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Published in Cardiol Young. 2014 Aug 27:1-5 Authors: Moffett BS et al Introduction: The diagnosis of trisomy 21 in children has been associated with failed extubation after CHD surgery. Dexmedetomidine may be a useful agent to improve postoperative outcomes in these patients, such as ventilator time, ICU length of stay, or hospital length of stay. […]
Read MorePublished in Paediatric Anaesthesia (Sep 2014) Authors: Tobias J One of the long held tenets of pediatric anesthesia has been the notion that the pediatric airway is conical shape with the narrowest area being the cricoid region. However, recent studies using radiologic imaging techniques (magnetic resonance imaging and computed tomography) or direct bronchoscopic observation have […]
Read MoreCountdown to ICD-10 Good news on the coding front: With more than half its coders already using ICD-10 diagnosis codes on a daily basis we have found that the acute documentation and productivity problems many feared would overwhelm the ICD-10 transition have not materialized. We began shifting coders to the new code set in December […]
Read MoreOf the many financial challenges facing physician groups today, cash shortfalls triggered by problems collecting from self-pay patients can be among the most trying and potentially destructive. The growth of high-deductible health plans, including health savings accounts (HSAs), is pushing primary payment responsibility toward individuals and away from insurance companies. That means that unless practices […]
Read MoreThe Center for Medicare & Medicaid Services (CMS) recently announced that it is introducing four new HCPCS modifiers to further scrutinize the use of modifier -59. The implementation date for these modifiers is Jan. 1, 2015, however, local Medicare contractors may implement earlier. The announcement of these new HCPCS modifiers ties closely with an earlier […]
Read MoreThe recent political silly season is over — finally — and once again I was listening for one particular word in the endless ads that peppered the airwaves: accountability. It seems like the only time you hear that word is in the context of blaming one’s opponent for lack of it. I suspect that the […]
Read MoreAuthors: K. Jenkins Published in Br J Anaesth. 2014;113(1):4-6. A Psychological Perspective Needle phobia is probably seen as a simple issue in its purest form. Your patient does not like needles—who does? Use a good topical numbing agent and let’s get on with it. Job done… Or is it? When I first started out as […]
Read MoreAspirin in Patients Undergoing Noncardiac Surgery Devereaux PJ, Mrkobrada M, Sessler DI, et al; POISE-2 Investigators N Engl J Med. 2014;370:1494-1503 Does administration of aspirin during the perioperative period benefit patients undergoing noncardiac surgery? Devereaux and colleagues performed a randomized trial in 10,010 patients recruited from 135 hospitals in 23 countries. Patients undergoing orthopedic procedures […]
Read More1. Hard work beats traditional education. I don’t mean to suggest that there’s no point in a traditional education, but rather that if you have not had a formal education, hard work still pays off. Don’t limit your options based on schooling alone – if you want it, fight for it. 2. No job is […]
Read MoreThe U.S. Food and Drug Administration today approved new labeling for Embeda (morphine sulfate and naltrexone hydrochloride) extended-release (ER) capsules, an opioid analgesic to treat pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate. Embeda is the third ER opioid analgesic to be approved with labeling […]
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