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Published in J Bone Joint Surg Am. 2014 Jun 4;96(11):e89 Authors: Lee D et al BACKGROUND: Opioids are commonly used for preoperative pain management in patients undergoing spine surgery. The objective of this investigation was to assess whether preoperative opioid use predicts worse self-reported outcomes in patients undergoing spine surgery. METHODS: Five hundred and eighty-three […]
Read MorePublished in Dig Liver Dis. 2014 Aug;46(8):710-5. doi: 10.1016/j.dld.2014.04.007 Authors: Tae CH et al BACKGROUND: The incidence, risk factors and management strategy of paradoxical reaction to midazolam during endoscopy are yet to be clarified. METHODS: This single center prospective study included 4140 adult patients (2263 males, mean age of 57.7±12.6) undergoing endoscopy under sedation with […]
Read MoreAuthors: Leonard J. Paulozzi, MD et al Background: Overprescribing of opioid pain relievers (OPR) can result in multiple adverse health outcomes, including fatal overdoses. Interstate variation in rates of prescribing OPR and other prescription drugs prone to abuse, such as benzodiazepines, might indicate areas where prescribing patterns need further evaluation. Methods: CDC analyzed a commercial […]
Read MoreI thought this was interesting so I wanted to share it with our readers. Aetna’s company name is inspired by Mt.Etna — an 11,000-foot volcano on the eastern shores of Sicily — which was the most active volcano in Europe. Living up to its name, Aetna has become one of the nation’s largest insurance companies, […]
Read MoreAuthors: Janna L. Friedly, M.D et al A steroid-lidocaine combination is essentially no better than lidocaine alone for patients with symptomatic central lumbar spinal stenosis, according to a New England Journal of Medicine study. U.S. researchers randomized 400 patients with symptomatic stenosis to receive an epidural injection of either lidocaine alone or lidocaine plus a […]
Read MoreFathalla Mashali, MD, accused of bilking Medicare A New England anesthesiologist stands high above all others in Medicare’s recently released list of how much money it pays providers, and court records help explain why he posted Ruthian numbers in a league of mostly singles hitters. According to records the Centers for Medicare & Medicaid Services […]
Read MoreEvery leader is a coach to those who look to them for guidance. Your job as a leader is to be there when one of your employees are in a rut, but if you consistently offer them a gift-wrapped solution, those employees will forfeit their problem-solving skills in the process. Eventually, a new problem manifests […]
Read MoreThe US Food and Drug Administration (FDA) has approved an abuse-deterrent extended-release formulation of oxycodone (Targiniq ER, Purdue Pharma LP), a combination of oxycodone hydrochloride and naloxone hydrochloride, the agency announced today. The new formulation is approved to treat pain severe enough to require daily, around-the-clock, long-term opioid treatment, for which alternative treatment options are […]
Read MoreSlower growth in U.S. healthcare spending and expected savings from Obamacare are shoring up the funding outlook for the federal Medicare program that covers the hospital bills of the elderly, trustees of the program said on Monday. The program’s trust fund for hospital care will run out of money in 2030, four years later than […]
Read MoreAnesthesia providers had high numbers of hand hygiene (HH) opportunities in the operating room per hour, but low levels of HH compliance, according to a new study. Compliance was lowest during the first and last 20-minute periods in the operating room. “Complete compliance with HH practice as recommended by World Health Organization guidelines would have […]
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