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Uncategorized Published - 8 March, 2024    By - Dr Clemens
Congress moves to halve physician pay cut: 3 things to know

Author: Paige Haeffele Becker’s ASC Review Congress released a $460 billion spending package that would halve 2024’s 3.4% Medicare pay cut for physicians to approximately 1.7%. The package, which consists of six bills, would be used to fund the entire government, The Washington Post reported. Here are three things ASC leaders should know about the package: 1. The package would […]

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Uncategorized Published - 8 March, 2024    By - Dr Clemens
REGAINing the Freedom to Choose Insensibility for Hip Fracture Surgery

Authors: Elizabeth L. Whitlock, M.D., M.Sc.; Alexander K. Smith, M.D., M.P.H. Anesthesiology March 2024, Vol. 140, 352–354. “It is remarkable how little difference there is between the REGAIN randomization groups at 1 yr. All estimates, directionally, suggest we need not bend over backward to avoid general anesthesia. Any differences between techniques are small and unlikely to be […]

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Uncategorized Published - 8 March, 2024    By - Dr Clemens
Heart surgery outcomes comparable at high- and low-volume children’s hospitals

Author: Michael Walter Cardiovascular Business High-volume pediatric heart surgery centers do not always achieve the best outcomes, according to new research presented at STS 2024, the annual meeting of the Society of Thoracic Surgeons (STS). Likewise, some low-volume centers deliver outcomes as good as anywhere in the world. The analysis was based on nearly 26,000 heart […]

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Uncategorized Published - 8 March, 2024    By - Dr Clemens
PE-backed anesthesiology group ends contracts with 5 Colorado hospitals, phases out noncompetes to resolve monopoly inquiry

Author: Dave Muoio FIERCE Healthcare A private-equity-backed anesthesia provider group that’s been in federal regulators’ crosshairs has reached a voluntary agreement with the state of Colorado to cut ties with five hospitals, thereby resolving its allegations of anticompetitive conduct. According to Colorado Attorney General Phil Weiser’s office, U.S. Anesthesia Partners (USAP) of Colorado began purchasing […]

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Uncategorized Published - 7 March, 2024    By - Dr Clemens
Movement-evoked Pain versus Pain at Rest in Postsurgical Clinical Trials and in Meta-analyses

Authors: Ian Gilron, M.D., M.Sc., F.R.C.P.C. et al  Anesthesiology March 2024, Vol. 140, 442–449. Background Given the widespread recognition that postsurgical movement-evoked pain is generally more intense, and more functionally relevant, than pain at rest, the authors conducted an update to a previous 2011 review to re-evaluate the assessment of pain at rest and movement-evoked pain […]

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Uncategorized Published - 7 March, 2024    By - Dr Clemens
Effect of an Individualized Lung Protective Ventilation on Lung Strain and Stress in Children Undergoing Laparoscopy

Authors: Cecilia M. Acosta, M.D. et al  Anesthesiology March 2024, Vol. 140, 430–441. Background Exaggerated lung strain and stress could damage lungs in anesthetized children. The authors hypothesized that the association of capnoperitoneum and lung collapse in anesthetized children increases lung strain-stress. Their primary aim was to describe the impact of capnoperitoneum on lung strain-stress and […]

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Uncategorized Published - 7 March, 2024    By - Dr Clemens
In Vitro Model of Prepacked Carbon Dioxide Absorber Use

Authors: Jennifer Jouwena, M.D. et al Anesthesiology March 2024, Vol. 140, 450–462. Background Carbon dioxide absorbers allow the use of fresh gas flow below minute ventilation (⁠V˙E⁠). Models are developed and tested in vitro to quantify their performance with variable carbon dioxide load (⁠V˙CO2⁠), fresh gas flow, V˙E⁠, end-tidal carbon dioxide (ETco2) fraction, and the type of workstation used. […]

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Uncategorized Published - 7 March, 2024    By - Dr Clemens
Isoflurane Inhibits the Na+/K+-ATPase: Reply

Authors: Clemens Reiffurth, Ph.D. et al  Anesthesiology March 2024, Vol. 140, 635–636. In Reply: We thank Dr. Enlund very much for his comments and motivating words.  The interactions of anesthetics with key mechanisms in energy metabolism and ion homeostasis occur simultaneously as we observed in our experiments.  These complex interactions might be relevant for both neuroprotection and neurotoxicity […]

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Uncategorized Published - 7 March, 2024    By - Dr Clemens
Astrocytes: Dual Roles in Chronic Pain and Memory Formation

Author: Vivianne L. Tawfik, M.D., Ph.D.  Anesthesiology March 2024, Vol. 140, 358–360. “[…] these experiments nicely demonstrate that CA1 astrocytes, and their L-lactate release, are both necessary and sufficient for pain modulation and memory formation.” Astrocytes are glial cells, abundant in the central nervous system, that form a highly interconnected and organized network of cells.  They make […]

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Uncategorized Published - 7 March, 2024    By - Dr Clemens
How the anesthesia shortage is impacting orthopedics

Author: Riz Hatton Becker’s Orthopedic Review The anesthesiologist shortage is affecting every area of healthcare, and orthopedics is no exception. Three orthopedic surgeons connected with Becker’s to answer, “How has the anesthesia shortage impacted the orthopedic industry?” Ask Orthopedic Surgeons is a weekly series of questions posed to surgeons around the country about clinical, business and policy […]

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