Allied Answers & Insights

Automated Software Application Improves Perioperative Controlled Substance Management

Posted on 01/30/20 by Allied Anesthesia

As healthcare professionals, we are under increasing scrutiny of medication handling, particularly in light of the opioid epidemic in the United States. In response, many hospitals and providers are undergoing efforts to make changes to their protocol, decrease errors in management and implement increased accountability mechanisms in order to decrease the risk of controlled substance […]

New NIH-Funded Study Reveals That Personalizing the Definition of Hypotension May Better Protect the Brain

Posted on 01/23/20 by Allied Anesthesia

What if clinicians could move beyond the current one-size-fits-all approach to monitoring a patient’s blood pressure in the operating room? What if we were given the tools for personalizing each patient’s definition of hypotension? As you are fully aware, determining a true “baseline” blood pressure is challenging in the operating room — as anesthesiologists, it […]

The Most Critical Factor in Tracheal Intubation: Your Clinical Judgment, Planning and Preparation

Posted on 12/17/19 by Allied Anesthesia

As long as the field of anesthesiology has been around, so has been the two-fold challenge: intubation and oxygenation. If you have been in practice for any amount of time, you are quite familiar with “can’t intubate, can’t oxygenate” emergencies. Tracheal intubation is difficult if not, at times, downright impossible. This is a given that […]

Moving Beyond the Question “Can You Walk Up 10 Stairs?”

Posted on 12/10/19 by Allied Anesthesia

Integrating Accelerometers and More in Your Surgical Risk Assessment How do you typically assess a patient’s functional capacity, or their ability to perform submaximal physical daily activities prior to surgery? As you are aware, this capacity plays a major role in the perioperative cardiovascular evaluation (as well as the perioperative and postoperative management) of your […]

Consider Lower Peak Pulmonary Pressure to Improve Intraop and Postop Outcomes

Posted on 11/28/19 by Allied Anesthesia

As you know, postoperative pulmonary complications, or pulmonary injury, is a well-documented group of complications that occur after most major surgeries. With these complications come the following negative outcomes: Increased patient mortality rate by four times Increased hospital and ICU length of stay More than $20,000 in institutional expenses (per event) Among your cardiac surgery […]

Is Four-Factor Prothrombin Complex Concentrate the Answer to Coagulopathy Prevention?

Posted on 11/19/19 by Allied Anesthesia

As you know, coagulopathy — common in trauma and perioperative bleeding — must be addressed. When this situation presents, increased morbidity and mortality result, and “anticoagulation can further increase a patient’s risk of developing coagulopathic bleeding.” Is four-factor prothrombin complex concentrate (PCC) the answer? Can it help anesthesiologists better manage patients who are receiving direct […]

Best Practices for Surgical Patients on Chronic Steroid Therapy

Posted on 10/04/19 by Allied Anesthesia

When patients on chronic steroid therapy show up for surgery, many of us are uncertain about what to do. As you know, when a chronic steroid-use patient presents for surgery, they carry with them a potential complication: the possibility of developing secondary adrenal insufficiency, which can translate into full-scale adrenal crisis. So, what is secondary […]

Methadone for Post-Op Pain? A Drug to Watch

Posted on 09/18/19 by Dr. Edward Digiamarino, M.D.

What medical practitioner hasn’t struggled with pain management before, during and after surgery? The relief of postoperative pain, in particular, continues to challenge practitioners today. As you know, even after minor surgical procedures, more than 50% of patients experience moderate to severe pain. So, it naturally follows: We are always looking for the next best […]

Flexibility & Options for Nearly Any Anesthesiologist

Posted on 09/13/19 by Allied Anesthesia

Allied Anesthesia is a group made up of over 100 Southern California anesthesiologists who represent the top 1% in their field.  Allied provides anesthesia services for pediatric and adult operations, surgeries, and pain management procedures for several hospitals in the region. Are you an anesthesiologist searching for a new opportunity? You may be surprised to […]

Searching for the Next Partner: Allied’s Recruitment Process

Posted on 08/29/19 by Allied Anesthesia

Allied Anesthesia began as a group of Orange County anesthesiologists loosely affiliated with one another, but all deeply committed to providing the top anesthesia care in Southern California. Fast-forward to today: Allied’s group is now made up of over 100 anesthesiologists who have each traversed one of the most rigorous vetting processes in the country.  […]