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Author: Tony Mira F1rst News A critical aspect of any governance model is succession planning. Identifying and developing strong leadership and assuring a peaceful transition of power are items that need to be added to every group’s strategic planning agenda. Anesthesia practices are particularly vulnerable to the challenge of succession planning. Ensuring the ongoing viability […]
Read MoreAuthor: Ernest E. Allen, ARM, CHFM, Senior Patient Safety Risk Manager The Doctors Company Medical gas cylinders are commonly used in physician and dental offices, ambulatory surgery centers, acute care hospitals, and other types of healthcare facilities. When incorrectly used, handled, or stored, gas cylinders can create dangerous physical and chemical hazards for patients and […]
Read MoreAuthor: Tony Mira F1rst News Summary It should come as no surprise to our readers that reimbursement for Medicare services has been going in the wrong direction. That trend will not be reversed in 2022. On November 2, 2021, the Centers for Medicare & Medicaid Services (CMS) released its Medicare Physician Fee Schedule (PFS) and […]
Read MoreAUTHORS: Farag, Ehab MD, FRCA, FASA et al Anesthesia & Analgesia: October 5, 2021 BACKGROUND: Monitored anesthesia care (MAC) and general anesthesia (GA) with endotracheal intubation are the 2 most used techniques for patients with acute ischemic stroke (AIS) undergoing endovascular thrombectomy. We aimed to test the hypothesis that increased arterial oxygen concentration during reperfusion period […]
Read MoreAUTHORS: Kent, Michael L. MD et al Anesthesia & Analgesia: September 30, 2021 Abstract BACKGROUND: Pain trajectories have been described in numerous surgical settings where preoperative characteristics have been used to predict trajectory membership. Suboptimal pain intensity trajectories have been linked to poor longitudinal outcomes. However, numerous biopsychosocial modulators of postoperative pain may also have distinct […]
Read MoreAUTHORS: Brooks Peterson, Melissa MD et al Anesthesia & Analgesia: September 30, 2021 BACKGROUND: Epidermolysis bullosa (EB) is a group of rare epithelial disorders caused by abnormal or absent structural proteins at the epidermal-dermal junction. As a result, patients experience blisters and wounds from mild shearing forces. Some forms of EB are complicated by resultant scarring […]
Read MoreAUTHORS: Frassanito, Luciano MD et al Anesthesia & Analgesia: September 30, 2021 BACKGROUND: Arterial hypotension is common after spinal anesthesia (SA) for cesarean delivery (CD), and to date, there is no definitive method to predict it. The hypotension prediction index (HPI) is an algorithm that uses the arterial waveform to predict early phases of intraoperative hypotension. […]
Read MoreAUTHORS: Koch, Susanne MD, PhD et al Anesthesia & Analgesia: September 27, 2021 BACKGROUND: Intraoperative electroencephalography (EEG) signatures related to the development of postoperative delirium (POD) in older patients are frequently studied. However, a broad analysis of the EEG dynamics including preoperative, postinduction, intraoperative and postoperative scenarios and its correlation to POD development is still lacking. […]
Read MoreAuthor: Jenna Fletcher Medical News Today Doctors no longer use the term rebound headaches or rebound migraine. Instead, they use the term medication overuse headache (MOH). Other terms that people may use to describe this condition include drug-induced headache and medication misuse headache. Rebound migraine is an outdated term for what healthcare professionals now refer to as […]
Read MoreAUTHORS: Weyer, Clara BS et al Anesthesia & Analgesia: September 20, 2021 BACKGROUND: Intraoperative patient monitoring using the electroencephalogram (EEG) can help to adequately adjust the anesthetic level. Therefore, the processed EEG (pEEG) provides the anesthesiologist with the estimated anesthesia level. The commonly used approaches track the changes from a fast- and a low-amplitude EEG during […]
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