equivalents between older […]

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Uncategorized Published - 19 November, 2024    By - Dr Clemens
Correction of Trauma-induced Coagulopathy by Goal-directed Therapy

Authors: Charlotte Lindsay, M.Sc. et al  Anesthesiology November 2024, Vol. 141, 904–912. Background Trauma hemorrhage induces a coagulopathy with a high associated mortality rate. The Implementing Treatment Algorithms for the Correction of Trauma Induced Coagulopathy (ITACTIC) randomized trial tested two goal-directed treatment algorithms for coagulation management: one guided by conventional coagulation tests and one by viscoelastic […]

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Uncategorized Published - 19 November, 2024    By - Dr Clemens
Dexamethasone for Cardiac Surgery: A Practice Preference–Randomized Consent Comparative Effectiveness Trial

Authors: Paul S. Myles, M.B.B.S., M.P.H., M.D., D.Sc. et al Anesthesiology November 2024, Vol. 141, 859–869. Background High-dose corticosteroids have been used to attenuate the inflammatory response to cardiac surgery and cardiopulmonary bypass, but patient outcome benefits remain unclear. The primary aim was to determine whether using dexamethasone was superior to not using dexamethasone to increase […]

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Uncategorized Published - 18 November, 2024    By - Dr Clemens
Anthem BCBS issues anesthesia reimbursement time limit, leaders brace for cuts

Author: Francesca Mathewes Becker’s ASC Review On Nov. 1, Anthem Blue Cross Blue Shield Plans representing Connecticut, New York and Missouri announced changes to their evaluation process for claims for anesthesia services. Here are seven things to know about the billing changes, per news releases from each state’s respective Anthem BCBS plan: 1. The changes will affect claims under CPT […]

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Uncategorized Published - 18 November, 2024    By - Dr Clemens
PREOPERATIVE EVALUATION IN PRIVATE PRACTICE ANESTHESIA

Author: Richard Novak, MD THE ANESTHESIA CONSULTANT The “Preoperative Evaluation” chapter in our Bible, Miller’s Anesthesia, is 80 pages long—one of the longest chapters in the book. As a double-boarded anesthesiologist and internal medicine doctor, preoperative evaluation has been my area of interest and expertise for decades. It’s almost June, and hundreds of anesthesia residents are […]

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