Regression analysis was used to quantify relationships between BMI and the different components of total OR time. Patients were divided into five groups based on the BMI weight classification. The Stanford Translational Research Integrated Database Environment (STRIDE) was utilized to identify all ASA PS 2 or 3 patients who underwent primary THA at Stanford Medical Center from Februthrough January 1, 2013.
The goal of this study was to measure the relationship between increasing body mass index (BMI) in patients undergoing total hip arthroplasty (THA) with different components of operating room (OR) time. Obesity impacts utilization of healthcare resources. Anesthesiology clinics Pash, J., Kadry, B., Bugrara, S., Macario, A. Scheduling of procedures and staff in an ambulatory surgery center.View details for Web of Science ID 000354216500022 The 434 patients were divided into 3 groups: group 1 (n = 213) BMI ≥35 to 60 kg/m(2) than for smaller bariatric patients. The goal of this study was to document the relationship between BMI and the components of bariatric surgical operating room (OR) time.The Stanford Translational Research Integrated Database Environment identified all patients who underwent laparoscopic Roux-en-Y gastric bypass procedures at Stanford University Medical Center between May 2008 and November 2013. E., Campos, H., Crockett, J., Dawson, N., Clauson, K. F., Utengen, A., Kadry, B., Kucharski, S. "Nothing about us without us"-patient partnership in medical conferences.The expected recoupment of investment for this project is just 18 weeks. Billing was increased from an average of 36% to 84.6% when compared with the same time period in the previous year. We discuss improvements in the quality of clinical documentation, technical workflow challenges overcome, and cost and time to return on investment. We present the results of a quality improvement project that used agile development methodology to incorporate intraoperative transesophageal echocardiography into the electronic medical record. 2016 6 (8) : 249-252Īlthough transesophageal echocardiography is routinely performed at our institution, there is no easy way to document the procedure in the electronic medical record and generate a bill compliant with reimbursement requirements. A., Kadry, B., Oakes, D., Macario, A., Schmiesing, C. The Heart of the Matter: Increasing Quality and Charge Capture from Intraoperative Transesophageal Echocardiography.The risk of epidural hematoma associated with neuraxial techniques in parturients at a platelet count less than 70,000 mm remains poorly defined due to limited observations. The upper bound of the 95% CI for the risk of epidural hematoma for a platelet count of 0 to 49,000 mm is 11%, for 50,000 to 69,000 mm is 3%, and for 70,000 to 100,000 mm is 0.2%.The number of thrombocytopenic parturients in the literature who received neuraxial techniques without complication has been significantly increased. No cases of epidural hematoma requiring surgical decompression were observed. A systematic review was performed, and risk estimates were combined with those from the existing literature.A total of 573 parturients with a platelet count less than 100,000 mm who received a neuraxial technique across 14 institutions were identified in the Multicenter Perioperative Outcomes Group database, and a total of 1,524 parturients were identified after combining the data from the systematic review. Patients were stratified by platelet count, and those requiring surgical decompression were identified.
The authors reviewed a large perioperative database and performed a systematic review to further define the risk of epidural hematoma requiring surgical decompression in this population.The authors performed a retrospective cohort study using the Multicenter Perioperative Outcomes Group database to identify thrombocytopenic parturients who received a neuraxial technique and to estimate the risk of epidural hematoma. There is limited literature to estimate the risk of epidural hematoma in thrombocytopenic parturients. Thrombocytopenia has been considered a relative or even absolute contraindication to neuraxial techniques due to the risk of epidural hematoma.
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