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The purchase of Health Management Associates by Community Health Systems for $7.6 billion and the sale of Vanguard Health Systems to Tenet Healthcare for $4.3 billion were healthcare’s two largest deals last year. Hospital mergers and acquisitions in the United States declined in 2013, but the number of hospitals and hospital beds involved in those […]
Read MorePublished in Paediatr Anaesth. 2014 Jun;24(6):614-9 Authors: Bortone L et al., BACKGROUND: Early negative postoperative behavior (e-PONB) is common in children and manifests itself as emergence agitation (EA), emergence delirium (ED), and pain. The objective of this prospective double blind, randomized, placebo-controlled trial was to determine whether IV clonidine or IV fentanyl prior to […]
Read MoreMore than 1 million patients who use federally funded community health centers will remain uninsured because they live in 24 states that chose not to expand Medicaid under the Affordable Care Act, according to a study released Friday by researchers at George Washington University. Most of those patients live in the South, because every state […]
Read MoreThis is written by Jennifer Gunter an obstetrician-gynecologist and author of The Preemie Primer. She blogs at her self-titled site, Dr. Jen Gunter. Reports that Mila Kunis, the actress, plans on a “natural” delivery is all over the Internet. As a celebrity she is clearly a medical expert and somehow it is relevant to hear […]
Read MoreThis is a letter I received from the ASA Dear Fellow ASA members It is with great pride that I announce that the National Anesthesia Clinical Outcomes Registry (NACOR), maintained for our specialty by the Anesthesia Quality Institute (AQI), has been designated by the Centers for Medicare and Medicaid Services (CMS) as a Qualified […]
Read MorePublished in JAMA Psychiatry April 16, 2014 The first evidence from a randomized clinical trial that the anesthetic agent ketamine may provide rapid symptom reduction in patients with chronic posttraumatic stress disorder (PTSD) when delivered intravenously has been published. An N-methyl-D-asparate (NMDA) glutamate receptor, ketamine has made headlines in recent years because several trials conducted […]
Read MoreA Randomized Trial of the Effects of Antibiotic Prophylaxis on Epidural-Related Fever in Labor Sharma SK, Rogers BB, Alexander JM, McIntire DD, Leveno KJ Anesth Analg. 2014;118:604-610 Study Summary This is a double-blind study of 400 healthy nulliparous women requesting epidural analgesia at Parkland Hospital at the University of Texas Southwestern Medical Center. The participants […]
Read MoreThe higher you rise up the corporate ladder, the more often you tackle tough issues. High-impact issues are thorny and complex. They require deep focus to unravel their ambiguity. They require time. But unfortunately, as the value of your strategic insight and expertise grows, so does the number of people who can lay legitimate claim […]
Read MorePublished in Eur Arch Otorhinolaryngol. 2014 Apr Authors: Haksever M et al., Abstract The objective of this study is to compare the topical administration of bupivacaine hydrochloride, saline and bupivacaine hydrochloride infiltration on post-tonsillectomy pain in children. Sixty children undergoing tonsillectomy were enrolled in the study. Patients were randomized into three groups using sealed […]
Read MorePublished in Paediatr Anaesth. 2014 Mar Authors: Coulter FL et al., Abstract BACKGROUND: Propofol mixed with racemic ketamine (or ‘ketofol’) is popular for short procedural sedation and analgesia. Use is creeping into anesthesia, yet neither the optimal combination nor infusion rate is known. The EC50 of propofol’s antiemetic effect is reported to be […]
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