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Uncategorized Published - 19 September, 2023    By - Dr Clemens
Dopamine-Antagonist Antiemetics in PONV Management: Entering a New Era?

Authors: Connie Chung, MD; Joseph W. Szokol, MD, JD, MBA Anesthesia Patient Safety Foundation Vol 38 No. 1 INTRODUCTION In the second half of the last century, dopamine D2-receptor antagonists were a mainstay of the management of post-operative nausea and vomiting (PONV).1 However, at the start of the 21st century, they sharply declined in popularity, primarily […]

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Uncategorized Published - 19 September, 2023    By - Dr Clemens
Perioperative Considerations for Patients with Mpox (Monkeypox)

Authors: Jonathan M. Tan, MD, MPH, MBI, FASA et al Anesthesia Patient Safety Foundation Vol 38 No. 1 INTRODUCTION Mpox, previously known as Monkeypox, is a global health concern.1 While first detected in humans in 1970 in the Republic of the Congo, its spread to nonendemic countries in 2022 led the World Health Organization (WHO) to […]

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Uncategorized Published - 19 September, 2023    By - Dr Clemens
CMS includes more payment cuts in 2024 Medicare Physician Fee Schedule proposed rule

Author: Michael Walter Cardiovascular Business The Centers for Medicare and Medicaid Services (CMS) has released its 2024 Medicare Physician Fee Schedule (PFS) proposed rule, which details multiple policy changes to Medicare payments for services received on or after Jan. 1, 2024. The proposal includes a 3.34% reduction to the PFS conversion factor, which falls to $32.75 (from […]

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Uncategorized Published - 19 September, 2023    By - Dr Clemens
Are You Prepared for a Medicare Recovery Audit Contractor (RAC) Audit?

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 […]

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Uncategorized Published - 18 September, 2023    By - Dr Clemens
Long-Term Cognitive Decline After Surgery and Anesthesia: Reconciling Perspectives to Support Our Patients

Authors: 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 […]

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Uncategorized Published - 18 September, 2023    By - Dr Clemens
Deep Sedation for Nonanesthesia Professionals: Do You Know the Guidelines?

Author: 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 […]

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Uncategorized Published - 18 September, 2023    By - Dr Clemens
A Gray Future: The Role of the Anesthesiologist in Hybrid Warfare

Authors: 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 […]

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Uncategorized Published - 18 September, 2023    By - Dr Clemens
The causes of hypoxemia of COVID-19 ARDS: a combined MIGET and Dual-Energy CT study

Authors: 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 […]

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Uncategorized Published - 18 September, 2023    By - Dr Clemens
CONTINUOUS FINGER-CUFF BLOOD PRESSURE MONITORING

Author: 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 […]

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Uncategorized Published - 15 September, 2023    By - Dr Clemens
Neurocognitive effect of biased µ-opioid receptor agonist oliceridine, a utility function analysis and comparison with morphine

Authors: 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 […]

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