Surgical Critical Care for the Trauma Patient with Cardiac Disease
Publication date: December 2016 Source:Anesthesiology Clinics, Volume 34, Issue 4 Author(s): Michael M. Woll, Linda L. MaerzTeaser The elderly population is rapidly increasing in number. Therefore, geriatric trauma is becoming more prevalent. All practitioners caring for geriatric trauma patients should be familiar with the structural and functional changes naturally occurring in the aging heart, as well as common preexisting cardiac diseases in the geriatric population. Identification of the shock state related to cardiac dysfunction and targeted assessment of perfusion and resuscitation are important when managing elder...
Source: Anesthesiology Clinics - November 3, 2016 Category: Anesthesiology Source Type: research

Anesthesia for Patients with Traumatic Brain Injuries
Publication date: Available online 19 September 2016 Source:Anesthesiology Clinics Author(s): Bishwajit Bhattacharya, Adrian A. MaungTeaser Traumatic brain injury (TBI) represents a wide spectrum of disease and disease severity. Because the primary brain injury occurs before the patient enters the health care system, medical interventions seek principally to prevent secondary injury. Anesthesia teams that provide care for patients with TBI both in and out of the operating room should be aware of the specific therapies and needs of this unique and complex patient population. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - September 20, 2016 Category: Anesthesiology Source Type: research

Neuromuscular Disease in  the Neurointensive Care Unit
Publication date: September 2016 Source:Anesthesiology Clinics, Volume 34, Issue 3 Author(s): Veronica Crespo, Michael L. “Luke” JamesTeaser Neuromuscular diseases are syndromic disorders that affect nerve, muscle, and/or neuromuscular junction. Knowledge about the management of these diseases is required for anesthesiologists, because these may frequently be encountered in the intensive care unit, operating room, and other settings. The challenges and advances in management for some of the neuromuscular diseases most commonly encountered in the operating room and neurointensive care unit are reviewed. (Source...
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

Subarachnoid Hemorrhage
Publication date: September 2016 Source:Anesthesiology Clinics, Volume 34, Issue 3 Author(s): Jeremy S. Dority, Jeffrey S. OldhamTeaser Subarachnoid hemorrhage (SAH) is a debilitating, although uncommon, type of stroke with high morbidity, mortality, and economic impact. Modern 30-day mortality is as high as 40%, and about 50% of survivors have permanent disability. Care at high-volume centers with dedicated neurointensive care units is recommended. Euvolemia, not hypervolemia, should be targeted, and the aneurysm should be secured early. Neither statin therapy nor magnesium infusions should be initiated for delayed cereb...
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

Controversies in the Management of Traumatic Brain Injury
Publication date: September 2016 Source:Anesthesiology Clinics, Volume 34, Issue 3 Author(s): Sayuri Jinadasa, M. Dustin BooneTeaser Traumatic brain injury (TBI) is a physical insult (a bump, jolt, or blow) to the brain that results in temporary or permanent impairment of normal brain function. TBI describes a heterogeneous group of disorders. The resulting secondary injury, namely brain swelling and its sequelae, is the reason why patients with these vastly different initial insults are homogenously treated. Much of the evidence for the management of TBI is poor or conflicting, and thus definitive guidelines are largely ...
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

Brain Oxygenation Monitoring
This article describes the different methods of monitoring cerebral oxygenation, their indications, evidence base, limitations, and future perspectives. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

Intraoperative Monitoring
Publication date: September 2016 Source:Anesthesiology Clinics, Volume 34, Issue 3 Author(s): Antoun Koht, Tod B. SloanTeaser Advances in electrophysiological monitoring have improved the ability of surgeons to make decisions and minimize the risks of complications during surgery and interventional procedures when the central nervous system (CNS) is at risk. Individual techniques have become important for identifying or mapping the location and pathway of critical neural structures. These techniques are also used to monitor the progress of procedures to augment surgical and physiologic management so as to reduce the risk ...
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

Multimodality Neuromonitoring
Publication date: September 2016 Source:Anesthesiology Clinics, Volume 34, Issue 3 Author(s): Matthew A. Kirkman, Martin SmithTeaser The monitoring of systemic and central nervous system physiology is central to the management of patients with neurologic disease in the perioperative and critical care settings. There exists a range of invasive and noninvasive and global and regional monitors of cerebral hemodynamics, oxygenation, metabolism, and electrophysiology that can be used to guide treatment decisions after acute brain injury. With mounting evidence that a single neuromonitor cannot comprehensively detect all instan...
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

Anesthesia for Endovascular Approaches to Acute Ischemic Stroke
Publication date: September 2016 Source:Anesthesiology Clinics, Volume 34, Issue 3 Author(s): Rafi Avitsian, Sandra B. MachadoTeaser Involvement of the Anesthesiologist in the early stages of care for acute ischemic stroke patient undergoing endovascular treatment is essential. Anesthetic management includes the anesthetic technique (general anesthesia vs sedation), a matter of much debate and an area in need of well-designed prospective studies. The large numbers of confounding factors make the design of such studies a difficult process. A universally agreed point in the endovascular management of acute ischemic stroke i...
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

Chronic Pain in Neurosurgery
Publication date: September 2016 Source:Anesthesiology Clinics, Volume 34, Issue 3 Author(s): Samuel GrodofskyTeaser This review includes a summary of contemporary theories of pain processing and advocates a multimodal analgesia approach for providing perioperative care. A summary of various medication classes and anesthetic techniques is provided that highlights evidence emerging from neurosurgical literature. This summary covers opioid management, acetaminophen, nonsteroidal antiinflammatories, ketamine, lidocaine, dexmedetomidine, corticosteroids, gabapentin, and regional anesthesia for neurosurgery. At present, there ...
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

Cerebral Blood Flow Autoregulation and Dysautoregulation
This article provides a review of cerebral autoregulation, particularly as it relates to the clinician scientist experienced in neuroscience in anesthesia and critical care. Topics covered are biological mechanisms; methods used for assessment of autoregulation; effects of anesthetics; role in control of cerebral hemodynamics in health and disease; and emerging areas, such as role of age and sex in contribution to dysautoregulation. Emphasis is placed on bidirectional translational research wherein the clinical informs the study design of basic science studies, which, in turn, informs the clinical to result in development ...
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

Neuropathophysiology of Brain Injury
This article reviews several mechanisms of brain injury and discusses recent developments. Although much is known from animal models of injury, it has been difficult to translate these effects to humans. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

General Anesthetics and Neurotoxicity
This article provides an overview of anesthesia-induced developmental neurotoxicity and commentary on the effects of general anesthesia on the aging brain. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

Update in Neuroanesthesia —An Anesthesiology Clinics Issue Affiliated with SNACC
Publication date: September 2016 Source:Anesthesiology Clinics, Volume 34, Issue 3 Author(s): W. Andrew Kofke, William M. Armstead, Dhanesh K. Gupta, Martin Smith, Michael L. “Luke” James (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

Anesthesiologists as Clinical Neuroscientists —One Future for Our Specialty
Publication date: September 2016 Source:Anesthesiology Clinics, Volume 34, Issue 3 Author(s): Lee A. Fleisher (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

Advances in Neuroscience in Anesthesia and Critical Care
Publication date: September 2016 Source:Anesthesiology Clinics, Volume 34, Issue 3 Author(s): W. Andrew Kofke (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - August 10, 2016 Category: Anesthesiology Source Type: research

Value —The Current Cure for Health Care's Ailments?
Publication date: December 2015 Source:Anesthesiology Clinics, Volume 33, Issue 4 Author(s): Lee A. Fleisher (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 21, 2016 Category: Anesthesiology Source Type: research

Perioperative Approach to  Anticoagulants and Hematologic Disorders
This article addresses both bleeding and clotting concerns as well as special hematologic issues. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 21, 2016 Category: Anesthesiology Source Type: research

Preoperative Evaluation —Can We Really Make a Difference in Outcomes?
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Lee A. Fleisher (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 21, 2016 Category: Anesthesiology Source Type: research

Advanced Concepts and Controversies in Emergency Department Pain  Management
This article reviews advances in pain management in the ED for patients with acute and chronic pain as well as describes several newer strategies and controversies. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - July 21, 2016 Category: Anesthesiology Source Type: research

State Policies Regulating the Practice of Pain Management
This article reviews the existing policies and extracts specific provisions within each of them. Although there are many similarities across policies, unique features are found in some and are specifically reviewed. This review can serve as a quick reference for policymakers and as a guide for researchers interested in the impacts of such policies. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 19, 2016 Category: Anesthesiology Source Type: research

Using Chronic Pain Outcomes Data to Improve Outcomes
This article describes the organization and workflow of a chronic pain clinic registry designed to collect and analyze patient data for quality improvement and dissemination. Future efforts in using mobile technology and integrating patient-reported outcome data in the electronic health records have the potential to offer new and improved models of comprehensive pain management. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 19, 2016 Category: Anesthesiology Source Type: research

Assessing and Managing Sleep Disturbance in Patients with Chronic Pain
This article reviews the literature on pain and co-occurring sleep disturbance, describes the assessment of sleep disturbance, and outlines nonpharmacologic and pharmacologic treatment strategies to improve sleep in patients with chronic pain. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 19, 2016 Category: Anesthesiology Source Type: research

Advancing the Pain Agenda in the Veteran Population
This article describes the education, academic detailing, and clinical programs and policies that are transforming pain care in the VHA. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 19, 2016 Category: Anesthesiology Source Type: research

Chronic Pain and the Opioid Conundrum
Publication date: June 2016 Source:Anesthesiology Clinics, Volume 34, Issue 2 Author(s): Lynn R. WebsterTeaser Opioids prescribed for chronic cancer and noncancer pain have been embroiled in public policy debates as to effectiveness and potential for contributing to society’s problem with misuse, addiction, and overdose mortality. The conundrum of opioid prescribing is to determine who will most likely benefit from opioids and how medical practitioners may safely provide chronic opioid therapy, while also identifying patients who are unlikely to benefit or could divert illicit pharmaceuticals into society. Risk as...
Source: Anesthesiology Clinics - May 19, 2016 Category: Anesthesiology Source Type: research

Interventional Treatments of Cancer Pain
This article reviews techniques, indications, complications, and outcomes of the most common interventional approaches for the management of cancer-related pain. These approaches include intrathecal drug delivery, vertebral augmentation, neurolysis of the celiac, superior hypogastric and ganglion impar plexus', image-guided tumor ablation, and other less commonly performed but potentially beneficial interventions. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 19, 2016 Category: Anesthesiology Source Type: research

Can Chronic Pain Be Prevented?
This article reviews some of the current knowledge of this transition as well as the evidence currently available to best prevent and treat it using persistent surgical pain as a model. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 19, 2016 Category: Anesthesiology Source Type: research

Managing Opioid-Tolerant Patients in the Perioperative Surgical Home
Publication date: June 2016 Source:Anesthesiology Clinics, Volume 34, Issue 2 Author(s): John T. Wenzel, Eric S. Schwenk, Jaime L. Baratta, Eugene R. ViscusiTeaser Management of acute postoperative pain is important to decrease perioperative morbidity and improve patient satisfaction. Opioids are associated with potential adverse events that may lead to significant risk. Uncontrolled pain is a risk factor in the transformation of acute pain to chronic pain. Balancing these issues can be especially challenging in opioid-tolerant patients undergoing surgery, for whom rapidly escalating opioid doses in an effort to cont...
Source: Anesthesiology Clinics - May 19, 2016 Category: Anesthesiology Source Type: research

Advanced Concepts and Controversies in Emergency Department Pain Management
This article reviews advances in pain management in the ED for patients with acute and chronic pain as well as describes several newer strategies and controversies. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 19, 2016 Category: Anesthesiology Source Type: research

Imaging Pain
This article reviews neuroimaging for the study of chronic pain, and in particular, the rapidly advancing and popular research tools of structural and functional MRI. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 19, 2016 Category: Anesthesiology Source Type: research

Chronic Pain and Its Treatment in an Era of Increased Scrutiny
Publication date: June 2016 Source:Anesthesiology Clinics, Volume 34, Issue 2 Author(s): Lee A. Fleisher (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 19, 2016 Category: Anesthesiology Source Type: research

Pain Management
Publication date: June 2016 Source:Anesthesiology Clinics, Volume 34, Issue 2 Author(s): Perry G. Fine, Michael A. Ashburn (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - May 19, 2016 Category: Anesthesiology Source Type: research

Non-operating Room Anesthesia
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Beverly Chang, Richard D. UrmanTeaser A significant number of anesthetics are performed outside of the operating room (OR). Despite the increased requirement for anesthesia services, the framework to perform the necessary preprocedural anesthesia assessments to optimize patients has not been uniformly developed. Performing anesthesia in non-OR locations poses significant and distinct challenges compared with the procedures in the OR. Anesthesiologists are faced with patients with increasingly complicated comorbidities undergoing n...
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

The Pregnant Patient
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Heather McKenzie, Debra Domino PulleyTeaser Pathologic changes can occur during pregnancy requiring diagnostic tests and procedures. A preoperative assessment and perioperative planning are essential. Normal physiologic changes include increased cardiac output and decreased functional residual capacity. Perioperative care should follow American Congress of Obstetricians and Gynecologists guidelines. Anesthetic concerns include desaturation during periods of apnea, aspiration, difficult intubation, friable nasal tissue, decreased M...
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Preoperative Evaluation of the Patient with Substance Use Disorder and Perioperative Considerations
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Debra Domino PulleyTeaser The patient with a current or former history of substance use disorder can be challenging to adequately care for in the perioperative period. A thorough preoperative evaluation is essential. In addition to drug abuse screening, the evaluation should include an assessment of the effects of the substance abuse, associated diseases, end-organ damage, and an awareness of the potential perioperative risks so appropriate plans are developed to minimize the risks. Intraoperatively, anesthetic management needs to ...
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Implantable Devices
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Ana Costa, Deborah C. RichmanTeaser Technology is the prominent feature of the twenty-first century, including in medicine. There are very few organs that cannot be stimulated, shocked, or infused. With more and more implantable devices being approved for clinical use, anesthesiologists have to regularly take care of patients who have these devices. An understanding of the devices, the associated comorbidities, and the perioperative risks is crucial for safe management of these patients. Cardiac devices are discussed in some detai...
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Preoperative Evaluation of Patients with Diabetes Mellitus
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Joshua D. Miller, Deborah C. RichmanTeaser There are more than 29 million people in the United States with diabetes; it is estimated that by 2050, one in 3 individuals will have the disease. At least 50% of patients with diabetes are expected to undergo surgery in their lifetime. Complications from uncontrolled diabetes can impact multiple organ systems and affect perioperative risk. In this review, the authors discuss principles in diabetes management that will assist the perioperative clinician in caring for patients with diabet...
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Preoperative Nutrition and Prehabilitation
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Ruchir Gupta, Tong J. GanTeaser Enhanced recovery after surgery is the natural evolution of what were previously referred to as fast track programs and seeks to implement a series of interventions to improve and enhance recovery after major surgical procedures. Two important preoperative aspects are nutrition and prehabilitation. Identifying nutritionally deficient patients allows preoperative intervention to optimize their nutritional status. The contribution of cardiopulmonary exercise testing to the evaluation of perioperative ...
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Preoperative Anemia
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Ankit J. Kansagra, Mihaela S. StefanTeaser Previously undiagnosed anemia is often identified during routine assessment of surgical patients. Although studies suggest that perioperative anemia is associated with worse outcomes and a strong predictor for postoperative red cell transfusions, anemia is frequently ignored. Preoperative optimization of patients undergoing elective surgical procedures associated with significant blood loss, along with strategies to minimize intraoperative blood loss, shows promise for reducing postoperat...
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Perioperative Approach to Anticoagulants and Hematologic Disorders
This article addresses both bleeding and clotting concerns as well as special hematologic issues. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Stratification and Risk Reduction of Perioperative Acute Kidney Injury
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Selma Ishag, Charuhas V. ThakarTeaser Perioperative acute kidney injury (AKI) is associated with an increased morbidity and mortality. The incidence of AKI varies depending on preoperative risk factors and the surgical setting. Preoperative risk stratification is critical for informed consent and perioperative planning. Perioperative renal protection strategies are potentially invaluable in the prevention of AKI. Current advances in the development of biomarkers may offer the opportunity for early diagnosis and the implementation ...
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Preoperative Assessment of the Patient with Cardiac Disease Undergoing Noncardiac Surgery
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Lee A. FleisherTeaser The American College of Cardiology/American Heart Association has published Guidelines on Perioperative Evaluation. Preoperative evaluation should focus on identifying patients with symptomatic and asymptomatic coronary artery disease. The guidelines advocate using the American College of Surgeons National Surgical Quality Improvement Project Risk Index to determine perioperative risk. Diagnostic testing should be reserved for those at increased risk with poor exercise capacity. Indications for coronary interv...
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Preoperative Laboratory Testing
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Matthias Bock, Gerhard Fritsch, David L. HepnerTeaser Routine preoperative testing is not cost-effective, because it is unlikely to identify significant abnormalities. Abnormal findings from routine testing are more likely to be false positive, are costly to pursue, introduce a new risk, increase the patient’s anxiety, and are inconvenient to the patient. Abnormal findings rarely alter the surgical or anesthetic plan, and there is usually no association between perioperative complications and abnormal laboratory results. In...
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Perioperative Ethical Issues
This article explores shared decision-making and DNR. (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Preoperative Consultations
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Stephan R. Thilen, Duminda N. Wijeysundera, Miriam M. TreggiariTeaser Preoperative consultation is an important intervention that likely has most benefits for intermediate-risk to high-risk patients undergoing major surgery. Consultation rates are likely increasing and there is significant practice variation in the use of consultation. Consultations should be available within a well-organized and coordinated process of preoperative assessment. Preoperative consults should be accessible to anesthesia and surgical teams involved in...
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Preoperative Clinics
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Angela F. Edwards, Barbara SlawskiTeaser Preoperative evaluation clinics have been shown to enhance operating room efficiency, decrease day-of-surgery cancellations, reduce hospital costs, and improve the quality of patient care. Although programs differ in staffing, structure, financial support, and daily operations, they share the common goal of preoperative risk reduction in order for patients to proceed safely through the perioperative period. Effective preoperative evaluation occurs if processes are standardized to ensure cli...
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Preoperative Evaluation—Can We Really Make a Difference in Outcomes?
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Lee A. Fleisher (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

Preoperative Evaluation
Publication date: March 2016 Source:Anesthesiology Clinics, Volume 34, Issue 1 Author(s): Debra Domino Pulley, Deborah C. Richman (Source: Anesthesiology Clinics)
Source: Anesthesiology Clinics - February 28, 2016 Category: Anesthesiology Source Type: research

The Pain Medical Home
Publication date: December 2015 Source:Anesthesiology Clinics, Volume 33, Issue 4 Author(s): Peter Pryzbylkowski, Michael A. AshburnTeaser Chronic pain affects an estimated 100 million people a year in the United States and costs society anywhere from $560 to $635 billion annually. The patient-centered medical home and the patient-centered medical home-neighbor models of care have been advocated to improve patient outcomes. These models of care advocate improved coordination of care within the primary care and specialty care setting. The authors present the patient-centered medical home model of care and suggest how th...
Source: Anesthesiology Clinics - December 1, 2015 Category: Anesthesiology Source Type: research

Perioperative Surgical Home
Publication date: December 2015 Source:Anesthesiology Clinics, Volume 33, Issue 4 Author(s): Thomas R. Vetter, Keith A. JonesTeaser Healthcare delivery and payment systems in the United States must continue to be reformed to address currently untenably increasing healthcare expenditures, while increasing the quality of care. The Perioperative Surgical Home is a highly patient-centered approach to care, focusing on the standardization, coordination, transitions, and value of care, throughout the perioperative continuum, including after hospital discharge. To increase the value of surgical care, any Perioperative Surgica...
Source: Anesthesiology Clinics - December 1, 2015 Category: Anesthesiology Source Type: research