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AUTHORS: Kiberenge, Roy K. MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 120–126 BACKGROUND: Radial arterial cannulation is most commonly done using palpation, but the use of ultrasound has increased the cannulation success rate. This improvement, albeit significant, has not led to a very high success rate especially in […]
Read MoreAUTHORS: Andreae, Michael, H., MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 588–599 BACKGROUND: US health care disparities persist despite repeated countermeasures. Research identified race, ethnicity, gender, and socioeconomic status as factors, mediated through individual provider and/or systemic biases; little research exists in anesthesiology. We investigated antiemetic prophylaxis as […]
Read MoreAuthors: Maryann Mazer-Amirshahi, Pharm.D., M.D., M.P.H. et al N Engl J Med 2018; 378:1472-1474 Severe and long-standing prescription-drug shortages have become a major threat to public health and patient safety.1 Despite increased awareness and mitigation strategies, the United States has experienced shortages of many lifesaving drugs and other supplies essential to patient care. There was already […]
Read MoreAlthough we use the term “33% rule” all the time, it occurred to me that not everyone may know the intricacies of why anesthesia specifically could not sustain rates based on Medicare. So, for your reading pleasure, here it is: Medicare payment for anesthesiology is about 33% of commercial payer rates. In most other specialties, […]
Read MoreAuthors Maximilian S. Schaefer et al Background Postoperative nausea and postoperative vomiting are frequent but often missed complications after general anesthesia in pediatric patients. Because inhaled anesthetics are known to trigger postoperative vomiting, total intravenous anesthesia is often administered in high‐risk children to avoid the use of inhalational anesthesia. Since inhalational anesthesia might be advantageous in […]
Read MoreThe type of needle used in certain kinds of anesthesia is not linked to post-dural puncture headache (PDPH), a serious and potentially life-threatening complication, according to a recent study. The study, published in the latest issue of Regional Anesthesia and Pain Medicine, debunks myths about the cause of post-dural puncture headaches. The severe headaches are caused […]
Read MoreI include this article was interesting so I wanted to share it. Authors: Lennerz C et al. Ann Intern Med 2018 Apr 24. In 108 individuals exposed to electric vehicles, there was no evidence of interference with the implanted electronic devices. Electromagnetic interference (EMI) to permanent pacemakers and implantable cardioverter-defibrillators (ICDs) is a concern for patients and […]
Read MoreAuthor: Karen Sullivan Sibert, MD This article appeared first in “The Conversation” on April 25, 2018, under the title “Why it’s so hard for doctors to understand your pain”. We’re all human beings, but we’re not all alike. Each person experiences pain differently, from an emotional perspective as well as a physical one, and responds […]
Read MoreSurgeons pack donated organs on ice while racing them to transplant patients but it may be time for a warmer approach. British researchers said Wednesday that keeping at least some livers at body temperature instead may work better. The livers keep functioning until they’re transplanted thanks to a machine that pumps them full of blood […]
Read MoreMaintaining a stocked cart, with a full supply of the life-saving drug dantrolene, to treat malignant hyperthermia, a rare but potentially fatal adverse reaction to general anesthesia, may not be cost-beneficial in hospital maternity units where the incidence of the reaction is low, according to a new paper published in the Online First edition of Anesthesiology, […]
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