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  Mobile version    RSS    Subscribe    Unsubscribe    Archive    Media Kit       Oct. 24, 2013



 

Anesthesiologists not necessarily needed for propofol
Medscape
Whether propofol is administered by a certified registered nurse anesthetist who is supervised by an anesthesiologist or is unsupervised, the safety record is similar, according to a study conducted at one ambulatory endoscopy center. The finding could have significant cost implications for centers. Patients tend to express greater satisfaction with propofol because it improves the efficiency of procedures.
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The painful story behind modern anesthesia
PBS NewsHour
One of the truly great moments in the long history of medicine occurred on a tense fall morning in the surgical amphitheater of Boston's Massachusetts General Hospital. It was there, on Oct. 16, 1846, that a dentist named William T. G. Morton administered an effective anesthetic to a surgical patient. Consenting to what became a most magnificent scientific revolution were John Warren, an apprehensive surgeon, and Glenn Abbott, an even more nervous young man about to undergo removal of a vascular tumor on the left side of his neck.
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Want to get published?
MultiBriefs
In an effort to enhance the overall content of the FANA Bulletin, we'd like to include peer-written articles in future editions. As a member of FANA, your knowledge of the industry lends itself to unprecedented expertise. And we're hoping you'll share this expertise with your peers through well-written commentary. Because of the digital format, there's no word or graphical limit and our group of talented editors can help with final edits. If you're interested in participating, please contact Ronnie Richard to discuss logistics.
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Use, cost of anesthesia for endoscopy increasing
Gastroenterology & Endoscopy News
Researchers from the RAND Corporation compiled a retrospective analysis of claims data for 1.1 million Medicare patients and 5.5 million privately insured adults to assess trends in the use of anesthesiologists and nurse anesthetists for upper endoscopy and colonoscopy, and to examine regional variation in the use of anesthesiology services and payment for these services. The investigators found that the proportion of those using anesthesia services increased from about 14 percent in 2003 to more than 30 percent in 2009.
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Anthem policy on propofol for colonoscopies may be shortsighted
Los Angeles Times
There is perhaps no better metaphor for the painful relationship between patients and our for-profit healthcare system than the fact that Anthem Blue Cross thinks you don't need anesthesia for a colonoscopy. It's not "medically necessary," the insurer says. Anyone who has experienced this most invasive of medical procedures might think otherwise.
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Use, cost of anesthesia for endoscopy increasing
Gastroenterology & Endoscopy News
Researchers from the RAND Corporation compiled a retrospective analysis of claims data for 1.1 million Medicare patients and 5.5 million privately insured adults to assess trends in the use of anesthesiologists and nurse anesthetists for upper endoscopy and colonoscopy, and to examine regional variation in the use of anesthesiology services and payment for these services. The investigators found that the proportion of those using anesthesia services increased from about 14 percent in 2003 to more than 30 percent in 2009.
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Efforts to reduce waste in healthcare leads to job loss for many
By Pamela Lewis Dolan
Job reports indicate hospitals and health systems are laying people off in quantities not seen since 2009. But the news should not be viewed as a cut in services. Rather, an effort to improve efficiencies and reduce waste, industry insiders say. For the third time in five months, the healthcare sector announced the most job cuts of any other industry, according to a recent layoff report prepared by the Chicago-based outplacement firm Challenger, Gray & Christmas.
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Oral celecoxib effective for pain after T&A in peds
Anesthesiology News
In the first study to evaluate celecoxib as a postsurgical analgesic in children, Canadian researchers have found that the drug provides effective pain relief after adenotonsillectomy. The randomized controlled trial, from Children's Hospital of Eastern Ontario Research Institute, in Ottawa, Ontario, found that a short course of oral celecoxib (Celebrex, Pfizer) reduced early pain and consumption of acetaminophen in children undergoing adenotonsillectomy, although it had no effect on functional recovery.
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Let nurse practitioners do their jobs
The Baltimore Sun
More than half of America's 48 million people without health insurance are expected to get coverage as a result of the Affordable Care Act, most of them through the new health insurance exchanges that opened on Oct. 1. That will bring a significant increase in the demand for health care in a nation where 55 million people already live in areas that have a shortage of primary care providers. Advanced practice registered nurses are an integral part of the solution.
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Drug shortage 'crisis' may have contributed to 4 deaths last year
National Post
Shortages of anesthetic drugs may have contributed to deaths of as many as four Canadians last year, while causing unnecessary nausea and vomiting in other patients and triggering at least two malpractice lawsuits, a recently published survey of Canada's anesthetists indicates.
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After saying no to feds on Medicaid expansion, Florida may ask for more money
Miami Herald
Months after Florida lawmakers rejected $51 billion from the federal government to expand Medicaid, state officials are prepared to request billions in new federal aid for a different program to improve care for the poor, uninsured and under-insured. But this cash grab, for whatever reason, has yet to ignite a political furor.
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