Starting tomorrow and ending Jan 15th 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
Washington—Anesthesia costs can differ by as much as 10-fold between similar cases, suggesting significant variability in how clinicians handle medications in the operating room, new research has found.
The wide variations in drug use, and consequent costs, among anesthesia providers during similar cases
The Pennsylvania State Nurses Association, representing more than 212,000 registered nurses in Pennsylvania, opposes House Bill 1603, “Administration of Anesthesia.” HB 1603 passed out of the House Professional Licensure Committee
Researchers at Washington University School of Medicine in St. Louis and Imperial College London have identified the site where the widely used anesthetic drug propofol binds to receptors in the brain to sedate patients during surgery.
Until now, it hasn’t been clear how propofol connects with brain cells to induce anesthesia. The researchers believe the findings, reported online in the journal
New new research by RAND Corp. indicates new primary care models pushed by the Affordable Care Act that use nurse practitioners and physician assistants could help eliminate the physician shortage. (Photo credit: Wikipedia)
Though a physician shortage appears inevitable as more Americans get health coverage under the Affordable Care
Sacramento-based Sutter Health has agreed to pay $46 million and make changes in billing as part of a settlement of a California Department of Insurance lawsuit concerning the health system's charges for anesthesia.
New Research May Help Spare Patients 'Accidental Awareness' During Surgery
Study found certain type of brain activity signals the brain has gone 'to sleep'
A new study offers insight into what happens in the brain when a person is given anesthesia, and the finding could help spare patients the traumatic experience of becoming aware of their own surgery.
Sedation for outpatient endoscopy procedures had similar outcomes when certified registered nurse anesthetists (CRNAs) managed the protocol with or without anesthesiologist supervision, a review of more than 100,000 patient records showed.
Overall adverse event rates were low, and none of the most common or serious adverse events occurred more often when CRNAs handled sedation by themselves or with an anesthesiologist.
"In a large ambulatory endoscopy center with more than 100,000 total procedures there were no differences in adverse outcomes using two different propofol sedation models -- CRNA-MD and CRNA alone," Murtaza Parekh, MD, of Raleigh Endoscopy Center in North Carolina, reported here at the American College of Gastroenterology meeting.
"In the end, MD supervision did not significantly impact safety outcomes with propofol in our ambulatory endoscopy center. These conclusions correlate [with previous studies] showing that propofol sedation is as safe, if not safer, than conscious sedation."
The study had its genesis in the growing use of propofol sedation during endoscopy procedures. Recent estimates suggest propofol sedation might account for a majority of endoscopy procedures by 2015, Parekh noted.
A Cochrane review published in 2008 and revised in 2011 showed that propofol sedation in colonoscopy procedures was associated with shorter recovery and discharge times as compared with procedures performed using opiates and benzodiazepines. Procedure time and complication rates did not differ by the type of sedation used. Moreover patient satisfaction was higher with propofol than with the other two sedation modalities.
A review of worldwide experience with propofol sedation during endoscopy showed that propofol sedation had a superior safety record as compared with opiates and benzodiazepines administered by endoscopists.
Several gastroenterology organizations published a position paper that showed similar safety with propofol and conventional sedation, shorter recovery times, and equivalent or improved patient satisfaction with propofol sedation.
"However, the elephant in the room is the warning in the propofol package insert, stating that it should only be administered by someone trained in the administration of general anesthesia. This presented a big quandary when my endoscopy group decided to use propofol sedation in 2008.
"We felt we had three options: an anesthesiologist in every room, a CRNA with anesthesiologist supervision, and a CRNA with a gastroenterologist in the room as the supervisor," Parekh said.
Parekh reported findings from a retrospective review of 106,000 ambulatory endoscopy procedures performed with propofol sedation from October 2008 through August 2013. They focused on two administration protocols: CRNA with anesthesiologist supervision versus CRNA alone (except for the gastroenterologist). Adverse events were documented from patient records and from follow-up telephone calls placed to each patient within 24 hours after the procedure.
There were 70,436 procedures done by a CRNA with anesthesiologist supervision and 36,483 by a CRNA alone. Except for the presence or absence of an anesthesiologist, the same propofol sedation protocol was used for
Breast cancer patients who received the combination of a nerve block with general anesthesia for their breast cancer surgery had less cancer recurrence and were three times less likely to die than those who received only
St. Anthony Hospital is suing an anesthesiology group whose founders were members of its foundation board, seeking to recover a nearly quarter-million-dollar loan.
The West Side safety net hospital made two loans totaling $234,000 in December and March to Metro Anesthesia Consultants LLC, according to a complaint filed Oct. 1 in Cook County Circuit Court. Although they're not named in the suit, Metro's managing partner is Jill Dodds, a pharmacist, and its president is Dr. Guriqbal
Judging by 3 representative specialties, physicians in 2013 are once again experiencing relief on malpractice insurance premiums.
Collective rates for obstetrician-gynecologists, internists, and general surgeons fell on average for the sixth straight year in 2013, according to an annual premium survey released this week by Medical Liability Monitor (MLM).
The decrease is only 1.9%, a tad more than the 1.7% decline in 2012. However, one group views
In patients who had received a stent, the factors most strongly associated with major adverse cardiac events (MACE) following noncardiac surgery included a nonelective indication, a history of recent myocardial infarction (MI), and an elevated cardiac risk, researchers found.
In an adjusted model, the three strongest predictors of MACE were nonelective surgery (OR 4.77, 95% CI 4.07-5.59), a history of MI in the 6 months before surgery (OR 2.63, 95% CI 2.32-2.98),