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Author: Monica Smith Anesthesiology News Once limited mainly to neonatal and pediatric populations, extracorporeal membrane oxygenation is gaining ground as a tool to rescue and manage adult patients with severe cardiac or respiratory failure who would otherwise likely die. Since establishing its own ECMO program in 2009, Montefiore Medical Center has supported patients across every […]
Read MoreBy Kelly Young Adherence to a healthy lifestyle is associated with reduced risk for dementia, even among those who are genetically predisposed, according to a JAMA study presented at the Alzheimer’s Association International Conference. Nearly 200,000 adults who were white, aged 60 years and older, and without baseline cognitive impairment had polygenic risk for dementia assessed and […]
Read MoreAuthors: Yurashevich et al International Journal of Obstetric Anesthesia August 2019 Volume 39, Pages 117–128 Highlights •Neuraxial morphine is the “gold standard” for post cesarean delivery analgesia. •The most serious complication is respiratory depression, but is very rare. •Pruritus, nausea and vomiting are the most common side effects. •Intrathecal morphine can contribute to hypothermia, but […]
Read MoreAuthors: Brian Butala, DO et al Anesthesia Patient Safety Foundation Volume 34, No. 1 June 2019 SUMMARY: We present a case of intraoperative acute, severe citrate toxicity secondary to autologous blood transfusion after aortic valve replacement, along with steps taken to develop a protocol for autologous blood transfusion practice at our institution. Introduction Autologous blood […]
Read MoreAuthor: Christina Frangou Anesthesiology News Concurrent Surgery Not Addressed; Surgeons Stress Disclosure to Patients The common but controversial practice of overlapping surgery has been found to be safe, with two exceptions: patients deemed preoperatively to be at high risk for death or complications and those undergoing coronary artery bypass graft (CABG) surgery, according to a […]
Read MoreThe Centers for Medicare and Medicaid Services (CMS) always keeps us on our toes. Performance year 2019 is no exception. We break down the key changes to the Quality Payment Program (QPP) that will impact the specialty of anesthesiology. Discontinued Measures Merit-based Incentive Payment System (MIPS) measures 426 (PACU Transfer of Care Checklist) and 427 […]
Read MoreThe American Society of Anesthesiologists (ASA) issued a press release expressing “serious concerns” about the concept of “Medicare for All.” Medicare for All legislation was set to be the subject of a hearing in the U.S. House of Representatives’ Committee on Rules on the day of the ASA press release. Medicare for All proposes that […]
Read MoreAuthors: Debryna D. Lumanauw MD et al Academic Emergency Medicine March 2019 Background Subdissociative‐dose ketamine (SDDK) is used to treat acute pain. We sought to determine if SDDK is effective in relieving acute exacerbations of chronic pain. Methods This study was a randomized double‐blind placebo‐controlled trial conducted May 2017 to June 2018 at a public […]
Read MoreAuthor: Michael Gennett Polsinelli Medicare providers who have overpayments with pending requests for Administrative Law Judge (ALJ) hearings filed on or before March 31, 2019 may now take advantage of the renewed Settlement Conference Facilitation (SCF) program. This program allows the providers to meet with CMS representatives to discuss the possibility of a mutually agreeable […]
Read MoreAuthor: Bob Kronemyer Anesthesiology News Although patients undergoing cardiovascular surgery with persistent opioid use or dependence have roughly the same mortality rate as those without (3.1% vs. 4.0%), the opioid group experiences a higher number of complications overall, a longer hospital length of stay and higher costs, according to a large retrospective population-based cohort study. […]
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