David Glasser
New guidelines from the medical insurer Anthem that restrict the conditions that would merit medically necessary monitored anesthesia care with an anesthesiologist or nurse anesthetist present have drawn condemnation from many in the ophthalmology community.
The guidelines indicate that administration of monitored anesthesia care is not medically necessary for cataract surgery unless the patient is younger than 18 years, unable to cooperate or communicate, unable to lie flat, has failed or has contraindications to topical, local, regional or moderate sedation, or is undergoing
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