Between half and three-fourths of the nation’s 45,000-odd anesthesiologists spend at least part of their workday in an ambulatory surgery center (ASC) or other out-of-hospital setting. Those who do should be paying attention to a slew of legislative and economic changes poised to reshape the approximately 5,300 Medicare-certified ASCs in the United States. That was […]
Read MoreNeurostimulation is clinically effective and cost efficient, but it’s not being used appropriately in many patients with chronic pain, according to experts in the field who are addressing current gaps related to this treatment modality. Part of the problem, according to Simon Thomson, MBBS, president, International Neuromodulation Society, and lead consultant, Pain Management Centre, Basildon […]
Read MoreUsing a femoral nerve block in paediatric patients undergoing knee surgery leads to less opioid use and allows the majority of patients to go home within hours of surgery, according to a study published in the Journal of Pediatric Orthopedics. “Our goal with this technique is to reduce pain, which improves patient outcomes and patient […]
Read MoreThis is for our readers who practice critical care medicine. Published in Crit Care Med. 2014 Jul 28 Authors: Stær-Jensen Hn et al OBJECTIVE: Comatose patients resuscitated after out-of-hospital cardiac arrest receive therapeutic hypothermia. Bradycardia is frequent during therapeutic hypothermia, but its impact on outcome remains unclear. We explore a possible association between bradycardia during […]
Read MoreThis is for our readers who practice critical care medicine. Published in Crit Care Med. 2014 Aug;42(8):1839-48 Authors; Lewis SC et al OBJECTIVES: The Centers for Disease Control and Prevention recently released new surveillance definitions for ventilator-associated events, including the new entities of ventilator-associated conditions and infection-related ventilator-associated complications. Both ventilator-associated conditions and infection-related ventilator-associated […]
Read MoreThis is for our readers that practice critical care medicine. Published in Crit Care Med. 2014 Jul 10 Authors: Kane-Gill SL et al OBJECTIVE: To determine the point prevalence of drug-induced hypotension episodes in critically ill patients, to assess the episodes resulting from error, and to describe how episodes are treated. DESIGN: Multicenter observational, 24-hour […]
Read MoreA preoperative briefing lasting 2 minutes or less improves safety and communication in the operating room (OR) and reduces delays by more than 80%, say the authors of a new review. Briefings and debriefings can improve teamwork in the OR, lead author Caitlin W. Hicks, MD, and colleagues write in an article published online July […]
Read MorePreoperative medication compliance improved when patients were given a simple, standardized, multicolored medication instruction sheet combined with verbal instructions, according to an article published in the July issue of Anesthesiology. Failure to remember and comply with instructions can result in rescheduled same-day surgeries and longer hospital stays. Patients in the study were scheduled for general […]
Read MoreA recently approved iPad app has been put to use to measure blood loss during cesarean section births. The app is being used as a substitute for evaluation techniques, such as sponge weighing, in cesarean surgeries at Magee-Womens Hospital in Pittsburgh, PA. The Triton technology is the first and only mobile app to a real-time […]
Read MoreI thought this was an article our followers would enjoy reading. Physician engagement is more important than ever as healthcare shifts toward value-based purchasing models like accountable care organizations (ACOs), John Wallace, vice president and general manager of ACO services at McKesson. Part of the challenge of adjusting to these new models is bringing independent-minded […]
Read More