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Written by Rachel Popa Eric Grahling, MD, is founder and medical director of Plainville, Conn.-based Comprehensive Pain Management, and president of the Connecticut Pain Society. Recently, Dr. Grahling penned an op-ed on responsible pain management published in Connecticut Medicine, the peer-reviewed journal of the Connecticut State Medical Society. Here, he shares his thoughts on pain management […]
Read MoreWe showed the bad last week so we need to show the outstanding hospitals per CMS. CMS updated its Overall Hospital Quality Star Ratings recognizing 293 hospitals with five stars. CMS’ Hospital Compare website reports on quality measures for more than 4,500 hospitals nationwide. Here is a breakdown of the updated star ratings: One star: […]
Read MoreAuthors: Alexandre Joosten, M.D. et al Anesthesiology 2 2019, Vol.130, 227-236. What We Already Know about This Topic: Balanced hydroxyethyl starch solution, as part of intraoperative goal-directed fluid therapy, is associated with better short-term outcomes than administration of a balanced crystalloid solution in patients having major open abdominal surgery The safety of modern hydroxyethyl starch solutions […]
Read MoreAuthors: T. Wesley Templeton, M.D. et al Anesthesiology 4 2019, Vol.130, 617. Central venous access in pediatric patients, although necessary in some critically ill patients and patients undergoing cardiac or other major surgical procedures, can be associated with acute and/or chronic deep venous thrombosis.1 While acute deep venous thromboses are rare in children, they can lead to […]
Read MoreAuthors: Rohesh J. Fernando, M.D., F.A.S.E. Anesthesiology 4 2019, Vol.130, 615-616. Aberrant right subclavian artery is an uncommon congenital anomaly of the aortic arch with incidence of 0.02 to 1.7%.1 Aberrant right subclavian artery is generally the last branch of the arch, originating distal to the left subclavian artery.2 Aberrant right subclavian artery can be diagnosed using computed […]
Read MoreCMS updated its Overall Hospital Quality Star Ratings recognizing 282 hospitals with one star. CMS’ Hospital Compare website reports on quality measures for more than 4,500 hospitals nationwide. Here is a breakdown of the updated star ratings: One star: 282 hospitals Two stars: 800 hospitals Three stars: 1,264 hospitals Four stars: 1,086 hospitals Five stars: […]
Read MoreAuthors: Nicholas G. Bircher, M.D. et al Anesthesiology 3 2019, Vol.130, 414-422. What We Already Know about This Topic: Rapid response to witnessed, pulseless cardiac arrest is associated with increased survival. What This Article Tells Us That Is New: Assessment of witnessed, pulseless cardiac arrests occurring at 538 hospitals during a 9-yr period indicates that CPR […]
Read MoreAuthors: Eric C. Sun, MD, PhD et al JAMA Netw Open. 2018;1(7): Question What is the incidence of anomalous billing among anesthesia practitioners in the United States? Findings In this cross-sectional study of 4221 anesthesia practitioners in the United States, 212 reported an unusually large number of cases with durations that were a perfect multiple of 5 minutes. […]
Read MoreAuthor: J. G. Reves, M.D. Anesthesiology 4 2019, Vol.130, 609-613. Factors and Their Influence on Regional Cerebral Blood Flow during Nonpulsatile Cardiopulmonary Bypass. By Govier AV, Reves JG, McKay RD, Karp RB, Zorn GL, Morawetz RB, Smith LR, Adams M, and Freeman AM. Ann Thorac Surg. 1984; 38:609–13. In this study, we examined the relationship of […]
Read MoreAuthors: Giacomo Grasselli, M.D. Anesthesiology 4 2019, Vol.130, 572-580. What We Already Know about This Topic: Extracorporeal membrane oxygenation is used in severe acute respiratory distress syndrome; whereas the long-term complications among survivors of acute respiratory distress syndrome treated without extracorporeal membrane oxygenation are well described, the status of extracorporeal membrane oxygenation survivors is poorly understood […]
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