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This was not written for anestheia but it is great advice for all providers. By Emily Aaronson, MD Fellow Harvard Medical School Fellowship in Patient Safety and Quality Improvement Massachusetts General Hospital Despite the growing emphasis on “patient-centered care,” patient safety lapses attributed to poor communication are still commonplace. Noting this, during my fellowship at […]
Read MoreThe Centers for Medicare and Medicaid Services (CMS) has posted additional information about global surgery data collection requirements. Physicians and other healthcare providers in FL, KY, LA, NV, NJ, ND, OH, OR and RI will be required to submit information-only claims for services provided within the global period for specific procedures with a 10 or […]
Read MoreImplementation of a quality improvement initiative substantially reduced excessive use of neostigmine while improving train-of-four–guided neostigmine administration. Over a six-month period, the initiative led to a decrease in the mean dose of intraoperative neostigmine from 2.9 to 2.5 mg, researchers reported. “Preliminary data have shown that these interventions led to a statistically significant reduction in […]
Read MorePatient access to anesthesia care for seven common surgical procedures is not increased when states “opt-out” of the Medicare rule that requires anesthesia to be administered with physician supervision, reports a study published in the Anesthesiology, the peer-reviewed medical journal of the American Society of Anesthesiologists (ASA). The study showed that “opt-out” states did not […]
Read MoreAuthors Jian Yang et al Background The surgical treatment of upper cervical spine metastases are controversial up to now. By summarizing and analyzing the clinical data of the upper cervical spine involved metastases treated surgically in our center, we mainly aimed to investigate the surgical decisions and outcomes so as to provide more references for […]
Read MoreYou’re in the operating room, with a resident beside you, and your clinical decisions are harming the patient. Does your resident have the wherewithal to stand up to you and intervene? While the answer seems to be a resounding no, a study by a multicenter Canadian research team offers hope. The investigation showed that a […]
Read MorePediatric patients with an American Society of Anesthesiologists (ASA) physical status classification of at least III are at risk for postoperative complications and mechanical ventilation, even when undergoing low-risk procedures, researchers have concluded. Identifying these patients will go a long way toward ensuring they receive targeted preventive interventions, particularly with respect to pulmonary and nutritional […]
Read MoreAuthors: Jasvinder A. Singh et al Background Total knee arthroplasty (TKA) is one of the most successful procedures performed in patients with end-stage osteoarthritis (OA) and other arthritides with refractory pain [1]. While most patients report improved pain and function outcomes after TKA, persistent pain is reported by 6.5% or more patients post-TKA [2]. The […]
Read MoreAuthors: Manuel Rullán et al Background Postherpetic neuralgia (PHN) is a chronic neuropathic pain that results from alterations of the peripheral nervous system in areas affected by the herpes zoster virus. The symptoms include pain, paresthesia, dysesthesia, hyperalgesia, and allodynia. Despite the availability of pharmacological treatments to control these symptoms, no treatments are available to […]
Read MoreSteven M. Frank, MD Medical Director, Center for Bloodless Medicine and Surgery Medical Director, Johns Hopkins Health System Blood Management Clinical Community Professor, Department of Anesthesiology/Critical Care Medicine The Johns Hopkins Medical Institutions Baltimore, Maryland Andrew V. Scott, BS Medical Student The Johns Hopkins Medical Institutions Baltimore, Maryland Linda M. S. Resar, MD Co-Director, Center […]
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