Gasline Newsletter April 2010

Volume 11, No. 12

CSA Annual Meeting and Clinical Anesthesia Update

Do you wonder what the future holds for anesthesiology? How will new government regulations affect your practice? What new technologies and practices will influence perioperative safety? These and many other timely topics will be explored at the CSA Annual Meeting and Clinical Anesthesia Update, May 14 – 16, 2010, at the Hilton Orange County/Costa Mesa.

Reservations for the Hilton Orange County/Costa Mesa should be made by contacting the hotel at 1-800-HILTONS.

CSA/CMA vs. Schwarzenegger

The Governor’s office replied to the CSA/CMA suit against him in late March. Basically, Mr. Schwarzenegger’s attorneys agreed that he is the Governor, that the suit was properly filed, and denied all other allegations. In early April the California Association of Nurse Anesthetists (CANA) filed a brief with the court asking to intervene in the lawsuit as an interested party. Not surprisingly, their request contained very little about what California law truly says, which is the basis for our suit to force the Governor to withdraw the opt-out. CSA attorneys have responded to CANA’s request to intervene, and the hearing on that issue has been delayed until May 12, 2010. Once that issue is resolved, we will be proceeding with our motions on the case.

Chiropractic Manipulation Under Anesthesia

Recently the Office of Administrative Law approved proposed regulations regarding Chiropractic Manipulation under Anesthesia, allowing the practice in the state of California. At the Board of Directors Meeting in March 2010, the issue was considered and the following statement was adopted:

The California Society of Anesthesiologists (CSA) objects to the approval of proposed regulations from the California Board of Chiropractic Examiners concerning Chiropractic Manipulation Under Anesthesia (MUA) by the California Office of Administrative Law. From the perspective of patient safety, we are concerned that this decision will put the people of California at risk for injury. The Board of Directors of the CSA endorses the position of the American Society of Anesthesiologists concerning MUA, and will recommend adoption of the national policy at the upcoming annual meetings of both the CSA and the California Medical Association.

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.

Adopted by the ASA House of Delegates Oct 2007

This statement was sent to the California Medical Association, the Osteopathic Physicians and Surgeons of California, the Medical Board of California, the American Society of Anesthesiologists, the Department of Workers Compensation, the Board of Chiropractic Examiners, Governor Arnold Schwarzenegger, the California Insurance Commissioner, The Doctors Company, NORCAL Mutual Insurance Company, and the Medical Insurance Exchange of California, and it was posted to the CSA Website.

ASA Legislative Conference in Washington, D.C.

This week 19 CSA members, including four resident members, traveled to Washington, D.C., on your behalf to the annual ASA Legislative Conference. In addition to talks about health care reform and the issues that the ASA is working on going forward, Dr. Kenneth Pauker, Chair of the Legislative and Practice Affairs Division (LPAD), spoke about what is occurring with Chiropractic MUA in California. Dr. Linda Hertzberg, President, spoke at the main conference about the opt-out in California: what CSA is doing, and what other states can learn from our experience. The delegates to the conference went to California Senators’ and Congressional offices to lobby regarding a legislative fix for the flawed Medicare SGR formula, support for a regulatory fix for the low Medicare rates anesthesiologists receive relative to other specialists, and a bill on truth and transparency for health care providers, which would require all health care providers to properly represent their training, degree, licensure and credentials to patients. More than 25 Congressional offices were visited.

Ultrasound for Regional Anesthesia Workshop

There are still spaces available at the Ultrasound Workshop on Sunday, May 16, at the CSA Annual Meeting and Clinical Anesthesia Update. This is a hands-on workshop using live models, and advance registration is required. To register online, go to

Spring 2010 CSA Bulletin Online

The Spring 2010 CSA Bulletin is now online. It can be accessed from the Home Page for three months from the date of mailing until the next issue of the Bulletin is published. The Bulletin is also archived on the Web site by individual article. You can find current and archived issues under Publications on the left-side navigation of the CSA Website.

Linda B. Hertzberg, M.D.

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