Liability protection in litigious states

For those of us that practice in states without tort reform (CA/NY/NJ/PA,IL, etc..) lets talk about ways to minimize the risk of getting wiped clean by a plaintiff's suit: -Does anyone have any special documentation of informed consent for anesthetic risks? -For those of you in supervising roles, do you include any specific documentation of the your anesthetic plan in case the CRNA omits something major? E.g., for beach-chair position do you document that you instructed the CRNA to keep... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums

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We are considering an anesthesia group who's model is out-of-network for all insurances for an eye surgery center. I guess there are a few insurance companies that pay beaucoup bucks for out of network charges. I personally find this a little distasteful and am worried patients will be hit with a surprise charge and this will blow back on us. That being said, I've been told by some of our anesthetists they've been proposed medicaid rates by some insurance carriers and that's not right... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
With AnesthesiaGo and Provider Scheduling powered by Lightning Bolt, PerfectServe enhances position at the forefront of advanced scheduling technology PerfectServe®, a leading provider of cloud-based clinical collaboration and provider scheduling solutions, today announced the acquisition of AnesthesiaGo, purveyor of the healthcare industry’s only intelligent case scheduling platform for anesthesiology staff. “At PerfectServe, we are intent […]
Source: EMR and HIPAA - Category: Information Technology Authors: Tags: Communication and Patient Experience Health IT Company Healthcare IT AnesthesiaGo Guillaume Castel Health IT Acquisitions Lightning Bolt Michael Bronson Patient Communication Acquisitions PerfectServe Provider Scheduling Source Type: blogs
Anaesthesia. 2022 Jan 17. doi: 10.1111/anae.15651. Online ahead of print.ABSTRACTEffective pain control enhances patient recovery after surgery. Laparoscopic techniques for major abdominal surgery are increasingly utilised to reduce surgical trauma. Intrathecal morphine is an attractive analgesic option that is gaining popularity. However, limited evidence guides its use in the setting of laparoscopic surgery. In addition, enhanced recovery after surgery pathways advocate opioid-sparing techniques. We conducted a feasibility trial to compare intrathecal morphine with non-neuraxial analgesia in laparoscopic or laparoscopic-...
Source: Cancer Control - Category: Cancer & Oncology Authors: Source Type: research
Am J Transl Res. 2021 Dec 15;13(12):14211-14219. eCollection 2021.ABSTRACTOBJECTIVE: To explore the significance of CYP3A4 and CYP3A5 genetic polymorphisms in achieving personalized fentanyl application in patients undergoing thoracoscopic operation.METHODS: This was a retrospective study. One hundred patients with lung cancer received thoracoscopic surgery operation under the conditions of general anesthesia. According to the results of individualized analgesia guided by CYP3A4/5 polymorphisms, the patients were assigned into three groups: group I (the wild-type homozygote, the induced dosage of fentanyl: 6 µg/kg, t...
Source: American Journal of Translational Research - Category: Research Authors: Source Type: research
Am J Transl Res. 2021 Dec 15;13(12):14133-14140. eCollection 2021.ABSTRACTOBJECTIVES: To explore the role of continuous infusion of intraoperative dexmedetomidine in chronic pain after thoracotomy via the Toll-like receptor 4 (TLR4)/nuclear factor kappa B (NF-κB) signaling pathway.METHODS: Seventy-five patients undergoing thoracotomy were randomized into the control group (CG, n=37) and the observation group (OG, n=38). After induction of anesthesia for 30 min and until the end of surgery, the OG was infused with 0.4 μg/(kg·h) dexmedetomidine, and the CG was infused with the same amount of normal saline.RES...
Source: American Journal of Translational Research - Category: Research Authors: Source Type: research
Am J Transl Res. 2021 Dec 15;13(12):14081-14088. eCollection 2021.ABSTRACTOBJECTIVE: This research was designed to investigate the changes of inflammatory factors in patients after resection of lung adenocarcinoma with propofol versus etomidate.METHODS: A total of 104 patients who underwent resection of lung adenocarcinoma in our hospital were divided into a propofol group (group A, n=50) and an etomidate group (group B, n=54). The levels of CRP and IL-6 at different time points and the changes of blood gas indexes at 10 min before and after operation were observed in both groups. Their pain score and quality of life score...
Source: American Journal of Translational Research - Category: Research Authors: Source Type: research
This case highlights the potential for severe, potentially life-threatening electrolyte derangement following chronic diarrhea and a bowel preparation for an outpatient procedure.BMC Anesthesiology
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news
Conclusions: FEES proved to be easy to perform, well tolerated by the patients and cost-effective. It can be performed at the patient ’s bedside and it is characterized by low rate of complications. As a matter of fact, normally only discomfort, gagging and/or vomit are reported. Only rarely complications occur, such as anterior or posterior epistaxis episodes or vasovagal crises, but these are still easily managed. Exceptionall y, more severe complications are reported: adverse drug reactions to substances such as blue dye (methylene blue) and local anesthetics (not used in our protocol), and laryngospasm.
Source: Folia Phoniatrica et Logopaedica - Category: Speech-Language Pathology Source Type: research
Introduction Deciding whether to proceed with a major lower limb amputation is life-changing and complex, and it is crucial that the right decision is made at the right time. However, medical specialists are known to poorly predict risk when assessing patients for major surgery, and there is little guidance and research regarding decisions about amputation. The process of shared decision-making between doctors and patients during surgical consultations is also little understood. Therefore, the aim of this study is to analyse in depth the communication, consent, risk prediction and decision-making process in relation to maj...
Source: BMJ Open - Category: General Medicine Authors: Tags: Open access, Surgery Source Type: research
Pulmonary hypertension (PH) is a multifaceted condition displaying pre-capillary, isolated post-capillary, and combined features due to a heterogeneous spectrum of underlying diseases. To date, specific pharmacological treatment options are only available for patients with pulmonary arterial hypertension (PAH, group I of the clinical classification of PH) and for patients with chronic thrombo-embolic pulmonary hypertension (CTEPH, group IV), who are considered inoperable.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Source Type: research
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