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Medicare beneficiaries have seen a substantial drop in wait times for hearings of appeals, according to a report from Market Watch. Last year, the Office of Medicare Hearings and Appeals announced appeals from individual beneficiaries would be prioritized, while appeals from hospitals and physicians would be put on hold for at least a couple years, […]
Read MoreAnesthesiologists are adjusting induction doses of fentanyl, propofol and midazolam in older patients to account for age, but the reduced doses nonetheless have a tendency to hover at the upper end of recommended limits for these often-fragile patients, leaving the door ajar to a host of potential complications. “It is well known that elderly patients […]
Read MorePublished in Ann R Coll Surg Engl. 2014 Sep;96(6):462-5 Authors: Fernandez MA1 et al INTRODUCTION: Postoperative urinary retention requiring urethral catheterisation increases the risk of joint sepsis following arthroplasty. Spinal anaesthesia with opiate administration is used widely in lower limb arthroplasty. We sought to establish whether the choice of opiate agent had any effect on […]
Read MorePublished in Jpn J Clin Oncol. 2014 Nov; 44(11):1082-7 Authors: Miura T et al OBJECTIVE: Most cancer patients become increasingly anxious toward the end of their life. The objective of this study was to identify predictors of increased opioid dosage in the last week of a terminal cancer patient’s life. METHODS: We retrospectively reviewed charts […]
Read MorePrevention, mitigation programs needed The high rate of burnout among pain specialists found in a recent study may be a wake-up call to the specialty, as it places these physicians at risk for substance abuse, interpersonal difficulties and suicidal tendencies, and also increases the risk for medical errors. The investigators called for preemptive measures to […]
Read MoreImplementation of ICD-10 ranks among the top 10 issues for physicians to watch in 2015, according to a list published by the American Medical Association. The list notes that myriad regulatory requirements, which take time away from patient care, are among physicians’ greatest frustrations. Relief from the multiple government mandates was among the three “Congressional […]
Read MorePublished in Obes Surg. 2014 Sep Authors: Weingarten TN et al BACKGROUND: Nicotine is a known analgesic. Our primary aim was to test the hypothesis that intranasal nicotine administered intraoperatively reduces the need for postoperative opioids. The secondary outcomes included evaluation of both postoperative pain and nausea and vomiting (PONV). MATERIAL AND METHODS: Nonsmoking female […]
Read MorePublished in Journal of the American Society of Anesthesiologists 2/2015. Authors: Lorri A. Lee, M.D. et al Background: Postoperative opioid-induced respiratory depression (RD) is a significant cause of death and brain damage in the perioperative period. The authors examined anesthesia closed malpractice claims associated with RD to determine whether patterns of injuries could guide preventative […]
Read MorePublished in Journal of the American Society of Anesthesiologists 11/2014. Authors: Chih-Peng Lin, M.D. et al Background: The pivotal role of glial activation and up-regulated inflammatory mediators in the opioid tolerance has been confirmed in rodents but not yet in humans. Here, the authors investigated the intraspinal cytokine and chemokine profiles of opioid-tolerant cancer patients; […]
Read MorePublished in Br J Anaesth 2014 Nov 27 Authors: De Jong A et al. Obesity and critical illness are dangerous in combination. Obesity affects all components of airway management, including oxygenation, bag-valve-mask ventilation, and choice of pharmacologic agents, intubation surgical airway, and rescue devices. In a prospective, multicenter, observational study, researchers in France assessed the […]
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