Publication date: June 2019Source: Anaesthesia &Intensive Care Medicine, Volume 20, Issue 6Author(s):
Does any one know of ECT being performed solely in an Ambulatory Surgery Center? CMS has not placed ECT (CPT code 90870) on the list of approved procedures in an ASC, and they aren't making it a priority even with APA and ISEN-ECT requests to add it. This means medicare/medicaid are unlikely to be performed in an ASC for near future. So have any of you heard of colleagues, or are active yourself, in performing privately insured ECT in an ASC? Further more, please educate me on how... ECT
Condition: Anesthesia Interventions: Device: Audio-Visual Assisted Therapeutic Ambience in Radiotherapy; Other: Quality of Life Survey, PedsQL3.0; Other: Yale Preoperative Anxiety Scale Short Form (mYPAS-SF) Sponsor: Stanford University Recruiting
Conditions: Circadian Rhythm; Postoperative Sleep Quality; Intraoperative Dexmedetomidine Intervention: Other: time of receiving operation Sponsor: Shengjing Hospital Recruiting
Authors: Pieracci FM Abstract Surgical stabilization of rib fractures (SSRF) is now a common operation at most high-volume trauma centers. Increased experience with the procedure has spawned a variety of technical modifications to minimize incision length, muscle division, scapular retraction, and general tissue trauma. The ultimate example of such a minimally invasive approach is completely thoracoscopic SSRF, which refers to using a video-assisted thoracoscopic surgery (VATS) technique to both reduce and fixate rib fractures in an intra-thoracic fashion. The benefits of thoracoscopic SSRF may be divided broadly i...
This study evaluates the effect of preoperative warming measures on PH in TJA patients. METHODS: A retrospective review was conducted of 672 patients undergoing TJA at our institution between April 1 and October 31, 2017. Under the new normothermia protocol, patients received warmed intravenous fluids and forced-air warming gowns in the preoperative holding area. Time and temperature data for the perioperative period were collected from the electronic health record. Chi-square and paired t-tests were used to compare between total knee arthroplasty and total hip arthroplasty patients and between new and old protocols. ...
Since no one else started the thread i thought it was a bit overdue... If anyone knows how to make one of those fancy googles spreadsheets please do and post it !
CONCLUSIONS: Anatomical variations in depth and diameter as well as the collapsibility due to intrathoracic pressures changes represent common challenges that face clinicians during central venous catheterization of the axillary vein. A noteworthy increase in vessel size as patients transition from spontaneous to mechanical ventilation may theoretically improve first-pass cannulation success with practitioners skilled in both ultrasound and procedure. As a result, placing a centrally inserted central catheter after the induction of anesthesia may be beneficial. PMID: 31204560 [PubMed - as supplied by publisher]
Sevoflurane is one of the most frequently used inhaled anesthetics for general anesthesia. Previously it has been reported that at clinically used doses of sevoflurane, cerebral vasoreactivity is maintained. H...
Repeated or lengthy use of general anesthetic and sedation drugs in children younger than 3 years or in pregnant women during their third trimester may affect children's developing brains, especially for surgeries longer than 3 hours or if multiple procedures are required.
Publication date: Available online 18 June 2019Source: Anesthesiology ClinicsAuthor(s): Josianna Schwan, Joseph Sclafani, Vivianne L. Tawfik