Common anesthetic is a greenhouse gas, but doctors are turning to safer -- and cheaper -- alternative
Sevoflurane is one of the most commonly used anesthesiology gases. The other big one is desflurane. Whichever gas a patient gets is inhaled, but only about 5% is metabolized. The rest is exhaled and sucked into a ventilation system. But that can damage the environment.
Authors: Chuh A, Zawar V, Fölster-Holst R, Sciallis G, Rosemann T Abstract Dermoscopy in primary care enhances clinical diagnoses and allows for risk stratifications. We have compiled 25 recommendations from our experience of dermoscopy in a wide range of clinical settings. The aim of this study is to enhance the application of dermoscopy by primary care clinicians. For primary care physicians commencing dermoscopy, we recommend understanding the aims of dermoscopy, having adequate training, purchasing dermoscopes with polarised and unpolarised views, performing regular maintenance on the equipment, seeking co...
"The Centers for Medicare and Medicaid Services is temporarily removing regulatory requirements to give hospitals a greater ability to treat an influx of patients with COVID-19 while also treating those needing other care. The changes apply immediately for the duration of the emergency declaration. ... CMS is waiving the requirements that a certified registered nurse anesthetist is under the supervision of a physician. This will allow CRNAs to function to the fullest extent allowed by the... Temporary nationwide suspension of CRNA physician supervision requirement effective immediately
Review recommendations from a multi-institutional working group on the preoperative evaluation, monitoring, and postoperative management of pediatric patients with Type 1 diabetes.Anesthesia &Analgesia
Inadequately managed postsurgical pain impacts morbidity, mortality, and health care costs. More than 75% of surgical patients in the United States experience moderate, severe, or extreme postoperative pain.1,2 Despite efforts to control pain during and immediately after surgery with agents such as local anesthetics, opiates, gabapentinoids, acetaminophen, and nonsteroidal anti-inflammatory agents, pain often persists. The risk of developing chronic postoperative pain has been correlated to the intensity of acute postoperative pain.
We describe the anesthetic management for this innovative technique addressing technique-specific issues such as arrhythmia management, hemostasis, right heart failure and postoperative pain control.
In this study we present our MIC-UFTA approach in HeartMate3 implantation in comparison to the conventional technique through median sternotomy (CS).
Inflammation contributes to ventricular remodeling after myocardial ischemia, but its role in nonischemic heart failure is poorly understood. Local tissue inflammation is difficult to assess serially during pathogenesis. Although 18F-FDG accumulates in inflammatory leukocytes and thus may identify inflammation in the myocardial microenvironment, it remains unclear whether this imaging technique can isolate diffuse leukocytes in pressure-overload heart failure. We aimed to evaluate whether inflammation with 18F-FDG can be serially imaged in the early stages of pressure-overload–induced heart failure and to compare the...
Practices cannot survive the COVID-19 cash flow crisis By JEFF LIVINGSTON, MD Will doctors be able to keep their practices open during the worst pandemic in our lifetime? Our country needs every available doctor in the country to fight the challenges of Covid-19. Doctors working in independent practices face an immediate cash flow crisis threatening their ability to continue services. The CARES Act was signed into law on Friday, March 27, 2020. The law offers much-needed help to the acute needs of hospitals and the medical supply chain. This aid will facilitate the production of critical supplies such as...
Coronavirus outbreak has caused a 51% increase in demand for sedatives and anaesthetics in March
No abstract available