Journal of clinical anesthesia
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The management of cesarean delivery for a parturient with placenta previa at 36 weeks' gestation and glutaric aciduria type 1 is presented. The management goal was to prevent encephalopathic crisis by ensuring adequate caloric intake with dextrose infusion and to provide carnitine supplementation and adequate anesthesia.
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Randomized Controlled Trial Multicenter Study
Can the normobaric oxygen paradox (NOP) increase reticulocyte count after traumatic hip surgery?
To determine if the normobaric oxygen paradox (NOP) was effective in increasing reticulocyte count and reducing postoperative requirements for allogeneic red blood cell transfusion after traumatic hip surgery. ⋯ Transient O2 administration increases reticulocyte count after traumatic hip surgery. Hospital LOS also was shorter in the O2 group than the control group. Allogeneic red blood cell transfusion was reduced in the O2 group but it was not due to the NOP mechanism.
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Randomized Controlled Trial
A randomized trial of automated electronic alerts demonstrating improved reimbursable anesthesia time documentation.
To investigate whether alerting providers to errors results in improved documentation of reimbursable anesthesia care. ⋯ Automated electronic reminders for time-based billing charges are effective and result in improved ongoing reimbursement.
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To survey anesthesia providers for their opinion on "best practice" in perioperative peripheral intravenous catheter (PIV) management, and to determine if they follow those opinions. ⋯ There is no commonly accepted standard for management and documentation of PIVs in the operating room. From our survey, what providers think is "best practice" in the management and documentation of PIVs is not what is being done.