Prepare early. Gather data. Develop a plan. Know your market. Consider termination. Hire a lawyer. These are some tips experts suggest physicians and physician groups keep in mind when negotiating contractual arrangements with insurance companies.| ENTtoday
Blood warmers vary from simple coiled tubing in a warming bath to the more sophisticated rapid transfusion devices. Rapid transfusion systems are vitally important in any institution that manages trauma patients or performs major surgical procedures. The new generation of warming devices is far superior to waterbath warmers. They use countercurrent heat exchange or microwave technology as a means of rapidly warming fluid along the length of the column of fluid. The choice of device depends on...| Clinical Gate
Young children are more susceptible to the adverse effects of CPB than adults, and the inflammatory response to CPB may have serious consequences for neonatal and pediatric patients.2,3 This is in part related to the surface area of the CPB circuit, which is large relative to the child’s blood volume when compared with an adult’s blood volume. For example, a 3-kg neonate with a blood volume of 90 mL/kg has a total blood volume of approximately 270 mL, and with an average priming volume ...| Clinical Gate