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Authors: Ryuhei Araki, M.D. et al Anesthesiology published December, 2017. Background: Although midbrain dopaminergic pathways are known to contribute to arousal and emergence from anesthesia, few reports exist regarding the anesthetic effects of dopamine D2 receptor antagonism in humans. This study examined the effect of the D2 receptor antagonist droperidol on sevoflurane anesthesia by examining α and […]
Read MoreThe Centers for Medicare & Medicaid Services (CMS) released its “CY 2018 Updates to the Quality Payment Program Final Rule with Comment,” outlining several changes to the Merit-based Incentive Payment System (MIPS) for reporting year 2018. The Final Rule emphasizes burden reduction and other opportunities for short-term relief especially for small practices. Disclaimer: The changes […]
Read MoreCMS recently issued an interim final rule with comment period that exempts MIPS-eligible clinicians in disaster areas from submitting data for the quality, improvement activities and advancing care information performance categories. The interim final rule includes the Extreme and Uncontrollable Circumstances policy, which applies to MIPS clinicians who have been affected by the Northern California wildfires and Hurricanes […]
Read MoreWe want to wish all of our readers a very happy new year!!! Please be safe!
Read MoreAuthors: Grace Lim, M.D., M.S. et al Anesthesiology published December 2017. Background: Cost-effectiveness analyses on cell salvage for cesarean delivery to inform national and societal guidelines on obstetric blood management are lacking. This study examined the cost-effectiveness of cell salvage strategies in obstetric hemorrhage from a societal perspective. Methods: Markov decision analysis modeling compared the cost-effectiveness of three […]
Read MoreAuthors: Savino Spadaro, M.D., Ph.D. et al Anesthesiology published December 2017. Background: Arterial oxygenation is often impaired during one-lung ventilation, due to both pulmonary shunt and atelectasis. The use of low tidal volume (VT) (5 ml/kg predicted body weight) in the context of a lung-protective approach exacerbates atelectasis. This study sought to determine the combined physiologic effects […]
Read MoreAuthors: Aaron Louie, B.S. et al Anesthesiology published December 2017. Background: Pulse oximeter performance is degraded by motion artifacts and low perfusion. Manufacturers developed algorithms to improve instrument performance during these challenges. There have been no independent comparisons of these devices. Methods: We evaluated the performance of four pulse oximeters (Masimo Radical-7, USA; Nihon Kohden OxyPal Neo, Japan; […]
Read MoreThe recommendation is outdated, but many hospitals still mistakenly encourage it. Why? By Marina Kamenev Patients can have light meals six hours before their procedures—but instructions often still call for fasting. In 1946, obstetrician and cardiologist Curtis Lester Mendelson discovered a disturbing phenomenon: He found that some women who had anesthesia in labor were vomiting and […]
Read MoreAuthor: Hans-Joachim Priebe, M.D. Anesthesiology 1 2018, Vol.128, 233-234. To the Editor: I read with great interest the review on cricoid pressure (CP) by Salem et al.1 The authors assure the reader that they have “used discretion in deciding which articles to finally include, favoring peer-reviewed articles from highly ranked journals written in English.” However, a couple of […]
Read MoreAuthors: Jonathan V. Roth, M.D. Anesthesiology 1 2018, Vol.128, 233. To the Editor: In their excellent review, Salem et al.1 suggest that the dominant hand should be used to apply cricoid pressure (CP) because even though either hand can achieve adequate CP, the applied force may become inadequate if it needs to be sustained with the nondominant hand.2 I […]
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