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Anesthesia News

Steep Bills Surprise Patients Who Go 'Out-of-Network'

Posted 2 days 5 hours ago by Drugs.com

TUESDAY, Jan. 17, 2017 – Patients using specialists outside their health-plan network often receive surprise bills for services that cost far more than what Medicare considers a fair rate, a new study suggests. Most insurers use rates set by Medicare – the publicly funded insurance program for the elderly – as the benchmark for what they'll pay health care providers. But a look at 400,000 U.S. physicians' charges found many doctors bill their private-paying patients two, three, even six times more than what Medicare pays for the same services, the study revealed. The highest markups – four or more times greater than the Medicare rate – were for certain specialty services, including anesthesiology, interventional radiology, emergency medicine and pathology. Anesthesiologists had the highest markup, charging six times what Medicare considers a reasonable amount, the researchers ... Read more

Related support groups: Surgery, Sedation, Lidocaine, Anesthesia, Propofol, Ketamine, Xylocaine, Prevention of Cardiovascular Disease, Bupivacaine, Local Anesthesia, Cardiovascular Risk Reduction, Marcaine, Novocain, Septocaine, Diprivan, Nitrous Oxide, Procaine, Light Sedation, Light Anesthesia, Sevoflurane

'Don't Cut Yet, Doc, I Can Hear You'

Posted 20 Dec 2016 by Drugs.com

MONDAY, Dec. 19, 2016 – Far fewer surgical patients become conscious while under general anesthesia than previously believed, researchers report. Of 260 patients examined on the operating table, less than 5 percent showed consciousness in response to stimuli, an international team of researchers found. The patients were tested before the start of surgery. None of them remembered being awake afterward. That rate is much lower than the 37 percent found in earlier studies, the researchers said. "Although we view such consciousness during surgery as an important issue, we urge caution in the interpretation of these results," said study leader Dr. Robert Sanders, from the University of Wisconsin School of Medicine and Public Health. "We looked at a very brief 'snapshot' of the time patients spend under anesthesia. In addition, these patients likely had very different experiences from those ... Read more

Related support groups: Sedation, Anesthesia, Propofol, Ketamine, Diprivan, Nitrous Oxide, Light Anesthesia, Isoflurane, Sevoflurane, Halothane, Etomidate, Pentothal, Thiopental, Amidate, Suprane, Ethrane, Ultane, Forane, Fospropofol, Penthrane

FDA Issues Anesthesia Warning for Pregnant Women, Kids Under 3

Posted 14 Dec 2016 by Drugs.com

WEDNESDAY, Dec. 14, 2016 – Repeated or lengthy use – longer than three hours – of general anesthetic and sedation drugs may harm the developing brains of fetuses and children younger than 3 years old, the U.S. Food and Drug Administration warned Wednesday. After reviewing the latest published studies, the agency announced that these warnings need to be added to the labels of these drugs. The agency also issued a Drug Safety Communication to inform health care providers, parents and caregivers of the potential danger. "We recognize that in many cases these exposures may be medically necessary, and these new data regarding the potential harms must be carefully weighed against the risk of not performing a specific medical procedure," Dr. Janet Woodcock said in an agency news release. She is director of the FDA's Center for Drug Evaluation and Research. "Parents and caregivers are often ... Read more

Related support groups: Sedation, Anesthesia, Propofol, Ketamine, Vitamin/Mineral Supplementation during Pregnancy/Lactation, Diprivan, Nitrous Oxide, Light Sedation, Light Anesthesia, Isoflurane, Sevoflurane, Halothane, Etomidate, Pentothal, Thiopental, Amidate, Suprane, Fospropofol, Ethrane, Methoxyflurane

FDA Medwatch Alert: General Anesthetic and Sedation Drugs: Drug Safety Communication - New Warnings for Young Children and Pregnant Women

Posted 14 Dec 2016 by Drugs.com

ISSUE: FDA is warning that repeated or lengthy use of general anesthetic and sedation drugs during surgeries or procedures in children younger than 3 years or in pregnant women during their third trimester may affect the development of children’s brains. Consistent with animal studies, recent human studies suggest that a single, relatively short exposure to general anesthetic and sedation drugs in infants or toddlers is unlikely to have negative effects on behavior or learning. However, further research is needed to fully characterize how early life anesthetic exposure affects children’s brain development. To better inform the public about this potential risk, FDA is requiring warnings to be added to the labels of general anesthetic and sedation drugs (see List of General Anesthetic and Sedation Drugs Affected by this Label Change). FDA will continue to monitor the use of these drugs in ... Read more

Related support groups: Ativan, Lorazepam, Sedation, Anesthesia, Propofol, Ketamine, Versed, Midazolam, Diprivan, Nembutal, Sevoflurane, Isoflurane, Halothane, Nembutal Sodium, Etomidate, Amidate, Pentobarbital, Terrell, Fluothane, Lorazepam Intensol

Anesthesia Before Age 4 May Have Slight Impact on Later School Performance

Posted 8 Nov 2016 by Drugs.com

MONDAY, Nov. 7, 2016 – A new Swedish study suggests that children exposed to surgical anesthesia before the age of 4 may have slightly lower school grades and IQ scores in their late teen years. But the study didn't prove that exposure to anesthesia was responsible. Dr. Pia Glatz, from the Karolinska Institute in Stockholm, and colleagues examined the medical records of 2 million children born in Sweden from 1973 through 1993. The researchers focused on approximately 33,500 children who had one surgery and one exposure to anesthesia before the age of 4 and then didn't undergo surgery or hospitalization again until at least age 16. The researchers compared those children to approximately 160,000 children who didn't undergo surgery or anesthesia before the age of 16. The researchers also looked at 3,640 children who underwent more than one surgical procedure with anesthesia. The ... Read more

Related support groups: Surgery, Anesthesia

FDA Medwatch Alert: 0.25 Percent Bupivacaine Hydrochloride Injection, USP by Hospira: Recall - Particulate Matter

Posted 8 Aug 2016 by Drugs.com

ISSUE: Hospira, Inc., a Pfizer company, is voluntarily recalling one lot of 0.25% Bupivacaine Hydrochloride Injection, USP (NDC: 0409-1159-02, Lot 59-064- DK, Expiry 1NOV2017) at the hospital/retail level due to the presence of particulate matter within a single vial. In the event that the particulate is administered to a patient, it may result in local swelling, irritation of blood vessels or tissue, blockage of blood vessels and/or low-level allergic response to the particulate. BACKGROUND: 0.25% Bupivacaine Hydrochloride Injection, USP is indicated for the production of local or regional anesthesia or analgesia for surgery, dental and oral surgery procedures, diagnostic and therapeutic procedures, and for obstetrical procedures. The product is packaged 50 units of 30 mL Single-use Teartop Vials per case, (25 Bottles per tray, two trays per case). The lot was distributed nationwide in ... Read more

Related support groups: Anesthesia, Bupivacaine, Marcaine, Marcaine HCl, Sensorcaine, Marcaine Spinal, Sensorcaine-MPF, Sensorcaine-MPF Spinal

Anesthesia Safe for Kids, Doctors' Group Says

Posted 16 Jul 2016 by Drugs.com

FRIDAY, July 15, 2016 – Anesthesia eases the pain of millions of children who must have surgery every year, but parents who are worried about the safety of these medications should talk to their anesthesiologist about their fears, experts advise. "Particularly in infants and toddlers, surgery is only recommended when necessary for the child's health, so parents should not avoid an important procedure out of fear," said Dr. Randall Flick. He is chair of the Committee on Pediatric Anesthesia at the American Society of Anesthesiologists (ASA). "Physician anesthesiologists have completed years of special training to ensure safe, high-quality care, which should set parents' minds at ease," said Flick, who is also associate professor of pediatrics and anesthesiology at the Mayo Clinic in Rochester, Minn. There are many important details about children's health that anesthesiologists should ... Read more

Related support groups: Anesthesia, Local Anesthesia, Light Sedation, Light Anesthesia, Bronchospasm During Anesthesia

Anesthesia Safe for Infants, Toddlers, Study Says

Posted 7 Jun 2016 by Drugs.com

TUESDAY, June 7, 2016 – General anesthesia doesn't seem to harm young children's mental development, new research concludes. "A number of animal studies have suggested that exposure to commonly used anesthetic agents in early development could lead to deficits in learning, memory, attention and other cognitive functions," said study author Dr. Lena Sun. She is a professor of pediatric anesthesiology and pediatrics at Columbia University Medical Center in New York City. "However, few clinical studies have adequately addressed whether this is also true in humans," Sun said in a Columbia news release. The new study findings are "good news for parents whose children need anesthesia for elective surgery or a diagnostic procedure," she added. Still, the study leaves some important questions unanswered, Sun said. "We need to take a closer look at the effect of anesthesia on cognitive function ... Read more

Related support groups: Lidocaine, Anesthesia, Propofol, Ketamine, Xylocaine, Bupivacaine, Local Anesthesia, Marcaine, Diprivan, Novocain, Septocaine, Nitrous Oxide, Procaine, Light Sedation, Light Anesthesia, Sevoflurane, Mepivacaine, Tetracaine, Isoflurane, Prilocaine

FDA Medwatch Alert: PharMEDium Sterile Preparations Compounded With a Single Recalled Lot of Fresenius Kabi Sensorcaine-MPF (bupivacaine HCl): Recall - Presence of Glass Particulate Matter

Posted 10 May 2016 by Drugs.com

[Posted 05/09/2016] Fresenius Kabi indicated in its recall notice that the presence of glass particulate matter in solution, if undetected and administered via the epidural route, could block drug administration, delaying therapy. If the particulate is able to pass through the catheter and enter the body, this could result in local inflammation, mechanical disruption of tissue or cause an immune response to the particulate. BACKGROUND: The drug products affected by this recall are indicated for the production of local or regional anesthesia or analgesia for surgery procedures, diagnostic and therapeutic procedures and for obstetrical procedures. The product was distributed to hospital customers and acute surgery centers in the United States. RECOMMENDATION: PharMEDium Services has contracted with Inmar Pharmaceutical Services to coordinate this recall. Inmar will send notification via ... Read more

Related support groups: Anesthesia, Sensorcaine-MPF

Flamel Technologies Receives FDA Approval of Akovaz (ephedrine sulfate) for Surgical Hypotension

Posted 3 May 2016 by Drugs.com

LYON, FRANCE--(Marketwired - May 2, 2016) - Flamel Technologies (NASDAQ: FLML) today announced that the U.S. Food and Drug Administration (FDA) has approved the Company's New Drug Application (NDA) for Akovaz™ (ephedrine sulfate), a drug administered parenterally as a pressor agent to address clinically important hypotension in surgical settings. Flamel obtained NDA approval for Akovaz as scheduled on April 29 and is the first to receive approval from the FDA for ephedrine sulfate. Flamel expects to launch Akovaz during the third quarter 2016 in a strength of 50 mg/mL. "We are very excited to receive FDA approval for Akovaz, the third product from our Éclat portfolio, and in line with the PDUFA date expectations. Revenue expectations associated with this product were included in our previously issued 2016 revenue guidance of $110 - $130 million. Our Éclat portfolio of products, which in ... Read more

Related support groups: Surgery, Anesthesia, Hypotension, Ephedrine, Akovaz

Men, Avoid Impotence Drugs Before Surgery

Posted 21 Mar 2016 by Drugs.com

MONDAY, March 21, 2016 – Men should not take erectile dysfunction drugs such as Viagra and Cialis just before surgery, experts say. The drugs contain nitric oxide, which opens blood vessels and relaxes muscles. This can cause a patient's blood pressure to become dangerously low when combined with anesthesia and other drugs used during surgery, according to the American Association of Nurse Anesthetists (AANA). The group advises men not to take Viagra or Cialis the day before surgery because the drugs take more than 24 hours to clear the body. It's also important for men to inform the person administering their anesthesia about their use of erectile dysfunction drugs. "Patients should never feel embarrassed about telling their anesthesia professional that they use these products," Juan Quintana, AANA president, said in a new release from the association. "Anesthesia professionals need ... Read more

Related support groups: Surgery, Viagra, Erectile Dysfunction, Cialis, Levitra, Anesthesia, Sildenafil, Tadalafil, Staxyn, Revatio, Adcirca, Vardenafil

'Preemie' Babies May Face Long-Term Anesthesia Risks

Posted 25 Feb 2016 by Drugs.com

THURSDAY, Feb. 25, 2016 – Children born prematurely may be at risk for complications from anesthesia and sedation at least into young adulthood, a new study suggests. "Perhaps we should look at these children differently and provide different care to them," said study lead author Dr. Jeana Havidich, a pediatric anesthesiologist at Dartmouth-Hitchcock Medical Center in Lebanon, N.H. Premature babies often face medical issues that require diagnostic tests and procedures, even as they grow older, the study noted. And physicians know prematurity puts these people at higher risk when they need to be sedated, Havidich said. "We have a sense of heightened awareness, a gut feeling that these children are more challenging to manage," she added. But it's not clear, she said, at what point that risk goes away. The new study attempted to answer that question. The researchers examined the medical ... Read more

Related support groups: Anesthesia, Premature Labor, Light Sedation, Light Anesthesia, Prematurity/Underweight in Infancy, Postanesthetic Shivering, Reversal of Anesthesia, Bronchospasm During Anesthesia

Minds of Older Women Fuzzier After General Anesthesia Than Men's

Posted 21 Jul 2015 by Drugs.com

TUESDAY, July 21, 2015 – Older women are much more likely than men to suffer brain dysfunction after surgery with general anesthesia, a new study finds. Researchers who analyzed data from hundreds of older adults in the United States found faster declines in mental function and brain volume for both women and men who had surgery with general anesthesia compared to those who had no surgery. But the long-term decline was much greater in women than in men. The mental fall-off was especially severe among women who had multiple surgeries with general anesthesia, the researchers said. "This is one of the first studies to suggest that among older adults, women are at a higher risk for postoperative brain dysfunction than men," study author Dr. Katie Schenning of Oregon Health & Science University, said in an association news release. "Our research clearly shows an association between surgery, ... Read more

Related support groups: Anesthesia, Mild Cognitive Impairment, Light Anesthesia, Light Sedation

More Evidence That General Anesthesia May Affect Young Brains

Posted 8 Jun 2015 by Drugs.com

MONDAY, June 8, 2015 – Having general anesthesia during surgery at a very young age may be linked to poorer brain development, new research suggests. Children who had received general anesthesia during surgery before they turned 4 years of age later scored slightly lower on listening comprehension and parts of an IQ test, compared to children who had never had general anesthesia, the researchers found. The children's overall IQ scores, however, remained within the normal range. "It is difficult to see whether this decrease had any functional effect for an individual child," said study author Dr. Andreas Loepke, a professor of clinical anesthesia and pediatrics at the University of Cincinnati College of Medicine. But, he added, "these concerns make it obvious that a lot more research is needed to better understand the effects of anesthetics on brain development." The findings, published ... Read more

Related support groups: Surgery, Anesthesia

Anesthesia Complications Drop by Half, Study Finds

Posted 12 Oct 2014 by Drugs.com

SUNDAY, Oct. 12, 2014 – Anesthesia-related complications in the United States have fallen by more than half, while the overall death rate has remained the same, a new study indicates. Researchers analyzed data from more than 3.2 million cases of anesthesia use between 2010 and 2013, and found the rate of complications decreased from 11.8 percent to 4.8 percent. The most common minor complication was nausea and vomiting (nearly 36 percent) and the most common major complication was medication error (nearly 12 percent). "Our goal was to determine the nature and incidence of surgical complications at the national level and to identify their risk factors," study author Dr. Jeana Havidich, an associate professor of anesthesiology at Dartmouth-Hitchcock Medical Center in New Hampshire, said in an ASA news release. "Previous studies examined adverse events for specific surgical procedures, ... Read more

Related support groups: Anesthesia, Propofol, Ketamine, Diprivan, Nitrous Oxide, Isoflurane, Sevoflurane, Halothane, Droperidol, Etomidate, Pentothal, Thiopental, Amidate, Sojourn, Ethrane, Terrell, Forane, Lusedra, Ultane PEN, Ketalar

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