Home E-Weekly February 20, 2018

News & Notes

Published: February 20, 2018

  • Insurer says sedation not needed in cataracts Monitored anesthesia care (MAC) is not medically necessary during routine cataract surgery, says Anthem in a new clinical guideline that the California Society of Anesthesiologists strongly opposes. The group wrote a letter urging Aetna to "urgently rescind" the guideline, arguing that MAC provides a still surgical field and allows doctors to safely inject nerve blocks or antibiotics.
  • Could surgical instruments spread Alzheimer's? Eight people diagnosed with a rare brain-bleeding disorder, triggered by one of the same proteins that triggers Alzheimer's, all had brain surgery as children, says research from the University College of London. Surgical tools that aren't properly sterilized could transfer the amyloid proteins that build up in Alzheimer's patients the research suggests. The 8 patients all had brain surgery before current sterilization procedures, but researchers say the rare chance of transfer should factor into review of sterilization practices for surgery.
  • Suit: Ankle surgery led to brain damage A woman who had her broken ankle repaired at the Texas Institute for Surgery at Texas Health Presbyterian Dallas reportedly suffered brain damage when vomit blocked her airway and prevented oxygen from reaching her brain. The patient's insurer says it has paid more than $1 million in continuing medical expenses and is seeking compensation from the facility and the anesthesiologist who worked the case.
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