Almost 800,000 people suffer acute stroke each year in the United States. Many of these patients will require anesthetic care for interventional and diagnostic procedures related or unrelated to this stroke event. As experts in perioperative medicine and patient safety, it is our responsibility to understand the physiologic aberrations that occur during anesthesia that leave our patients vulnerable to further injury.
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Inside the Monitor – Palliative Care — Dr. Sandra Sacks discusses how palliative care differs from hospice, how to plan for end-of-life discussions, and more. Tune in!
ASA Monitor Featured Articles
Gordon Morewood, MD, MBA, FASA; Thomas R. Miller, PhD, MBA; Helen Olkaba, MS; Steven Schulman, MD, MHA, FASA; Jennifer Bartlotti Telesz, MD, FASA; Jonathan Gal, MD, MBA, MS, FASA
The ASA Committee on Economics is pleased to present the results of the 2024 commercial conversion factor (CF) survey. The 2024 ASA CF survey accrued data from
297 practices, compared to 211 in the 2023 survey (41% increase). The number of physician FTEs represented (12,351 vs. 9,989), cases reported (14,184,557 vs. 10,595,943) and total ASA units (171,355,928 vs. 120,917,435) also grew substantially, providing a robust national sample of active CFs. Based on the survey results, the national average commercial CF was $80.70, and the national median was $74.59.
Dibash Kumar Das, PhD; Steven L. Shafer, MD, FASA, Editor-in-Chief
Why is an infectious disease readily cured with a single injection of the world’s first antibiotic infecting nearly 0.6% of the world’s population? The answer may be medical myths (e.g., “just look for a sore that looks like it should hurt but doesn’t”), the lure of unprotected sex, lack of health care resources, and inadequate vigilance by medical providers. As anesthesiologists, we pride ourselves on our vigilance. Vigilance by all health care providers, including us, can help break the current trajectory of congenital syphilis.
William J. Shearon, BS; Peter A. Goldstein, MD; Rachel A. Hadler, MD; Lara R. India, MD; Ike I. Eriator, MD, MPH, MBA; Michael Souter, MBChB, DA, FRCA, FNCS
In considering the clinical status of moribund patients, maybe with widespread metastases or other incurable symptoms, physicians will approach each patient individually. Strong respect for colleagues’ moral boundaries in this area can minimize disruptions to care and ensure the patient’s wishes remain the focus of management discussions. Regardless of one’s subspecialty or the legal status of physician-assisted dying locally, anesthesiologists may need to discuss these end-of-life scenarios with patients, colleagues, and families.
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