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By Michelle Andrews KHN contributing columnist Michelle Andrews writes the series Insuring Your Health, which explores health care coverage and costs. If you need cataract surgery, your eye surgeon may have to do double duty as your anesthetist under a new policy by health insurer Anthem. In a clinical guideline released this month, the company said it’s not medically […]
Read MoreAUTHORS: Jeong, Dae Myoung MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1158–1165 BACKGROUND: Stroke volume variation (SVV) and pulse pressure variation (PPV) are used as indicators of fluid responsiveness, but little is known about the usefulness of these dynamic preload indicators in thoracic surgery, which involves an open […]
Read MoreAUTHORS: Karhausen, Jörn A. MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1129–1139 BACKGROUND: Declining platelet counts may reveal platelet activation and aggregation in a postoperative prothrombotic state. Therefore, we hypothesized that nadir platelet counts after on-pump coronary artery bypass grafting (CABG) surgery are associated with stroke. METHODS: We evaluated […]
Read MoreAUTHORS: Al tmimi, Layth MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1118–1128 BACKGROUND: Xenon was shown to cause less hemodynamic instability and reduce vasopressor needs during off-pump coronary artery bypass (OPCAB) surgery when compared with conventionally used anesthetics. As xenon exerts its organ protective properties even in subanesthetic […]
Read MoreAUTHORS: Mauermann, Eckhard MD, MSc et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1110–1117 BACKGROUND: Troponin T is a predictor of cardiac morbidity and mortality after cardiac surgery with most data examining fourth generational troponin T assays. We hypothesize that postoperative high-sensitivity troponin T (hsTnT) measured in increments of the […]
Read MoreWritten by Angie Stewart WHO has published a beta draft of the ICD-11 that includes new chapters and changes to code structures, according to ICD10 Monitor. Here are eight insights: With up to 13 dimensions, the ICD-11 is designed as an EHR-compatible database. It will link with the Systematized Nomenclature of Medicine — Clinical Terms, which is currently […]
Read MoreAuthors: Alessandro Putzu, M.D. et al Anesthesiology 3 2018, Vol.128, 685-686. To the Editor: We read the interesting large retrospective study by Komatsu et al. on preoperative chronic statin use in patients undergoing coronary artery bypass grafting, valve surgery, or combined procedures.1 Chronic statin therapy was associated with no significant difference in prolonged mechanical ventilation, pneumonia, in-hospital mortality, […]
Read MoreAuthors: Joshua A. Bloomstone, M.D., C.S.S.G.B., C.L.S. et al Anesthesiology 3 2018, Vol.128, 681-682. To the Editor: It is with intrigue that we read Gómez-Izquierdo et al.’s paper demonstrating the lack of effectiveness of goal-directed fluid therapy (GDFT) in reducing ileus after elective laparoscopic colorectal surgery.1 We congratulate the authors for a well-done study and Anesthesiology for publishing an […]
Read MoreAuthors: Eric Jacobsohn, M.B.Ch.B., M.H.P.E., F.R.C.P.C. et al Anesthesiology 3 2018, Vol.128, 677-678. To the Editor: The recent multicenter prospective observational study by Dres et al.1 examining the impact of pleural effusions on liberation from mechanical ventilation showed that 13% of their patients had a pleural effusion at the time of ventilator weaning, but that there was no […]
Read MoreAuthors: T. Andrew Bowdle, M.D., Ph.D., F.A.S.E. et al Anesthesiology 3 2018, Vol.128, 674-675. To the Editor: We read with interest the recent article by Singh et al.1 We place many brachial artery catheters in our practice and find them useful. It would be interesting to know whether ultrasound guidance was used for some or all of the […]
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