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Uncategorized Published - 6 July, 2014    By - dc2uh
Fatal anaphylaxis with neuromuscular blocking agents: a risk factor and management analysis

Published in Allergy. 2014 Jul;69(7):954-9. Authors: Reitter M et al BACKGROUND: Anaphylactic reactions to neuromuscular blocking agents (NMBAs) can be severe and even fatal. Our aim was to evaluate mortality rate in France from anaphylactic reactions to NMBAs, to identify risk factors for a fatal outcome, and to describe management of the cases that proved […]

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Uncategorized Published - 6 July, 2014    By - dc2uh
Comparison of the effect of propofol and sevoflurane anaesthesia on acute and chronic postoperative pain after hysterectomy

Published in Anaesth Intensive Care. 2014 May;42(3):365-70 Authors: Ogurlu M et al. Abstract There is some evidence that propofol may reduce acute postoperative pain; however, the results are inconsistent. Furthermore, there is a paucity of information about the type of anaesthesia and chronic pain. This study was designed to evaluate the hypothesis that propofol reduces […]

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Uncategorized Published - 6 July, 2014    By - dc2uh
On-Q Pump for Pain Control After Orbital Implant Surgery

Published in Ophthal Plast Reconstr Surg. 2014 Apr 25 Authors: Samimi DB et al. PURPOSE: To introduce an elastomeric continuous infusion pump for pain control after outpatient orbital implant surgery. METHODS: Retrospective, noncomparative consecutive case series of all patients undergoing enucleation, evisceration, or secondary orbital implantation using the On-Q pain system between August 2004 and […]

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Uncategorized Published - 6 July, 2014    By - dc2uh
Intraarticular analgesia versus epidural plus femoral nerve block after TKA: a randomized, double-blind trial.

Published in Clin Orthop Relat Res. 2014 May;472(5):1400-8 Authors: Reinhardt KR et al BACKGROUND: Pain management after TKA remains challenging and the efficacy of continuously infused intraarticular anesthetics remains a controversial topic. QUESTIONS/PURPOSES: We compared the side effect profile, analgesic efficacy, and functional recovery between patients receiving a continuous intraarticular infusion of ropivacaine and patients […]

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Uncategorized Published - 6 July, 2014    By - dc2uh
Effect of intra-articular local anesthesia on articular cartilage in the knee

Published in Arthroscopy. 2014 May;30(5):607-12 Authors: Ravnihar K et al. PURPOSE: To evaluate the hypothetical toxic effect of local anesthetics on the articular cartilage using patient data from autologous chondrocyte cultivation with different anesthesia types used for arthroscopic cartilage biopsy specimen procurement. METHODS: A retrospective analysis of patient data from the national autologous chondrocyte implantation […]

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Uncategorized Published - 6 July, 2014    By - dc2uh
Fitch: Hospital Charge Growth Expected to Remain Slow

Hospital charge growth is expected to remain slow in the coming years, according to a Fitch Ratings report. According to CMS, average hospital charges for most services increased by less than 5 percent in 2011 and 2012, based on data from more than 3,000 hospitals that accept Medicare. Continuing pressure on reimbursements and flattening consumer […]

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Uncategorized Published - 6 July, 2014    By - dc2uh
The Cost of Unusual Medicare Physician Billing: 5 Things to Know

Medicare physician payment data reveals some providers are earning inordinate amounts from just one procedure or service, according to an analysis performed by The Wall Street Journal. Here are five things to know about CMS’ release of physician reimbursement data and unusual billing practices. 1. The Journal’s analysis is based on data CMS released in […]

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Uncategorized Published - 6 July, 2014    By - dc2uh
2 ways to cut spinal surgery costs

Spinal surgeries remain costly even as they increase in popularity, prompting clinicians and surgical center business managers to find ways to trim dollars off each procedure. The average hospital charge for a spinal procedure is nearly $67,000, according to a study in the Journal of Bone and Joint Surgery, although the cost can rapidly escalate […]

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Uncategorized Published - 6 July, 2014    By - dc2uh
Laboring under misconceptions: Epidural myths may keep women from reliable pain management

It’s one of the most effective, safest and widely used forms of pain management for women in labor, yet there are misconceptions about epidurals, a recent study shows. From fears of permanent back pain to allegations of potential harm to the baby, many women still harbor mistaken beliefs about epidurals. “My own mother didn’t want […]

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Uncategorized Published - 6 July, 2014    By - dc2uh
Addressing performance problems: 8 steps to success

Talking with employees about their performance problems can be an uncomfortable moment for any manager. But it’s also a crucial part of the job and, if done well, will ultimately make a manager’s job much easier. Here are eight steps to planning and executing such discussions: 1. Schedule the meeting and set the stage. Make […]

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