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Sensing Savvy

Is Dialysis Travel Nursing Right for Me? 6 Things to Consider

Posted by Deborah Brouwer-Maier RN, CNN on Aug 16, 2017 7:30:00 AM

If you feel like your career is at a standstill, dialysis travel nursing may be the solution. Dialysis nurses are uprooting to take advantage of the flexibility, quality of life and variety of experiences a traveling job offers. But before you buy a plane ticket, you should do your homework on what being a traveling nurse will involve as well as its benefits and drawbacks.

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Safeguard Your ECMO Program with the ELSA Monitor

Posted by Susan Eymann, MS on Aug 14, 2017 8:30:00 AM

The ELSA monitor provides an easy-to-use, non-invasive method to measure recirculation in VV ECMO without blood sampling.” SS Said, MD

The state-of-the-art Transonic® ELSA Monitor helps optimize and safeguard extracorporeal membrane oxygenation (ECMO) therapy in infants, children and adults by:

  • Measuring true blood flow in ECMO circuits
  • Quantifying recirculation in the ECMO circuit
  • Detecting oxygenator clotting

With the ELSA, surgeons can place a cannula so that flow delivery is maximized. By maximizing flow delivery and minimizing recirculation, a perfusionist then has more time to change out the oxygenator if and when the ELSA identifies unacceptably high clot development within the oxygenator.

Knowing actual blood flow through the circuit at all times helps avoid catastrophic circuit failures in fragile ECMO patients. Kinks and circuit blockages can be immediately identified and corrected. When flow delivery is maximized, recirculation is minimized, and optimal cannula placement is achieved, the time a patient must be on ECMO is shortened. This translates into better outcomes and bottom line cost savings for an ECMO program.

Safeguard your ECMO program by using the Transonic ELSA Monitor.

1. Said MM et al, Children’s Hospital, Washington, D.C., “Influence of central hemodynamics on VV ECMO oxygen delivery in neonatal animal model,” J Neonatal Perinatal Med 2017.

 Guide: Why You Need Flow Verification During ECMO

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Topics: ELSA Monitor

CMS Implements Payment Model for CABG Surgery

Posted by Susan Eymann, MS on Aug 9, 2017 8:30:00 AM

The Centers for Medicare and Medicaid Services (CMS) is striving to improve the efficiency and quality of care for Medicare beneficiaries undergoing CABG surgery. CME also is seeking to elevate collaboration among hospitals, physicians and post-acute care providers to improve the coordination of care for the Medicare patient from the CABG patient’s initial hospitalization through a 90-day recovery period following hospital discharge.

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Topics: CABG Surgery

Ventricular Assist Devices Extend Heart Failure Patients’ Lives

Posted by Susan Eymann, MS on Aug 7, 2017 8:00:00 AM

An estimated 5.7 million Americans experience heart failure. Of these, nearly 1 million have end-stage heart failure and are no longer responsive to maximal medical therapy.

The ultimate goal for these patients is to receive a heart transplant. But, only 2 to 4 percent will receive a new heart. Many will die waiting for a transplant. In the interim, many of these patients can now depend on a variety of mechanical circulatory support devices to augment, replace or restore the function of the body’s most essential pump, the heart.

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Does Physician Age Impact Patient Outcomes?

Posted by Roger DeLong, CP, PE, MBA on Aug 2, 2017 7:30:00 AM

Can a physician’s age affect whether his or her patient dies? Does physician age impact patient outcomes? Researchers wanted to find out, and what they discovered was surprising.

Researchers in England examined a group of elderly U.S. patients on Medicare who had serious illnesses, required hospital admission and who were being cared for by a hospitalist. They found that the mortality rate rose to 12 percent for those patients who were cared for by physicians aged 60 and up. The mortality rate was a little over 11.3 percent for those aged 50-59, just over 11 percent for those in their 40s and 10.8 percent for those doctors under age 40.

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Topics: physician age

Does Gender Affect Physician Pay?

Posted by Susan Eymann, MS on Jul 31, 2017 7:30:00 AM

Women earned 83 percent of what men earned in 2015, according to Pew Research Center. For younger adults — those between 25 and 34 — this pay gap has narrowed with women earning 90 percent of what men earn.

For physicians, however, the gender pay gap isn’t shrinking. In fact, it’s quite large. A new survey has found female doctors earn approximately 20 percent less than their male counterparts.

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Topics: physician compensation

Trial Finds Transonic Surveillance Reduces Rate of Thromboses & Costs

Posted by Susan Eymann, MS on Jul 26, 2017 7:30:00 AM

“I love this machine!” exclaimed Dr. Inés Aragoncillo when a slide displaying the Transonic Hemodialysis Monitor, was shown at the recent American Association of Nephrology (ASN) convention in Chicago. Dr. Aragoncillo was presenting the findings of her three-year RCT in which she and her colleagues studied the addition of ultrasound Doppler and ultrasound dilution (Transonic) surveillance to classic vascular access monitoring in their hemodialysis patients.

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Topics: Hemodialysis

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Jul 24, 2017 7:00:00 AM

Lifeline Vascular Access Names Chief Medical Officer

Lifeline Vascular Access, a subsidiary of DaVita Inc., has named Dr.

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Topics: kidney care

What Keeps Hospital Execs Up at Night: 5 Things to Know

Posted by Roger DeLong, CP, PE, MBA on Jul 19, 2017 8:45:00 AM

Hospital executives may be having trouble sleeping lately due to the ever-changing complexities of our healthcare system. Despite this, administrators can still implement systems that help their facility’s cost-effectiveness and provide optimal patient care. What keeps hospital execs up at night? Here are five concerns.

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Topics: Hospital Administration

Top Cardiothoracic Surgeons in 2017

Posted by Roger DeLong, CP, PE, MBA on Jul 17, 2017 8:30:00 AM

In 2007, medicine’s most famous feud ended. For 40 years, Drs. Michael DeBakey and Denton Cooley had barely spoken to each other. It started in 1960 when Cooley left DeBakey’s practice to work at St. Luke’s Hospital in Texas — and eventually start the Texas Heart Institute.

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Topics: Cardiothoracic

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