News and Views

Anesthesiology News

Alexis LaPietra, DO

With the opioid epidemic ever present in US hospitals, emergency physicians working with anesthesiologists to manage pain in the ED setting are on the front lines of this urgent public health crisis. Alexis LaPietra, DO, a medical director for pain management in the emergency department of St. Joseph’s Healthcare System, shares some key takeaways and lessons learned when developing and implementing a formal program focused on novel alternatives to opioid prescriptions for pain. The ALTOSM (Alternatives To Opioids) program uses alternatives such as nitrous oxide, trigger point injections, Lidoderm patches, anti-inflammatory medications, muscle relaxants and ultrasound-guided nerve blocks, whenever possible, for appropriate patients to manage their pain in the emergency department. Read Dr. LaPietra’s article to learn more about how a program such as ALTOSM can be successful in your hospital.

Axis Imaging News

Diku Mandavia, MD, FACEP, FRCPC, Chief Medical Officer at Fujifilm SonoSite

Vascular access is one of the most commonly performed procedures in U.S. hospitals as up to 70% of patients require a peripheral intravenous (PIV) catheter during their stay. Each year, 200 million PIV catheterizations are performed. The American College of Emergency Physicians (ACEP) recommended in a 2016 policy statement that procedural ultrasound be utilized to facilitate access. In this article, Dr. Mandavia discusses patient safety improvements that are achieved in vascular access with "the one-stick standard."

Becker's Hospital CFO Report
Rich Fabian, Chief Operation Officer, FUJIFILM SonoSite

Most of us think of warranties as a way to save money because they reduce the possibility of spending money in the future. This article from Fujifilm SonoSite’s Chief Operating Officer, Rich Fabian, outlines that not all warranties are created equal and this could have implications for the total cost of owning an ultrasound system over its lifetime. The article shares how the fine print of a warranty document can matter, particularly as it relates to what items are expected from the warranty. In the case of ultrasound systems, one area where the warranty can make a major difference in total cost of ownership is related to the replacement of the ultrasound machine’s probes. Reading the fine print in medical manufacturers’ warranties—and understanding how that fine print relates to those vendors’ confidence in their products—can reduce these hidden costs and the obvious headaches of owning poor quality equipment. Learn more by reading this article by Rich Fabian.

Becker's Clinical Leadership & Infection Control
Stephanie J. Doniger, MD, RDMS, FAAP, FACEP

In the second part of this article that discusses how point-of-care ultrasound can improve the safety and quality of care delivered to children in an emergency room or department, Dr. Stephanie Doniger continues to outline important diagnostic and procedural applications of ultrasound used at the point-of-care. Dr. Doniger writes about using ultrasound-guided vascular access to achieve the “one-stick standard,” especially with pediatric patients, particularly those who are smaller, dehydrated or chronically ill. She outlines the cost-effectiveness case for using ultrasound as the initial Test for Suspected Pediatric Appendicitis and how it allows for achieving nearly perfect accuracy for diagnosing intussusception. Dr. Doniger also provides evidence and explains the data regarding the use of ultrasound versus x-ray in a number of applications that happen with children more than adults, like the removal of foreign bodies.

 

HealthCare Business News
Anthony Moretti MD, MBA and Diku Mandavia MD, FACEP, FRCPC

Physicians face unique challenges when treating the pediatric patient population.  In this article, Dr. Anthony Moretti, Chairman of the Department of Pediatrics at Adventist Health White Memorial, and Dr. Diku Mandavia, Senior Vice President and Chief Medical Officer at FUJIFILM Medical USA and FUJIFILM SonoSite Inc, discuss the technology that helps to provide solutions for these challenges.

 

 Beckers Clinical Leadership & Infection Control
Stephanie J. Doniger, MD, RDMS, FAAP, FACEP

One of the most appealing aspects of ultrasound is its inherent safety. With images generated using sound waves, rather than with the use of ionizing radiation, use of point-of-care ultrasound in Pediatric Emergency Medicine has risen dramatically. In this article by Dr. Stephanie J. Doniger, emergency physicians can learn more about improving the safety and quality of Pediatric Emergency Care with point-of-care ultrasound. This article, the first in a two-part series, provides an overview of potential life-saving applications for the use of point-of-care ultrasound in pediatric emergency medicine including specifics regarding implementation.

 

Becker's Hospital CFO Report
Rich Fabian, Chief Operation Officer, Fujifilm SonoSite

 

With healthcare providers becoming more concerned about the cost of providing services to their patients, the purchasing decision regarding imaging equipment, including new or replacement ultrasound systems, needs to include an analysis of the Total Cost of Ownership (TCO) over the lifetime of that imaging equipment.  Rich Fabian, Chief Operating Officer, FUJIFILM SonoSite, shares a roadmap for those making purchasing decisions regarding what are the soft-costs that need to be taken into account when evaluating the TCO of a new piece of imaging equipment.

 

Becker's Infection Control and Clinical Quality
Judy Padula, MSN, RN and Matthew Ostroff, ARNP

With hospitals continuing to be measured on patient safety related criteria such as number of central-line associated blood stream infections, it is important for hospital leadership to be ready to implement programs with nurse lead ultrasound-guided vascular access teams. Vice President, Patient Services and Chief Nursing Officer of St. Joseph’s Healthcare System in Paterson, NJ, Judy Padula, MSN, RN and Matthew Ostroff, ARNP, Vascular Access Specialist, share their experiences implementing a system-wide ultrasound guided vascular access program offering the 4 secrets to its success – with success being increased patient satisfaction and cost savings.

 

FUJIFILM Corporation (President: Kenji Sukeno) announced the commencement of a Phase I clinical trial of its anti-cancer drug FF-10101 in the Unites States in patients with relapsed or refractory acute myeloid leukemia (AML).

HealthCare Business News
Jill Rathbun, Managing Partner at Galileo Consulting Group, Arlington, VA
With the future of the Affordable Care Act in flux, this may be a time for healthcare providers to evaluate their practices and see how they provide more for their patients and communities. By expanding service offerings, healthcare providers can attract more patients and elevate their patient's level of satisfaction. Read this article to find out how 2017 may be the year for expansion of ultrasound-guided surgical procedures using ultrasound guided breast biopsies as an example.