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Uncategorized Published - 19 October, 2023    By - Dr Clemens
Novel Pulsed Ultrahigh-frequency Spinal Cord Stimulation Inhibits Mechanical Hypersensitivity and Brain Neuronal Activity in Rats after Nerve Injury

Authors: Chin-Tsang Yang, Ph.D. et al  Anesthesiology November 2023, Vol. 139, 646–663. Background Spinal cord stimulation (SCS) is an important pain treatment modality. This study hypothesized that a novel pulsed ultrahigh-frequency spinal cord stimulation (pUHF-SCS) could safely and effectively inhibit spared nerve injury–induced neuropathic pain in rats. Methods Epidural pUHF-SCS (± 3V, 2-Hz pulses comprising 500-kHz […]

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Uncategorized Published - 19 October, 2023    By - Dr Clemens
AmSurg to officially split from Envision

Author: Carly Behm Becker’s ASC Review AmSurg will be separated from Envision Healthcare and have its own separate leadership teams and owner groups, according to an Oct. 11 news release. The U.S. Bankruptcy Court for the Southern District of Texas Houston Division confirmed Envision’s plans to reorganize as it emerges from bankruptcy, which will eliminate 70% of […]

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Uncategorized Published - 18 October, 2023    By - Dr Clemens
Comparison of the Analgesic Efficacy between Arthroscopically Placed Continuous Suprascapular Nerve Block and Ultrasound-guided Continuous Superior Trunk Block

Authors: Ha-Jung Kim, M.D., Ph.D. et al  Anesthesiology November 2023, Vol. 139, 591–601. Background Single-shot suprascapular nerve block and superior trunk block have been reported to provide a noninferior analgesic effect after shoulder surgery with a lesser incidence of hemidiaphragmatic paresis compared with interscalene brachial plexus block. This study hypothesized that continuous suprascapular nerve block […]

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Uncategorized Published - 18 October, 2023    By - Dr Clemens
Electroencephalographic Biomarkers, Cerebral Oximetry, and Postoperative Cognitive Function in Adult Noncardiac Surgical Patients

Authors: Phillip E. Vlisides, M.D. et al  Anesthesiology November 2023, Vol. 139, 568–579. Background Perioperative neurocognitive disorders are a major public health issue, although there are no validated neurophysiologic biomarkers that predict cognitive function after surgery. This study tested the hypothesis that preoperative posterior electroencephalographic alpha power, alpha frontal-parietal connectivity, and cerebral oximetry would each correlate […]

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Uncategorized Published - 18 October, 2023    By - Dr Clemens
Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults

Authors: Matthew E Prekker et al New England Journal of Medicine 2023 Aug 3;389(5):418-429. Background: Whether video laryngoscopy as compared with direct laryngoscopy increases the likelihood of successful tracheal intubation on the first attempt among critically ill adults is uncertain. Methods: In a multicenter, randomized trial conducted at 17 emergency departments and intensive care units (ICUs), we […]

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Uncategorized Published - 18 October, 2023    By - Dr Clemens
Balanced crystalloid solution versus saline in deceased donor kidney transplantation (BEST-Fluids

Authors: Michael G Collins et al Lancet 2023 Jul 8;402(10396):105-117 Background: Delayed graft function (DGF) is a major adverse complication of deceased donor kidney transplantation. Intravenous fluids are routinely given to patients receiving a transplant to maintain intravascular volume and optimise graft function. Saline (0·9% sodium chloride) is widely used but might increase the risk of […]

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Uncategorized Published - 18 October, 2023    By - Dr Clemens
What to know about rising anesthesia reimbursements

Author: Patsy Newitt Becker’s ASC Review Medicare reimbursements for anesthesia are declining, and with a rising provider shortage and increasing demand, many leaders are concerned about how these factors will affect patient care. “Anesthesia used to be a seemingly unlimited commodity,” Jeff Dottl, principal at Ventura, Calif.-based Physicians Surgery Centers, told Becker’s. “They were lucky to be […]

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Uncategorized Published - 17 October, 2023    By - Dr Clemens
Association between “Balance Billing” Legislation and Anesthesia Payments in California

Authors: Anjali A. Dixit, M.D., M.P.H. et al  Anesthesiology November 2023, Vol. 139, 580–590. Background Insured patients who receive out-of-network care may receive a “balance bill” for the difference between the practitioner’s charge and their insurer’s contracted rate. In 2017, California banned balance billing for anesthesia care. This study examined the association between California’s law and […]

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Uncategorized Published - 17 October, 2023    By - Dr Clemens
Development of a Prediction Score for Evaluation of Extubation Readiness in Neurosurgical Patients with Mechanical Ventilation

Authors: Shan-Shan Xu, M.D. et al  Anesthesiology November 2023, Vol. 139, 614–627. Background There is no widely accepted consensus on the weaning and extubating protocols for neurosurgical patients, leading to heterogeneity in clinical practices and high rates of delayed extubation and extubation failure−related health complications. Methods In this single-center prospective observational diagnostic study, mechanically ventilated neurosurgical […]

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Uncategorized Published - 17 October, 2023    By - Dr Clemens
Baseline Intraoperative Left Ventricular Diastolic Function Is Associated with Postoperative Atrial Fibrillation after Cardiac Surgery

Authors: Lisa Q. Rong, M.D. et al  Anesthesiology November 2023, Vol. 139, 602–613. Background Detailed understanding of the association between intraoperative left atrial and left ventricular diastolic function and postoperative atrial fibrillation is lacking. In this post hoc analysis of the Posterior Left Pericardiotomy for the Prevention of Atrial Fibrillation after Cardiac Surgery (PALACS) trial, we aimed to […]

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