Patient Satisfaction

HealthManagement.org

Nidhi Nikhanj, MD

Obtaining vascular access is one of the most common procedures performed in U.S. hospitals, with more than 5 million central venous catheterizations (CVCs) performed annually (Feller-Klopman 2007). Nearly 80% of critical care patients undergo CVC (Gibbs; Murphy 2006) for administration of fluids, blood products, or vasoactive drugs; hemodynamic monitoring; hemodialysis or transvenous pacing during an inpatient stay (Sisson; Nagdev 2007). To learn how to reduce complications, such as central line associated blood stream infections, with placing a CVC and achieve the one-stick standard, please read the article by Dr. Nidhi Nikhanj from the March 2019 Issue of HealthManagement.org.

Diku Mandavia, MD, FACEP, FRCPC, Chief Medical Officer at FUJIFILM Sonosite

HealthCare Business News

While providers continue to adhere to safe, low-dose imaging protocols, we are also seeing a trend toward finding new care pathways that use ionizing-free modalities. For example, more clinicians are opting to use point-of-care ultrasound over CT to diagnose appendicitis in children because it’s safer and has a very high accuracy rate. Many pediatric emergency physicians are an ultrasound-first philosophy because it delivers a speedier diagnosis. It’s less costly, safer, painless, and because children typically have low body fat, it’s easy acquire very clear images with ultrasound. Read this article in the March 2019 edition of Dotmed.com by Dr. Diku Mandavia, Chief Medical Officer, FUJIFILM Sonosite, Inc. to learn more about the future of pediatric imaging.

According to a systematic review recently published in Annals of Family Medicine, point-of-care ultrasound (POCUS) can reduce costs and improve diagnostic abilities in family medicine and other clinical settings.

Ultrasound-guidance has proven invaluable for the regional neurosurgical center at the Salford Royal Hospital outside Manchester, England.

Becker's Hospital Review

Nishant Shah, MD

During the year 2030, the number of Total Knee Arthroplasty (TKA) surgeries in the U.S. is projected to surpass 1.28 million. A recent study suggests that outpatient TKA can provide a cost savings of approximately $8,527 per patient (as compared to the standard length of stay group). Outpatient TKA also provides faster recovery time and fewer required opioid prescriptions through the use of targeted ultrasound-guided nerve blocks. Dr. Nishant Shah heads the outpatient total joint replacement program at Midwest Anesthesia Partners. In this article, Dr. Shah explains the many benefits of using ultrasound-guided regional anesthesia to enhance ERAS protocols.

Motorsports are risky, so employing an experienced medical response team is crucial. FUJIFILM Sonosite recently became an Official Supplier of the Bennetts British Superbike Championship (BSB) 2018, and the Sonosite iViz became a valuable addition to the medical team’s toolbox for enabling rapid assessment to help triage injuries and identify complex medical conditions, either at the trackside or in the mobile clinic.

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."

 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.

Anesthesiology News
Edward R. Mariano, MD, MAS

Con la creciente preocupación con respecto a la epidemia de opiacios en los Estados Unidos, el Dr. Edward Mariano, Jefe del Servicio de Anestesia y Cuidados Perioperatorios del Veterans Affairs Palo Alto Health Care System y Profesor del Departmento de Anestesiología, Perioperatorio y Medicina del Dolor de la Stanford University School of Medicine describe una serie de estrategias para el éxito de los hospitales al iniciar un programa de medicina para el dolor agudo. Iniciar un programa de medicamentos para el dolor agudo puede agregar un valor significativo a un hospital a través de un mejor control del dolor postoperatorio, una recuperación más rápida, una disminución de los efectos secundarios y una mayor satisfacción del paciente. El artículo publicado recientemente por el Dr. Mariano en una edición especial de Anesthesiology News muestra a los hospitales sobre cómo comenzar con un modelo de Perioperative Surgical Home, que incluye el uso de guía por ecografía al realizar técnicas de anestesia regional y tener éxito. Lea este artículo para obtener más información y vea el video asociado: