SubSpecialties  |   December 2018
The Economics of a Cardiac Anesthesiologist
Author Affiliations
  • Christopher A. Troianos, M.D., FASE
    President, Society of Cardiovascular Anesthesiologists
Article Information
Cardiovascular Anesthesia / Practice Management / SubSpecialties
SubSpecialties   |   December 2018
The Economics of a Cardiac Anesthesiologist
ASA Monitor 12 2018, Vol.82, 46-47.
ASA Monitor 12 2018, Vol.82, 46-47.
Concurrently serving as the president of the Society of Cardiovascular Anesthesiologists (SCA) and chair of the ASA Committee on Economics, has afforded me the opportunity to view the economic value of cardiothoracic anesthesiologists through a unique perspective. Medical advancements have allowed patients to live longer and undergo more challenging surgical procedures. An article published in 1966 by Denton Cooley and colleagues described their cardiac surgical experience caring for 54 “elderly” patients. Their criteria for elderly patients was 60 years of age or older!1  Two decades later, experience caring for octogenarians began to appear in the literature.2  The definition of “elderly” has certainly evolved over the past few decades,2 -4  where current practice caring for octogenarians is routine.5  As technology and clinical experience has allowed cardiac surgical procedures to be routinely performed on older patients into their ninth decade of life, the implications are that Medicare is now the predominant insurer for the majority of cardiac surgical patients.
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