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August 2014 Briefing - Anesthesiology

Here are what the editors at HealthDay consider to be the most important developments in Anesthesiology for August 2014. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Report Highlights Progress, Challenges in Health IT

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Progress has been made toward widespread adoption of electronic health records (EHRs), although there are still barriers to adoption of advanced use of EHRs, according to a report published by the Robert Wood Johnson Foundation.

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AMGA: Physician Turnover Still High in 2013

THURSDAY, Aug. 28, 2014 (HealthDay News) -- For the second year running, physician turnover remains at the highest rate since 2005, according to a report published by the American Medical Group Association (AMGA).

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Restrictive, Non-Solicitation Covenants Are Valid

MONDAY, Aug. 25, 2014 (HealthDay News) -- Restrictive and non-solicitation covenants are valid and can be enforced, according to an article published Aug. 5 in Medical Economics.

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U.S. to Tighten Access to Certain Narcotic Painkillers

FRIDAY, Aug. 22, 2014 (HealthDay News) -- The U.S. Drug Enforcement Administration (DEA) is going ahead with tough new controls on painkillers containing hydrocodone, which has been tied to a surge in dangerous addictions across the United States.

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Futile Care Linked to Delays in Care for Other Patients

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Futile care, which is used to prolong life without achieving a meaningful benefit for the patient, can cause delays in care for other patients waiting to be admitted to the intensive care unit (ICU), according to a study published in the September issue of Critical Care Medicine.

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Organized Processes Help Practices Hire Well

WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- A defined process is necessary to help physicians hire the right staff for their practice, according to an article published July 24 in Medical Economics.

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Fluid Restrictions May Cut Post-Op Complications

TUESDAY, Aug. 19, 2014 (HealthDay News) -- For patients undergoing pancreaticoduodenectomy (PD), fluid restrictions with 3 percent hypertonic saline can significantly cut complication rates, according to a study published in the September issue of the Annals of Surgery.

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Boxed Warnings Are Common in Novel Therapeutics

TUESDAY, Aug. 19, 2014 (HealthDay News) -- Boxed warnings are common on recent drug approvals, and many occur years after approval, according to a research letter published online Aug. 15 in JAMA Internal Medicine.

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Editorial

Low Complication Rate for Peds Laparoscopic Cholecystectomy

FRIDAY, Aug. 15, 2014 (HealthDay News) -- For pediatric patients, laparoscopic cholecystectomy is associated with low complication rates and short postoperative hospital stays, according to research published in the June issue of Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.

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Extra Time Spent Counseling, Coordinating Care Billable

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Extra time spent counseling patients and coordinating care can be billed using evaluation and management (E/M) and prolonged service codes, according to an article published July 24 in Medical Economics.

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Tranexamic Acid Aids Outcomes With Hip, Knee Surgery

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- The clotting drug tranexamic acid is effective in reducing the need for blood transfusions while not increasing the risk of complications during orthopedic surgery, according to a study published online Aug. 12 in BMJ.

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Meta-Analysis Strategy Impacts Estimation of Tx Outcome

TUESDAY, Aug. 12, 2014 (HealthDay News) -- Estimation of treatment outcome varies with the meta-analysis strategy, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.

Abstract
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10-Year Survival 61 Percent for Adult Primary Scoliosis Surgery

TUESDAY, Aug. 12, 2014 (HealthDay News) -- In adult middle-aged patients undergoing primary scoliosis surgery, the 10-year survival rate is 61 percent, according to a study published in the Aug. 1 issue of The Spine Journal.

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EHR Adoption Increasing, But Stage 2 Criteria Often Not Met

MONDAY, Aug. 11, 2014 (HealthDay News) -- Most U.S. hospitals and office-based physicians have adopted electronic health records (EHR), according to two studies published in the August issue of Health Affairs.

Abstract - Adler-Milstein
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Abstract - Furukawa
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VA Health Care Reform Bill Signed Into Law

THURSDAY, Aug. 7, 2014 (HealthDay News) -- A bill signed into law Thursday by President Barack Obama is meant to provide veterans with easier access to government-paid health care.

Health Highlights: Aug. 7, 2014

Many Physicians Have Secondary Income

MONDAY, Aug. 4, 2014 (HealthDay News) -- Many physicians report earning income from sources other than their primary practice/employer, according to an article published July 24 in Medical Economics.

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Review: Ketamine Does Not Adversely Affect Outcomes

MONDAY, Aug. 4, 2014 (HealthDay News) -- For intubated patients, ketamine is unlikely to adversely affect patient outcomes compared with other intravenous sedatives, according to a review published online July 22 in the Annals of Emergency Medicine.

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Guidelines Issued for Cardiac Management of Noncardiac Sx

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Recommendations have been developed for perioperative cardiovascular management of patients undergoing noncardiac surgery. These revised guidelines were published online Aug. 1 in the Journal of the American College of Cardiology.

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Physician's Briefing

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