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Published in Br J Anaesth. 2013;111(3):331-333. Authors: C. J. L. McCartney, S. Choi Total knee arthroplasty (TKA) is a common, painful surgical procedure requiring good quality anaesthesia and postoperative analgesia to provide best patient care and facilitate effective rehabilitation. More than 70 000 knee replacements are performed in the UK each year and this is […]
Read MoreEvery good manager will tell you that conflict is part and parcel of the job. Whether it’s an issue within the team, or whether an external source is disrupting your progress, conflict happens. Dealing with the conflict will determine whether your project succeeds or ends up as a failure. Here are seven tips to addressing […]
Read MoreTreatment of postoperative pain after total hip arthroplasty: comparison between metamizol and paracetamol as adjunctive to opioid analgesics-prospective, double-blind, randomised study Published in Arch Orthop Trauma Surg. 2014 May;134(5):631-6 Authors: Oreskovic Z et al., INTRODUCTION: Metamizole use has been limited because of its risk of agranulocytosis. However, more recent literature seems to support […]
Read MoreThe U.S. Food and Drug Administration is requiring labels of all long-acting opioids to say they should be used strictly for patients in severe pain, a response to surging overdoses and deaths each year from the widely used pain medicines. The health regulator in September proposed the label changes, saying they were needed to highlight […]
Read MoreEarly Congress delayed the implementation of ICD-10 as part of legislation that provided a one-year patch for the sustainable growth rate formula, a move that took the healthcare industry by surprise. Healthcare providers spent years–and significant amounts of money–preparing for the new code set, which the government delayed by a year once before, and was […]
Read MorePatients aren’t as likely to have problems paying their medical bills if they get information such as out-of-pocket cost estimates up front, according to a recent TransUnion Healthcare survey. According to TransUnion, a medical necessity software program can provide real-time verification of patients’ insurance eligibility and benefits, allowing providers to avoid billing errors and give […]
Read MoreTo manage toxic behavior in employees, the first thing organizations should do is go on a fact-finding mission to build a complete behavioral profile. Toxic employees can cause serious problems in the workplace, but there are steps to take to manage them With the shortage of skilled providers many departments find themselves putting up with […]
Read MoreThe surge in numbers of insured individuals will not be repeated in subsequent quarters The latest data from the Bureau of Economic Analysis (BEA) of the U.S. Department of Commerce estimate that spending for healthcare services jumped by about $50 billion in the first quarter (Q1) of 2014 compared to fourth quarter (Q4) of 2013 […]
Read MoreStimulating both the occipital and supraorbital nerves provides better relief of chronic migraine than stimulating only the occipital nerve, a new study shows. Fourteen of 20 patients in a case series reported greater than 50% relief of their pain, said Shannon Wang Hann, MD, a neurosurgeon at Thomas Jefferson University in Philadelphia, Pennsylvania. She presented […]
Read MoreAnesthesiologists looking to reduce the consumption of morphine after scoliosis surgery in pediatric patients may want to consider ketamine, Japanese researchers have found. In a retrospective study, a group from Keio University School of Medicine, in Tokyo, concluded that although ketamine had a morphine-sparing effect after low-dose remifentanil-based anesthesia, this was not the case after […]
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