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Author at Forbes Bruce Japsen As insurance companies shift more reimbursement away from fee-for-service medicine, doctors and their practices are seeing more of their bonuses and pay hikes based on “value-based metrics such as patient satisfaction and outcome measures,” new reports on physician compensation indicate. Physician staffing firm MerrittHawkins said 43% of its clients offering physicians […]
Read MoreAUTHORS: Afreen, Lubana K., BS et al Anesthesia & Analgesia: August 2018 – Volume 127 – Issue 2 – p 420–423 BACKGROUND: Known complications of endoscopic retrograde cholangiopancreatography (ERCP) include pancreatitis, bleeding, duodenal perforation, and venous air embolism (VAE). The aim of this study was to determine the incidence of VAE during ERCP and be able to […]
Read MoreAUTHORS: Simpao, Allan F., MD, MBI et al Anesthesia & Analgesia: February 23, 2018 BACKGROUND: The migration of pediatric thoracic epidural catheters via a thoracic insertion site has been described. We assessed the migration of caudally threaded thoracic epidural catheters in neonates and infants at our institution. METHODS: The anesthesia records and diagnostic imaging studies of neonates and […]
Read MoreAUTHORS: Quan, Zhefeng, MD et all Anesthesia & Analgesia: February 23, 2018 BACKGROUND: We evaluated the efficacy and gastroenterologist/patient satisfaction of midazolam combined with oxycodone, relative to that of midazolam combined with sufentanil, for anesthesia during endoscopic injection sclerotherapy (EIS) in patients with cirrhosis and esophageal varices. METHODS: Patients with cirrhosis (20–69 years of age), body mass index, […]
Read MoreAUTHORS: Katz, Daniel, MD et al Anesthesia & Analgesia: February 23, 2018 Agreement between estimated fibrinogen concentration via thromboelastography and traditional assays is not established in the parturient. We therefore recruited 56 parturients and performed Clauss and functional fibrinogen level (FLEV) tests. Mean difference of measurements was 36.8 mg/dL (95% CI, 21.8–51.9) with a standard deviation […]
Read MoreAUTHORS: Markley, John C., MD, PhD et al Anesthesia & Analgesia: February 23, 2018 – Volume Publish Ahead of Print – Issue – p BACKGROUND: General anesthesia (GA) is often selected for cesarean deliveries (CD) with placenta previa and suspected morbidly adherent placenta (MAP) due to increased risk of hemorrhage and hysterectomy. We reviewed maternal outcomes and […]
Read MoreAmerican Heart Association states that higher weight gain during pregnancy increases the risk of preeclampsia in women giving birth for the first time, new research shows. The study explored how weight affects preeclampsia, a serious pregnancy condition related to gestational high blood pressure. Ten million women around the world develop preeclampsia each year, resulting in […]
Read MoreMicrovascular decompression for trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia was found to be a largely safe procedure in a study published in Surgical Neurology International. However, patients with diabetes or obesity were at increased risk for reoperation within 30 days. Researchers evaluated 506 patients who had undergone craniotomy for trigeminal neuralgia, facial nerve disorder, or glossopharyngeal […]
Read MoreRestrictive or liberal? When it comes to transfusion strategies during cardiac surgery, that’s the question that has divided cardiac anesthesiologists and their surgical partners for decades. Now an international multicenter trial—the largest of its kind ever undertaken—seems to have definitively answered the question. The Transfusion Requirements in Cardiac Surgery III (TRiCS III) investigation concluded that […]
Read MoreAuthor: Dayton McMillan 1. Among patients at increased risk for complications undergoing abdominal surgery, those randomized to perioperative fluid restriction did not have increased disability-free survival at one year compared to patients who received liberal perioperative fluid management. 2. Patients managed with fluid restriction experienced higher rates of acute kidney injury. Evidence Rating Level: 1 (Excellent) […]
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