Author: Kris

Grew up in a small Texas town. Heavily involved in extracurricular activities: piano, violin, dance (ballet/jazz/tap), tennis, horseback riding (english/western), taekwondo, basketball, soccer, volleyball, percussion, drumline, orchestra, band, mascot, pageants. I had the typical Tiger Mom upbringing. Went to college, medical school, residency, and fellowship. Amidst the ups and downs of life, allow me to share with you my journey...as an "ordinary" person who happens to be an MD.

Reports of Its Demise Are Greatly Exaggerated! MD-Only Practices Still Thriving

https://pubs.asahq.org/monitor/article/88/5/24/140074/Reports-of-Its-Demise-Are-Greatly-Exaggerated-MD

Hypoglossal Nerve Stimulators for OSA

UpToDate: Hypoglossal nerve stimulation for adult patients with obstructive sleep apnea. April 2024

StatPearls: Hypoglossal Stimulation Device. July 2023

Upper Airway Stimulation/Hypoglossal Nerve Stimulator: An alternative treatment for Obstructive Sleep Apnea. Am J Respir Crit Care Med Vol. 202, P23-P24, 2020.

Anesthetic Implications for Patients With Implanted Hypoglossal Nerve Stimulators: A Case Report. Cureus 14(1): e21424. DOI 10.7759/cureus.21424

Anesthesia for Hypoglossal Nerve Stimulator: a Case Report and Anesthesia Implications. J Anest & Inten Care Med 4(5): JAICM.MS.ID.555650 (2018)

Anesthetic Management of a Patient With an Implantable Hypoglossal Nerve Stimulator: A Case Report. A & A Practice 15(12):p e01554, December 2021.

Airway Management And The Hypoglossal Nerve Stimulator For Obstructive Sleep Apnea Patients. Dune, University of New England. May 2022

Things that worked for me:

  • ETT, sux (no lingering paralysis secondary to upcoming nerve stimulation)
  • Propofol gtt with 12 mcg Precedex in 50cc syringe
  • Fentanyl for pain
  • HOB 180 degrees away

Programmed Intermittent Epidural Boluses (PIEB) for Maintenance of Labor Analgesia: A Superior Technique and Easy to Implement – PMC

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5396900/#:~:text=The%20advantages%20of%20Programmed%20Intermittent,duration%20of%20labor%20(1).

Farapulse for Afib

Pulsed Field or Conventional Thermal Ablation for Paroxysmal Atrial Fibrillation. N Engl J Med 2023;389:1660-1671.

Nitroglycerin to Ameliorate Coronary Artery Spasm During Focal Pulsed-Field Ablation for Atrial Fibrillation. JACC Clin Electrophysiol. 2024 Feb 7:S2405-500X(24)00011-2.

From Nitroglycerin to Ameliorate Coronary Artery Spasm During Focal Pulsed-Field Ablation for Atrial Fibrillation. JACC Clin Electrophysiol. 2024 Feb 7:S2405-500X(24)00011-2.

Cardiac Clearance for Surgery

Are you healthy enough for surgery?

Calculators:

MDCalc: Revised Cardiac Risk Index for Pre-Operative Risk

2018 Prevention Guidelines Tool CV Risk Calculator

ASCVD Risk Estimator Plus

The Big Papers:

2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.

UpToDate: Evaluation of cardiac risk prior to noncardiac surgery. March 2024.

StatPearls: Cardiac Risk Stratification. May 2023.

Preoperative Cardiac Risk Assessment. Am Fam Physician. 2002;66(10):1889-1897.

Infographics:

From 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.
From 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.
From 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.
From 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.
From 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.
From 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.

Compensation for Services

The Full Guide to Physician On-call Pay | Physicians Thrive

AHLA_2013_HC-Transactions-Guide_Valuation-of-Phys-OnCall-Pay-Coverage-Arrangements_Mobley.pdf (sullivancotter.com)

Trends in Direct Hospital Payments to Anesthesia Groups | Anesthesiology | American Society of Anesthesiologists (asahq.org)

Physician Call Compensation Rates: 11 Determining Factors (beckershospitalreview.com)

Anesthesia Stipend Analysis (anesthesiaexperts.com)

Managing Compensation for Anesthesiologists, CRNAs and AAs (beckersasc.com)

28 Statistics on Highest Emergency On-Call Coverage Per Diem Payments (beckershospitalreview.com) –> 2012 data 🙁

Hospital Call Stipends : r/anesthesiology (reddit.com)

Anesthesia Management: MGMA: No guarantees for physician on-call pay | Anesthesia Experts –> 2014 post 🙁

Locum tenens compensation trends by specialty | 2023 report (locumstory.com)

Understanding Call Pay Compensation Methods – Coker (cokergroup.com)

Developing an Anesthesia Compensation Model That Makes Sense | Change Healthcare

Anesthesia Compensation Methodology – CCI Anesthesia

20_HCT_ResourceGuide_HSG_Anesthesia_Subsidy_Assessment_Fair_Market_Value_and_Beyond.pdf (americanhealthlaw.org)