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Pharmaceutical expenses at Boston Children’s Hospital have risen fourfold during the last five years, a study has found. The analysis of expenses was conducted by researchers in the Department of Anesthesiology, Perioperative and Pain Medicine at Boston Children’s Hospital. Departmental expenses were analyzed from April 1, 2011 to March 31, 2016, and were found to have increased […]
Read MoreAUTHORS: Seligman, Katherine M. MD et al Anesthesia & Analgesia: August 2017 This study investigated the accuracy of a wireless handheld ultrasound with pattern recognition software that recognizes lumbar spine bony landmarks and measures depth to epidural space (Accuro, Rivanna Medical, Charlottesville, VA) (AU). AU measurements to epidural space were compared to Tuohy needle depth to […]
Read MoreAuthors: Mohamed Mahmoud, M.D. et al ASA Monitor 02 2018, Vol.82, 18-21. Serious medical errors and harm can occur in any health care organization and no one should believe that “this event could and should never happen at my institution.” As humans, we all make errors. Vigilance, working harder or simply “doing our best” is not sufficient […]
Read MoreInteresting article. Author: Laurel Wamsley Williamson, W.Va., sits right across the Tug Fork river from Kentucky. The town has sites dedicated to its coal mining heritage and the Hatfield and McCoy feud and counts just about 3,000 residents. But despite its small size, drug wholesalers sent more than 20.8 million prescription painkillers to the town from 2008 and 2015, […]
Read MoreAUTHORS: Dexter, Franklin MD, PhD et al Anesthesia & Analgesia: August 29, 2017 – Volume Publish Ahead of Print – Issue – p BACKGROUND: Diagnosis-related group (DRG) based reimbursement creates incentives for reduction in hospital length of stay (LOS). Such reductions might be accomplished by lesser incidences of discharges to home. However, we previously reported that, while […]
Read MoreAUTHORS: Duce, Lorent MD et al Anesthesia & Analgesia: August 2017 BACKGROUND: Erythropoiesis-stimulating agents, such as erythropoietin (EPO), can be used to treat preoperative anemia. Some studies suggest an increased risk of mortality and thrombotic events, and use in cardiovascular surgery remains off-label. This study compares outcomes in cardiac surgery patients declining blood transfusion who received EPO […]
Read MoreAUTHORS: Lee, Eun Kyung MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1322–1328 BACKGROUND: Postoperative analgesic methods are suggested to have an impact on long-term prognosis after cancer surgery through opioid-induced immune suppression. We hypothesized that regional analgesia that reduces the systemic opioid requirement would be related to lower […]
Read MoreAuthor: Howard D. Palte, M.B., Ch.B., FCA ASA Monitor 02 2018, Vol.82, 22-25. The Anesthesia Quality Institute (AQI) has included a new parameter in its 2017 Measure Specifications for the Merit-based Incentive Payment System (MIPS) Reporting.1 Item AQ128 measures the percentage of patients aged 18 years or older who undergo anesthesia care and do not have […]
Read MoreAnother interesting article I wanted to share with our readers. By David Kohn Each year, thousands of Americans suffer a traumatic brain injury. In 2013, about 2.8 million TBI-related emergency department visits, hospitalizations and deaths occurred in the United States, according to the Centers for Disease Control and Prevention. Most of these are what are called mild traumatic brain […]
Read MoreAuthor: Arnaldo Valedon, M.D. ASA Monitor 02 2018, Vol.82, 16-17. Total joint replacement surgery has undergone significant evolution in the last 20 years. In the year 2000, the average hospital length of stay for these procedures was four to five days with a transition to skilled nursing facility or rehabilitation floor ranging from five days to three […]
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