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Due to the short half-life and rapid onset of action of the new oral anticoagulants (NOACs), peri-procedural anticoagulant free time intervals should be shorter than with warfarin. Thus, there is uncertainty about the use of heparin bridging.
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Bioprosthetic aorta valves are recommended for those > 70 years of age because of their reduced durability compared to mechanical valves and mechanical prostheses, which are recommended for those < 60 years because bioprosthetic valves deteriorate more rapidly in younger individuals.
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Type 1 diabetes is associated with an increased risk of mortality, secondary to microvascular (neuropathy, nephropathy) and macrovascular (coronary artery disease, stroke, peripheral vascular disease) complications.
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Proving that less really is more, five specific tests or procedures commonly performed in anesthesiology that might not be necessary and, in some cases should be avoided, was published online June 16 in JAMA Internal Medicine.
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A study in the July issue of Anesthesiology revealed that patients who receive a simple, multicolor, standardized medication instruction sheet before surgery are more likely to comply with their physicians instructions and experience a significantly shorter postop stay in recovery.
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A surgery center increased its collections 47% from a four-month period in 2012 to the same period in 2013 by collecting copays and deductibles up front. Less than 1% of patients have cancelled.
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Patients experience fewer postoperative complications when a surgical safety checklist is used by their surgical team, reports the first large-scale review on the subject published in the June issue of Anesthesiology. By following a simple checklist, healthcare providers can minimize the most common postoperative risks such as wound infection and blood loss.
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The Centers for Medicare & Medicaid Services is increasing its emphasis on discharge planning and has developed a worksheet for surveyors to use to determine if hospitals are in compliance with the Conditions of Participation (CoPs).
