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Author: Kathleen Stillwell, MPA/HSA, RN, Senior Patient Safety Risk Manager The Doctors Company The mission of the CMS Medicare Fee for Service (FFS) Recovery Audit Program is to identify and correct improper payments made on claims for healthcare services provided to Medicare beneficiaries. In January 2010, the Social Security Act authorized the Recovery Audit Program […]
Read MoreAuthors: Hyundeok Joo, MD, MAS et al ASA Monitor September 2023, Vol. 87, 1–7. Durable, functionally impactful, and subjectively evident cognitive decline is a feared outcome of anesthesia and surgery, particularly for older adults (Br J Anaesth 2017;118:486-8). We need to look no further than Dr. Daniel Cole, a coauthor of this article and the editor […]
Read MoreAuthor: Kelly Wolfgang ASA Monitor September 2023, Vol. 87, 31. The ASA guidelines make it clear: Physician anesthesiologist, certified registered nurse anesthetist, and certified anesthesiologist assistant participation in all deep sedation procedures provides the safest patient care overall. Yet, throughout the country, deep sedation is being provided by qualified nonanesthesia professionals, backed by Medicare regulations that […]
Read MoreAuthors: Fredrik Granholm, M.D. et al Anesthesiology September 2023. During the last few decades, the increasing use of asymmetric and multimodal tactics by terrorists has led anesthesiologists worldwide to analyze and discuss their role in mass casualty scenarios in more depth. Now anesthesiologists must address the new situation of hybrid threats and hybrid warfare. This […]
Read MoreAuthors: Mattia Busana, MD et al Anesthesiology September 2023. Background Despite the fervent scientific effort, a state-of-the art assessment of the different causes of hypoxemia (shunt, ventilation-perfusion mismatch and diffusion limitation) in COVID-19 ARDS is currently lacking. In this study we aimed to understand what is the relative contribution of the different mechanisms of hypoxemia […]
Read MoreAuthor: Richard Novak, MD THE ANESTHESIA CONSULTANT EDWARDS CLEARSIGHT FINGER-CUFF BLOOD PRESSURE MONITOR Picture this: prior to surgery you place a blood pressure cuff around the middle phalanx of your patient’s right middle finger, instead of a standard cuff on the upper arm, to measure blood pressure. Is this the future? After decades of watching […]
Read MoreAuthors: Laurence Moss, MD et al Anesthesiology September 2023. Background Oliceridine (Olinvyk®) is a μ-opioid receptor agonist that in contrast to conventional opioids preferentially engages the G-protein-coupled signaling pathway. We determined the utility function of oliceridine versus morphine based on neurocognitive tests and cold pressor test. Methods The study had a randomized, double-blind, placebo-controlled, partial block 3-way […]
Read MoreAuthors: Yongchen Cui, M.D. et al Anesthesiology September 2023. Background Continuous nerve block with ropivacaine is commonly performed after repair surgery for traumatic peripheral nerve injuries. After peripheral nerve injury, tetrodotoxin-resistant voltage-gated sodium channel Nav1.8 is upregulated and contributes to macrophage inflammation. We investigated whether ropivacaine promotes peripheral nerve regeneration through Nav1.8-mediated macrophage signaling. Methods […]
Read MoreAuthors: Hyundeok Joo, MD, MAS et al ASA Monitor September 2023, Vol. 87, 1–7. Durable, functionally impactful, and subjectively evident cognitive decline is a feared outcome of anesthesia and surgery, particularly for older adults (Br J Anaesth 2017;118:486-8). We need to look no further than Dr. Daniel Cole, a coauthor of this article and the editor […]
Read MoreAuthor: Avery Hurt Practical Pain Management July 2023 According to the National Council on Aging, older adults make up only 12% of the US population, yet 18% of suicides,1 with chronic pain being a known risk factor for suicide and suicidal behaviors.2 Black older adults (65-plus) are disproportionately affected by the limitations of chronic pain,3 and in addition […]
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