Physician Anesthesiologists Gain New Reporting Measures

With more than a decade of experience in anesthesiology and pain management, Dr. Brian Klagges currently serves as an anesthesiologist and department director at Elliot Hospital in Manchester, New Hampshire. Dr. Brian Klagges, who earned his MD from the State University of New York at Buffalo School of Medicine and Biomedical Sciences, also stays at the forefront of his field by maintaining membership with the American Society of Anesthesiologists (ASA).

In a recent press release, the ASA announced that physician anesthesiologists are now able to select from 36 reporting measures when they contribute to the ASA’s Qualified Clinical Data Registry. The ASA reported that the Centers for Medicare & Medicaid Services sanctioned 18 new Physician Quality Reporting System (PQRS) and non-PQRS measures that ASA and its partner organization the Anesthesia Quality Institute developed together.

According to ASA’s president, the new measures, which allow physician anesthesiologists to provide information on areas that are important to the practice and the patient, are especially relevant in a system shifting toward quality-based payment. Physician anesthesiologists can now report on a wide range of measures, including timely delivery of antibiotics, patient temperature management, and patient follow-up.


HydroCision’s Percutaneous HydroDiscectomy System

Dr. Brian Klagges currently serves as an anesthesiologist, pain interventionalist, and department director at Elliot Hospital in Manchester, New Hampshire. In addition to his work at the hospital, Dr. Brian Klagges was the first physician in New Hampshire to perform percutaneous hydrodiscectomy as a consultant for HydroCision, a medical device company that develops technologies like the Percutaneous HydroDiscectomy System.

Hydrodiscectomy is a minimally invasive procedure that treats leg and back pain by eliminating herniated disc tissue and releasing nerve pressure with a high-power water stream. To facilitate a safe and accurate procedure, HydroCision’s Percutaneous HydroDiscectomy System utilizes fluidjet technology to both cut and aspirate the nucleus at the same time. The high-velocity fluidjet stream cleanly removes tissue, yields no thermal damage, and reduces the possibility of annular puncture with a depth stopper and rounded tip.

For enhanced precision, the Percutaneous HydroDiscectomy System includes the carefully designed HydroDiscectomy Access Set, which ensures accurate nucleus placement. The system’s SpineJet MicroResector also works to remove consistent volumes of nucleus for predictable precision regardless of age or type.

Tufts University Sharewood Project Aids Low-Income Boston Communities

Understanding Occipital Nerve Stimulation

Board certified in anesthesia with a subspecialty in pain medicine, Dr. Brian Klagges has helped numerous patients achieve relief from chronic pain. As a staff physician at Eliot Hospital in Manchester, New Hampshire, where he has practiced since 2007, Dr. Brian Klagges performs a wide range of pain management treatments, including occipital nerve stimulation.

Used to treat severe headache disorders and craniofacial pain, occipital nerve stimulation involves electrically stimulating nerves in the occipital lobe of the brain at the back of the skull to eliminate pain in the head. To do so, a physician implants a small pulse generator just under the skin in the abdomen, back, upper buttock, or upper chest. An attached lead is placed under the skin at the base of the skull, where the occipital nerves are located.

This treatment does not work for everyone, and that is why pain medicine specialists perform a trial before implanting the device. In the trial phase, the leads are placed near the occipital nerves, but the pulse generator is kept external to the body. The patient then keeps a pain diary for about a week to determine if a significant improvement in painful symptoms has occurred. If so, the patient can proceed with receiving the permanent implant.

Occipital nerve stimulator implantation is well tolerated by most patients. Complications are rare and may include infection at the surgical site or the need for secondary surgery to adjust the leads. Several studies show that roughly 75 percent of patients report good pain control 10 years or more after implant placement.

Elliot Health System Named Most Wired for Fourth Consecutive Year

An anesthesiologist and pain interventionalist, Dr. Brian Klagges has earned widespread recognition for his patient-focused and groundbreaking work in New Hampshire. Dr. Brian Klagges leverages his expertise in the field of pain management to serve as the director of interventional pain management and the director of the interventional spine center at Elliot Hospital in Manchester.

For the fourth consecutive year, Elliot Health System was featured in Hospitals & Health Networks magazine as one of the nation’s “Most Wired” hospitals. The title “Most Wired” is awarded to health care organizations that utilize technology to provide patients with better care. For example, 81 percent of Most Wired hospitals use bedside bar code technology to appoint medications to the patient, nurse, and order. The majority of most wired healthcare establishments use technology to decrease the occurrence of medical errors and to share critical medical information with other care professionals.

Using data from the annual Health Care’s Most Wired Survey, hospitals are assessed across four operational components to evaluate their use of technology to improve clinical and financial processes. The survey questions explore hospitals’ tech initiatives and strategies for implementing electronic health records.

How Does Nerve Ablation Work?

Dr. Brian Klagges, an accomplished anesthesiologist in New Hampshire, provides interventional care at Amoskeag Anesthesia. Also the director of the Elliot Hospital interventional pain management program, Dr. Brian Klagges offers genicular nerve ablation for patients with severe arthritis in the knee.

By definition, nerve ablation involves the destruction of nerves that are causing a patient to experience chronic pain. To determine whether the procedure is likely to be effective, a surgeon will likely begin by performing a nerve block test. By numbing the target nerves, the surgeon can determine whether permanent ablation would have the desired effect.

Patients who respond positively to the nerve block test may be approved to receive permanent ablation. A surgeon performs the procedure with the patient under a local anesthetic which numbs the area to be treated. With the aid of real-time X-ray technology, the surgeon directs the ablation device under the skin and toward the nerves that have been determined to be the source of the pain. The ablation of a single nerve typically lasts for 60 seconds, and the full procedure is often complete in 20 minutes. Most patients can return to normal activity levels within two days.

An Introduction to Percutaneous Hydrodiscectomy

A skilled pain interventionist and anesthesiologist, Dr. Brian Klagges has served patients at Elliot Hospital in Manchester, New Hampshire, for nearly a decade. Dr. Brian Klagges had the honor of becoming the first medical professional in New Hampshire to perform a percutaneous hydrodiscectomy. A minimally invasive procedure, it involves the use of a high-speed stream of water to remove herniated disc tissue. The procedure relieves the nerve pressure caused by a herniated disc and provides relief from associated back and leg pain.

Practitioners perform the procedure with guidance from a fluoroscope, which provides a live X-ray image of the patient’s spine. This imaging allows doctors to avoid making a large incision. It takes only about 20 to 30 minutes to complete the procedure. Generally, patients need only local anesthetic and can return to their daily lives quickly. Doctors typically perform percutaneous hydrodiscectomy on an outpatient basis.

This procedure involves significantly less pain than traditional treatment options for herniated discs. In addition, it does not cause trauma to back muscles and surrounding tissue.