MUA for Chiropractic adjustments

[Neogenesis]

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Anyone doing anesthesia for MUAs for chiropractors? Just wondering in what type of setting these are being done

 

[Robotic Wis-Hipple]

This sounds like a horrible idea.

 

[Psai]

What's the point of this? So the patient can't feel it when their spine is broken?

 

[Robotic Wis-Hipple]

Total spinal would probably aid manipulation though.....

 

[Neogenesis]

It's analogous to MUA by orthopods for joint ROM, dislocations, etc.

 

[aneftp]

It's fine if u were doing your own billing.

Usually involves from primary care doc signing off the chart on the chiropractor and than out sourcing for anesthesia (paying them X Amount)

I bet a management company is involved in this as well.

 

[KaoticMessiah]

Are you liable when they cause a vertebral artery dissection?

 

[Neogenesis]

Are you liable when they cause a vertebral artery dissection?

I imagine no more liable than you'd be when an OB/Gyn punctures an IVC

 

[ranvier]

It's analogous to MUA by orthopods for joint ROM, dislocations, etc.

It's not analogous to those procedures at all.

 

[deleted162650]

Seems weird to me. Don't chiropractors try to keep their pts off drugs, and now they want their pts to get drugs in order to get adjusted??



P.S. How many chiropractors does it take to change a light bulb?




Just 1, but it takes 14 visits.

 

[Arch Guillotti]

It's analogous to MUA by orthopods for joint ROM, dislocations, etc.

 

[urge]

I thought the ASA was against this.

 

[urge]

American Society of Anesthesiologists Statement on Chiropractic Manipulation Under Anesthesia

RESOLVED, that the American Society of Anesthesiologists declares that the use of general anesthesia for chiropractic spinal manipulation has no scientific basis and that there is no evidence to support a claim that its use is either safe or beneficial for patients.

Yes, they are opposed to it.

 

[Noyac]

It's beyond stupid.
Read this article and tell me if you want to be involved in this type of quackery.

https://www.sciencebasedmedicine.org/pushback-on-chiropractic/

 

[Kazaki]

Total spinal would probably aid manipulation though.....

just piss off

 

[deepstate2016]

Thank you no not a prayer

 

[Planktonmd]

Do you really want to be the only real physician with insurance in that OR???

 

[Robotic Wis-Hipple]

just piss off

I would hope your sarcasm meter would've detected my statement.

 

[Kazaki]

I would hope your sarcasm meter would've detected my statement.

touche

 

[PainDrain]

So when looking at the ASA closed claims database for claims made for pain management procedures several things stand out. Many of the most devastating injuries/deaths involved heavy sedation for cervical produces. So when asking what could got wrong with pushing a little propofol for a cervical manipulation, just think back to those closed claims.

 

[fakin' the funk]

Make sure the pt has a big IV for the CT angiogram that will necessary when they dissect the vert

 

[Skip2myLou]

have done it at the surgi center ... Iv sedation , have done hundreds of them , no issues yet.


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[e30ftw]

There's minimal if any proven benefit to chiropractic manipulation, so why subject the patient to the risks of sedation or be involved in this in anyway?

Oh yeah, $$$.