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Mashup Score: 49Prolonged Perioperative Use of Pregabalin and Ketamine to Prevent Persistent Pain after Cardiac Surgery - 5 day(s) ago
The administration of pregabalin (14 days) with or without ketamine (2 days) postoperatively reduced the prevalence of pain at 3 and 6 months. Side effects from pregabalin and ketamine administration were generally mild.Supplemental Digital Content is available in the text.
Source: pubs.asahq.orgCategories: General Medicine News, General HCPsTweet
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Mashup Score: 17
Just In – ASA Monitor Today | ASA Monitor | American Society of Anesthesiologists h1 { font-size: 2rem; } h2 { font-size: 1.25rem; margin-bottom: 20px; } h3 { font-size: 1.25rem; margin-top: 20px; margin-bottom: 0; color: #383636; text-transform: uppercase; } h4 { font-size: 1.125rem; font-weight: 700; margin-bottom: 20px; } a { color: #05157e; text-decoration: underline; } a:hover { color: #05157e; } .return { font-size: 0.75em;…
Source: pubs.asahq.orgCategories: General Medicine News, General HCPsTweet
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Mashup Score: 53Stop Interfering! Intraoperative Management of ICDs - 1 month(s) ago
Complex Information for Anesthesiologists Presented Quickly and ClearlyICD, implantable cardioverter defibrillator.Infographic created by Jonathan P. Wanderer, Vanderbilt University Medical Center, and James P. Rathmell, Brigham and Women’s Health Care/Harvard Medical School. Illustration by Annemarie Johnson, Vivo Visuals. Address correspondence to Dr. Wanderer: jonathan.p.wanderer@vanderbilt.edu.
Source: pubs.asahq.orgCategories: General Medicine News, PediatricsTweet
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Mashup Score: 35Providing Anesthesia Care in Resource-limited Settings: A 6-year Analysis of Anesthesia Services Provided at Médecins Sans Frontières Facilities - 1 month(s) ago
AbstractBackground. Anesthesia is integral to improving surgical care in low-resource settings. Anesthesia providers who work in these areas should be familiar with the particularities associated with providing care in these settings, including the types and outcomes of commonly performed anesthetic procedures.Methods. The authors conducted a retrospective analysis of anesthetic procedures performed at Médecins Sans Frontières facilities from July 2008 to June 2014. The authors collected data on patient demographics, procedural characteristics, and patient outcome. The factors associated with perioperative mortality were analyzed.Results. Over the 6-yr period, 75,536 anesthetics were provided to adult patients. The most common anesthesia techniques were spinal anesthesia (45.56%) and general anesthesia without intubation (33.85%). Overall perioperative mortality was 0.25%. Emergent procedures (0.41%; adjusted odds ratio [AOR], 15.86; 95% CI, 2.14 to 115.58), specialized surgeries (2.74
Source: pubs.asahq.orgCategories: General Medicine News, General HCPsTweet
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Mashup Score: 55Opioid-free Anesthesia Protocol on the Early Quality of Recovery after Major Surgery (SOFA Trial): A Randomized Clinical Trial - 1 month(s) ago
In this single-center, randomized controlled clinical trial, patients received a combination of at least two drugs including ketamine, lidocaine, clonidine, and magnesium sulfate without opioids for anesthesia or a standard approach that included opioids. Opioid-free anesthesia, compared to the standard approach, resulted in a small improvement in a validated measure of quality of recovery at 24, 48, and 72 h after surgery, but these differences did not completely reach the threshold for clinical significance.
Source: pubs.asahq.orgCategories: General Medicine News, General HCPsTweet
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Mashup Score: 36Association between Anesthesia Group Size and Merit-Based Incentive Payment System Scores - 2 month(s) ago
The Merit-Based Incentive Payment System was introduced in 2017 by the Centers for Medicare & Medicaid Services, the primary U.S. public insurer.1 The Merit-Based Incentive Payment System ties payments to a score determined by four categories: cost, improvement activities, promoting interoperability, and quality.2 Scores for each category are aggregated across all physicians in a group, who all then receive the same score. Understanding the association between group size and Merit-Based Incentive Payment System scores has important implications. For example, if larger groups have higher scores, this could imply that larger groups are able to deliver higher-quality care or, alternatively, that they are better able to absorb the costs of implementing Merit-Based Incentive Payment System requirements.Using the most recent year for which Merit-Based Incentive Payment System scores are publicly available (2021; see https://data.cms.gov/provider-data/dataset/a174-a962) and data on physician
Source: pubs.asahq.orgCategories: General Medicine News, General HCPsTweet
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Mashup Score: 41U.S. Attending Anesthesiologist Burnout in the Postpandemic Era - 2 month(s) ago
In a survey of American Society of Anesthesiologists (Schaumburg, Illinois) members in November 2022, 18.9% of the 2,698 respondents had burnout syndrome, and 67% were classified as being at high risk of burnout. Lack of support at work and staff shortages were factors associated with being at increased risk of burnout.
Source: pubs.asahq.orgCategories: General Medicine News, General HCPsTweet
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Mashup Score: 5Building Learning Healthcare Systems for Critical Care Medicine - 3 month(s) ago
Learning healthcare systems are a new and evolving way of integrating data and technology into daily practice in health care.1 Defined by the National Academy of Medicine (Washington, DC), a learning healthcare system is a system where “science, informatics, incentives, and culture are aligned for continuous improvement and innovation, with best practices seamlessly embedded in the delivery process, [with] patients and families active participants in all elements, and new knowledge captured as an integral by-product of the delivery experience.”2 They are uniquely flexible environments that center around a community of stakeholders generating, analyzing, and applying new clinical knowledge into day-to-day practice.1 These learning health communities are comprised of not just providers and researchers, but also health system administration, patients, and other staff.1 Within this broader ecosystem, a learning healthcare system undergoes a continuous cycle of generating and applying near
Source: pubs.asahq.orgCategories: General Medicine News, General HCPsTweet
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Mashup Score: 1Examining Bleeding Risk, Transfusion-related Complications, and Strategies to Reduce Transfusions in Lung Transplantation - 3 month(s) ago
Blood product transfusions for bleeding management in lung transplantation affect recipient outcomes. Interventions are needed to reduce perioperative bleeding risk and optimize outcomes.
Source: pubs.asahq.orgCategories: General Medicine News, General HCPsTweet
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Mashup Score: 1Practice Patterns of Anesthesiologist-Intensivists in the US | ASA Monitor | American Society of Anesthesiologists - 3 month(s) ago
ASA Monitor February 2024, Vol. 88, 29–30. Critical care medicine as an anesthesiology board subspecialty was established in 1986. Interestingly, in the early 1980s, other specialties, including internal medicine and surgery, attempted to create a unified Board of Critical Care Medicine (Anesthesiology 2001;95:781-8). This was ultimately unsuccessful due to disagreements on training qualifications, hence the individualized board certifications within disparate fields as we know them today. In the United
Source: pubs.asahq.orgCategories: General Medicine News, Critical CareTweet
Persistent pain after sternotomy affects 35% at 3 months and 10% at 7 months postop @SibsAnwar #COPASAESP2024 #COPA24 He is a cardiothoracic anaesthetist at St Barts who studies pain after surgery and has set up a transitional pain service in the NHS https://t.co/JYmaAdXdT2 https://t.co/RtOY6rRjdo