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Authors: Minneci PC et al., J Am Coll Surg 2014 Apr 12; 218:905 The studies show that antibiotics are effective for uncomplicated appendicitis in adult and pediatric patients. Two studies offer additional evidence to support the nonoperative management of uncomplicated appendicitis. One study evaluated 230,000 California patients of all ages admitted between 1997 and 2008. […]
Read MoreGreat managers aren’t born, they’re made. And becoming a great manager requires honest self-analysis and periodic reassessments. The following checklist was designed to guide you in that analysis. Use it to take stock of your people skills. Be honest with yourself. Then, tuck it away and revisit it in six months. Ask yourself:Are you working […]
Read MorePublished in Dig Dis Sci. 2014 Apr 11 Authors: Jirapinyo P et al. BACKGROUND: Safety of conscious sedation for performing esophagoduodenoscopy (EGD) in obese and Roux-en-Y gastric bypass (RYGB) patients remains controversial. Additionally, it has been suggested that patients with higher body mass index (BMI) require higher sedation doses, imparting greater risk. […]
Read MorePublished in Am J Respir Crit Care Med. 2014 Apr Authors: Lonardo NW et al. Abstract Rationale: Mechanically ventilated ICU patients are frequently managed using a continuous infusion sedative. Though recent guidelines suggest avoiding benzodiazepines for sedation, this class of drugs is still widely employed. There are limited data comparing sedative agents in […]
Read MoreAuthors: Bot AG et al. BACKGROUND: In 2012, Medicare began to tie reimbursements to inpatient complications, unplanned readmissions, and patient satisfaction, including satisfaction with pain management. QUESTIONS/PURPOSES: We aimed to identify factors that correlate with (1) pain intensity during a 24-hour period after surgery; (2) less than complete satisfaction with pain control; (3) less […]
Read MoreI thought this would be an interesting article for our readers. Physicians are improperly coding Medicare claims, and it’s costing billions of dollars, USA Today reports. A new report found that in 2010, Medicare paid $6.7 billion in claims that weren’t coded correctly and lacked proper documentation, the report says. That billion-dollar figure accounts for […]
Read MoreThe problem may not be resolved until the end of 2014 or beginning of 2015 Back in January, U.S. hospitals began to experience a serious shortage of intravenous saline solutions, caused mainly by a spike in demand during the beginning of the 2013 flu season. Fast forward to May, and hospitals are still struggling with […]
Read MoreNashville’s Amsurg Corp. has agreed to buy the nation’s largest anesthesia services provider for $2.35 billion. The cash and stock deal for Sheridan Healthcare will see Sheridan investors issued Amsurg shares worth $615 million,Bloomberg reports, but Amsurg could replace with cash a “substantial portion” of the equity consideration. Amsurg operates 242 ambulatory surgery centers in […]
Read MoreAlmost overnight, a powerful new painkiller has become a $100 million business and a hot Wall Street story. But nearly as quickly, questions are emerging about how the drug is being sold, and to whom. The drug, Subsys, is a form of fentanyl, a narcotic that is often used when painkillers like morphine fail to […]
Read MoreAnesthesia Management: Ropivacaine plasma levels following local infiltration analgesia for primary total hip arthroplasty Published in Anaesthesia. 2014 Apr;69(4):368-73 Authors: Gill AM et al. Abstract We measured total and free plasma concentrations of ropivacaine following high-volume, high-dose local infiltration analgesia in 19 patients aged 65 years or over undergoing unilateral total hip arthroplasty. The patients […]
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