UPDATE 6:30 p.m.-- The House Select Committee on Workforce Innovation approved a massive bill that would expand the authority of nurse practitioners and open a door for them to practice independently. The vote, with only two dissents, followed testimony against
During a day in the hospital, it is frequent that a patient is transferred from another health care facility to my care. To facilitate the transfer, a phone conversation occurs during which I formally accept
Title: Equipment in Anaesthesia and Critical Care Authors: Daniel Aston BSc, MBBS, FRCA, Angus RIvers BSc, MBBS, FRCA, Asela Dharmadasa MA, BM BCh, FRCA Paperback: 404 pages Publisher: Scion Publishing Ltd.; 1 edition December 15, 2013
Equipment in Anaesthesia and Critical Care is written specifically for anesthesia trainees, including residents and nurse anesthetists in training.
The book is beautifully illustrated and features high quality color photographs throughout. The text is engaging and comprehensive, relating each piece of equipment back to its basic physics, mechanics and clinical context. The clear, concise and standardized format means that information is easy to access and perfect for reference and review. Every
As the overall landscape of Florida's health care delivery system continues to change and adapt to provisions of the Affordable Care Act and legislative reform, there is one reality that should not be ignored
This total load of excrement comes from the silber study done in 2000. Its not even a relevant study but has alot of issues besides that.
First anesthesia was not the intent of the study and it never was about providers and mortality. It was done in ONE state (PA) and was about something totally different. The original authors required the ASA to change the name for their "massaged" study and the ASA shopped over 20 journals who all refused to publish it because of its glaring inaccuracies and frankly non-existent science.
Silber Study in Medical Care (this is not the one published in Anesthesiology they like to quote but the ACTUAL study they based it off of)
[Silber, JH, Williams, SV, Krakauer, H, Schwartz, JS. “Hospital
and Patient Characteristics Associated With Death After
Surgery. A Study of Adverse Occurrence and Failure to Rescue.” Medical Care. 1992;30:615.]
The Silber study examined the death rate, adverse occurrence rate, and failure rate of 5,972 Medicare patients undergoing two fairly low-risk procedures —elective cholecystectomy and transurethral prostatectomy.
The study did not discuss any anesthesia provider except physician anesthesiologists; the study did not even mention CRNAs. The study, therefore, had nothing to do with CRNAs and did not compare the outcomes of care of nurse anesthetists to those of anesthesiologists.
The study did not address any aspect of CRNA practice; it certainly did not explore the issue of whether CRNAs should be physician supervised.
The Silber study was a pilot study, i.e., a study to demonstrate the feasibility of performing a more definitive study concerning patients developing medical complications following surgery. It would be inappropriate to formulate public policy based on the Silber study; the study does not address CRNAs, and cannot be considered conclusive even about the issues that it does address.
The Silber study states, at page 625:
This pilot project examined ideas that, to our knowledge, have not been examined previously, and more work is needed before
Meta-analysis of secure randomised controlled trials of β-blockade to prevent perioperative death in non-cardiac surgery
Background Current European and American guidelines recommend the perioperative initiation of a course of β-blockers in those at risk of cardiac events undergoing high- or intermediate-risk surgery or vascular surgery. The Dutch Echocardiographic Cardiac Risk Evaluation Applying Stress Echocardiography (DECREASE) family of trials, the bedrock of evidence for this, are no longer secure. We therefore conducted a meta-analysis of randomised controlled trials of β-blockade on perioperative mortality, non-fatal myocardial infarction, stroke and hypotension in non-cardiac surgery using the secure data. Methods The randomised controlled trials of initiation of β-blockers before non-cardiac surgery were
Starting tomorrow and ending March 1st we will be hosting a "when seconds count" campaign spoof contest. Many of you have seen the hilarious videos on the when seconds count website where MDAs fetch ice, sing to seizing patients and notice the obvious
Through the generosity of the last SRNA now CRNA to win this scholarship, eileen2010 we have another year sending one SRNA to the MYA!. This year the scholarship is $1000 for an individual who meets the criteria. This money will be intended to pay for a trip to the midyear assembly for one student.
This years mentor is Juan Quintana who is both on the AANA board of
I have seen a few posts recently about loan repayment and refinance options but the threads went in different directions. I am curious if people have any experience with the refinance company SoFi? ...