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Battle Buddies: Rapid Deployment of a Psychological Resilience Intervention for Health Care Workers During the COVID-19 Pandemic | The outbreak of the coronavirus disease 2019 (COVID-19) and its rapid global spread have created unprecedented challenges to health care systems. Significant and sustained efforts have focused on mobilization of personal protective equipment, intensive care beds, and medical equipment, while substantially less attentio... |
The pall ultipor breathing circuit filter. An efficient heart and mosture exchanger | The Pall bacterial filter was tested as a potential heat and moisture exchanger on a model patient, placed on a circle absorber system, and clinically. The laboratory study was conducted during mechanical ventilation at a V̇ of 6 L/min with fresh gas inflows of 1, 3 and 6 L/min. The model patient introduced carbon diox... |
Teaching anaesthetics to medical students: The design and evaluation of a course in a new clinical school | The paper describes the rationale and implementation of anaesthetics teaching in the new 2½1/2‐year clinical medical course at Cambridge University. A programme designed to monitor and evaluate the teaching was established, and the results are reported. Significant improvements in students' knowledge of anaesthetics an... |
The parallel Lack anaesthetic breathing system | The parallel Lack system is a new modification of the Mapleson A system comprising separate inspiratory and expiratory tubes. To determine that the function of the system was that anticipated of a Mapleson A, the fresh gas flow requirements to prevent rebreathing during spontaneous ventilation were assessed in three si... |
A comparison of the PAxpress™ and face mask plus guedel airway by inexperienced personnel after mannequin-only training | The PAxpress™ (PAX) is a new extraglottic airway device consisting of an anatomically curved tube, an inflatable circular cuff in the midsection, a noninflatable gilled conical cuff at the distal end, and an anterior-facing, rectangular hooded vent between the two cuffs. We compared the ability of nurses with no previo... |
Attitudes of residents and anesthesiologists toward basic sciences | The perceived relevance of the subject matter is an essential condition for adult learning. Attitudes refer to internal states that influence learner's choices of personal action, which determine the probability of learning behaviors. Our objectives in this study were to describe and compare attitudes of residents and ... |
Strategies for net cost reductions with the expanded role and expertise of anesthesiologists in the perioperative surgical home | The Perioperative Surgical Home is a model adopted by the American Society of Anesthesiologists to increase quality and patient safety and to decrease costs. This Special Article is about the latter topic. Using narrative review, we show that there are two principal opportunities for net cost reduction. One opportunity... |
Personality traits of anaesthetists and physicians: An evaluation using the Cloninger Temperament and Character Inventory (TCI-125) | The personality profiles of Specialist Anaesthetists, Trainee Anaesthetists and Specialist Physicians were examined using Cloninger's Temperament and Character Inventory. These were compared with validated Community Sample 'average values' and a historical Norwegian Physician sample. Completed forms were returned from ... |
Training nursing staff in airway management for resuscitation: A clinical comparison of the facemask and laryngeal mask | The place of the larvngeal mask in emergency airway management by nonanaesthetists has yet to be established. We have compared the tidal volume achieved by nurses during hand ventilation using standard resuscitation equipment with a facemask, with or without a Guedel airway, and following placement of a laryngeal mask ... |
Career opportunities in anaesthesia for doctors with domestic commitments: A report of a working party | The position of doctors with domestic commitments (DDCs) at present training in the specialty of anaesthesia in the British National Health Service is considered and proposals are made for their future employment in career grades. Copyright © 1981, Wiley Blackwell. All rights reserved |
The rationale and development of an adult cardiac anesthesia module to supplement the society of thoracic surgeons national database: Using data to drive quality | The practice of medicine, including the practice of anesthesiology, is rapidly becoming judged (as it should be), in large part, according to objective epidemiologic measures of patient outcome.31 The SCA believes that physicians are in the best position to measure clinical performance accurately and objectively and to... |
A method for measuring system safety and latent errors associated with pediatric procedural sedation | The practice of sedating patients in the hospital for diagnostic and therapeutic procedures may be associated with life-threatening respiratory depression. We describe a method that uses a simulated event to identify latent system failures. A simulated scenario was developed that was reproducible with realistic physiol... |
Intracellular mechanism of mitochondrial adenosine triphosphate-sensitive potassium channel activation with isoflurane | The precise mechanism of isoflurane and mitochondrial adenosine triphosphate-sensitive potassium channel (mitoKATP) interaction is still unclear, although the mitoKATP is involved in isoflurane-induced preconditioning. We examined the role of various intracellular signaling systems in mitoKATP activation with isofluran... |
The journey and the arrival | The present motivation, recruitment and career structure of the specialty of anaesthesia in England and Wales in relation to training and the needs of the National Health Service is examined and assessed. Proposals are made for reorganisation and future development. Copyright © 1980, Wiley Blackwell. All rights reserve... |
Observations on the practice of anesthesia in the People's Republic of China | The present practice of anesthesiology in the People's Republic of China includes techniques of traditional Chinese medicine and methods employed in the Western world. Acupuncture analgesia is successfully used for some procedures but cannot produce profound muscle relaxation or obtund autonomic reflexes. Neurophysiolo... |
Resistance of humidifiers, and inspiratory work imposed by a ventilator-humidifier circuit | The pressures and resistances of a bubble humidifier (Bennett Cascade) and a blow-by humidifier (Fisher and Paykel) were measured and computed at gas flow rates from 4.5 to 100 litre min-1. Pressures increased with flows, with the Bennett pressures being greater at all flows. The resistance of the Fisher-Paykel increas... |
Testing internal consistency and construct validity during evaluation of performance in a patient simulator | The primary goal of this study was to test the items in a rating system developed to evaluate anesthesiologists' performance in a simulated patient environment. A secondary goal was to determine whether the test scores could discriminate between resident and staff anesthesiologists. Two 5-item clinical scenarios includ... |
Quality assurance in anesthesiology - The problem-oriented audit | The problem-oriented audit is an essential part of an adequate quality assurance program in anesthesiology. The problem-focused program involves identification of problems or concerns; definition of the cause and/or scope of the problem(s); actions taken to resolve the problem(s); monitoring to assure that actions take... |
Applying for an appointment in anaesthesia | The problems involved in obtaining an appointment in anaesthetic are reviewed under the headings of ‘job selection’, ‘short‐listing’ and ‘interviews’. Advice is given on identifying suitable jobs, preparing an application and making the best impression before an interview committee. Suggested headings for applications ... |
Measuring mitochondrial oxygen tension: From basic principles to application in humans | The protoporphyrin IX-triplet state lifetime technique (PpIX-TSLT) has been recently introduced as the first method to measure mitochondrial oxygen tension (mitoPO2) in living cells and tissues. The current implementation of the technique is based on oxygen-dependent quenching of the delayed fluorescence lifetime of 5-... |
Improving pulse oximetry pitch perception with multisensory perceptual training | The pulse oximeter is a critical monitor in anesthesia practice designed to improve patient safety. Here, we present an approach to improve the ability of anesthesiologists to monitor arterial oxygen saturation via pulse oximetry through an audiovisual training process. Fifteen residents' abilities to detect auditory c... |
The Amsterdam Preoperative Anxiety and Information Scale (APAIS) | The purpose of the present study was to assess patients' anxiety level and information requirement in the preoperative phase. During routine preoperative screening, 320 patients were asked to assess their anxiety and information requirement on a six-item questionnaire, the Amsterdam Preoperative Anxiety and Information... |
Society of anesthesia and sleep medicine guideline on intraoperative management of adult patients with obstructive sleep apnea | The purpose of the Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea (OSA) is to present recommendations based on current scientific evidence. This guideline seeks to address questions regarding the intraoperative care of patients with OSA, in... |
Society of Anesthesia and Sleep Medicine Guidelines on Preoperative Screening and Assessment of Adult Patients with Obstructive Sleep Apnea | The purpose of the Society of Anesthesia and Sleep Medicine guideline on preoperative screening and assessment of adult patients with obstructive sleep apnea (OSA) is to present recommendations based on the available clinical evidence on the topic where possible. As very few well-performed randomized studies in this fi... |
The state of implantable pain therapies in the United States: A nationwide survey of academic teaching programs | The purpose of this questionnaire survey was to provide an overview of anesthesiology pain fellowship programs in the United States with regard to implantation of spinal cord stimulators (SCS) and opioid infusion devices. Of the 95 programs solicited, 80% responded to questions pertaining to the prevalence of use and t... |
Psychometric characteristics of simulation-based assessment in anaesthesia and accuracy of self-assessed scores | The purpose of this study was to define the psychometric properties of a simulation-based assessment of anaesthetists. Twenty-one anaesthetic trainees took part in three highly standardised simulations of anaesthetic emergencies. Scenarios were videotaped and rated independently by four judges. Trainees also assessed t... |
Touch sensitivity with sterile standard surgical gloves and single-use protective gloves | The purpose of this study was to evaluate touch sensitivity and static two-point discrimination of the dominant index and middle finger in 20 anaesthetists wearing no gloves, single-use protective gloves or sterile standard surgical gloves. Semmes-Weinstein filaments were used to measure cutaneous pressure thresholds, ... |
Construct validity of a novel assessment tool for ultrasound-guided axillary brachial plexus block | The purpose of this study was to examine the construct validity and reliability of a novel metrics-based assessment tool, previously developed for ultrasound-guided axillary brachial plexus block. Five expert and eight novice anaesthetists performed a total of 18 ultrasound-guided axillary brachial plexus blocks on the... |
Comparison of blind and electrically guided tracheal needle insertion in human cadavers | The purpose of this study was to investigate whether an electrically guided needle insertion technique would enable greater success at intratracheal needle tip insertion than the traditional, aspiration-of-air technique. Twenty-seven anaesthesiology residents were assessed in their ability to place a needle tip in the ... |
A retrospective analysis of case-load and supervision from a large anaesthetic logbook database | The recent development of electronic logbooks with secure off-device data storage provides a rich resource for research. We present the largest analysis of anaesthetic logbooks to date, with data from 494,235 cases logged by 964 anaesthetists over a 4-year period. Our analysis describes and compares the annual case-loa... |
Subarachnoid spinal analgesia: Changing patterns of practice | The results of a postal enquiry into the current usage of subarachnoid spinal analgesia in Scotland are compared with those obtained in 1976. On each occasion replies were received from more than 70% of those consultants receiving questionnaires. Replies indicating use of the techniques increased from 40% in 1976 to 75... |
Mortality associated with anaesthesia: A case review study | The review is based on an analysis of anonymous case record material at the Medical Protection Society's London Office for the 5‐year period 1982–1986, in which death was associated with anaesthetic procedures. A total of 25 cases were analysed. The principal events which resulted in death were failed intubation, drug‐... |
Improving anesthesia safety in low-resource settings | The safety of anesthesia characteristic of high-income countries today is not matched in lowresource settings with poor infrastructure, shortages of anesthesia providers, essential drugs, equipment, and supplies. Health care is delivered through complex systems. Achieving sustainable widespread improvement globally wil... |
Cricoid pressure: Teaching the recommended level | The Sellick maneuver or cricoid pressure is an effective means of preventing passive aspiration of gastric contents. Recent studies recommend a pressure of 20 newtons (N) when the patient is awake, increasing to 3040 N with unconsciousness. This study was proposed to determine whether with education and practice, anest... |
Pediatric Airway Management in COVID-19 Patients: Consensus Guidelines From the Society for Pediatric Anesthesia's Pediatric Difficult Intubation Collaborative and the Canadian Pediatric Anesthesia Society | The severe acute respiratory syndrome coronavirus 2 (coronavirus disease 2019 [COVID-19]) pandemic has challenged medical systems and clinicians globally to unforeseen levels. Rapid spread of COVID-19 has forced clinicians to care for patients with a highly contagious disease without evidence-based guidelines. Using a ... |
Anaesthetists' risk assessment of placebo nerve block studies using the SHAM (Serious Harm and Morbidity) scale | The SHAM (Serious Harm and Morbidity) scale was developed to categorise the severity of potential complications of placebo control interventions in the context of local anaesthesia research. A convenience sample of 43 anaesthetists used the SHAM scale to grade ten published randomised controlled trials investigating lo... |
Supernumerary senior house officers in anaesthesia: a review of a regional training scheme, 1962–1972 | The Shefield Regional Hospital Board, which became the Trent Regional Health Authority in 1974. initiated a scheme for training of Senior House Oficers in anaesthesia in 1962; between 1962 and 1972, 73 graduates passed through the scheme of whom 29 (40%)* held consultant posts at the time of the review (mid 1979), anot... |
Anaesthetic manpower in the future in the UK | The short‐term objective of the DHSS of a 1:1 consultant: junior ratio by 1988 is compatible with current trends in consultant expansion and implies no reduction in registrars before then. The target of doubling the number of consultants in 15 years cannot be met in anaesthesia without a fairly sharp, and relatively sh... |
A modified expiratory valve for teaching | The shrouding of anaesthetic expiratory valves prevents the anaesthetist from either seeing valve disc movement or hearing clearly the escape of gas during expiration. A modification to one type of valve (Medishield II) is described which replaces this lost information by providing a direct indication of valve opening.... |
Focus: The society of cardiovascular anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room | The Society of Cardiovascular Anesthesiologists (SCA) introduced the FOCUS initiative (Flawless Operative Cardiovascular Unified Systems) in 2005 in response to the need for a rigorous scientific approach to improve quality and safety in the cardiovascular operating room (CVOR). The goal of the project, which is suppor... |
The adult cardiac anesthesiology section of STS adult cardiac surgery database: 2020 update on quality and outcomes | The Society of Cardiovascular Anesthesiologists, in partnership with The Society of Thoracic Surgeons, has developed the Adult Cardiac Anesthesiology Section of the Adult Cardiac Surgery Database. The goal of this landmark collaboration is to advance clinical care, quality, and knowledge, and to demonstrate the value o... |
Splanchnic circulation and regional sympathetic outflow during peroperative PEEP ventilation in humans | The splanchnic organs represent a major target for sympathetic outflow and an important region for haemodynamic effects on cardiovascular homeostasis. We have studied regional haemodynamic and sympathetic changes in the splanchnic bed during standardized circulatory stress from positive end-expiratory pressure ventilat... |
Introducing a balanced scorecard management system in a university anesthesiology department | The study goal was to show how Balanced Scorecard, a modern management tool based on score numbers, can efficiently be applied to a university anesthesiology department. Nineteen score numbers were established in four perspectives. Meaningful results were obtained with limited resources to support a process of innovati... |
Contamination of hypodermic needles in anaesthetic practice | The study was undertaken to define and compare the incidence of bacterial contamination on opening three different types of hypodermic needle package. Four user groups were studied (anaesthetists, intensive care nurses, operating department assistants and medical laboratory scientific officers). Bacterial contamination... |
Retirement of anaesthetists: Attitudes in Yorkshire | The tenure of posts by consultant anaesthetists is compared with that by consultants in other specialties. Populations studied were not strictly comparable: however, due mainly to early retirement for reasons unknown, only 70–80% of anaesthetists who might have been expected to retire at 65 years of age actually did so... |
John Henry Evans, MD: Founding Chairman of the Board of Governors of the International Anesthesia Research Society, and a Forgotten Pioneer of Oxygen Therapy | The theoretical and practical foundations of modern oxygen therapy were established during the first half of the 20th century. John Henry Evans, MD, inaugural chairman of the Board of Governors of the International Anesthesia Research Society (IARS), was an early pioneer in this field. Challenging the conventional wisd... |
Nuclear magnetic resonance: Its implications for the anaesthetist | The theory and practice of clinical nuclear magnetic resonance (NMR) imaging is reviewed. Problems which the anaesthetist will encounter are considered, and recommendations are proposed. Possible uses of NMR in anaesthesia are discussed. Copyright © 1986, Wiley Blackwell. All rights reserved |
Accuracy of detecting changes in auditory heart rate in a simulated operating room environment | The threshold for the identification of changes in heart rate and the accuracy in estimating heart rate were compared between 20 anaesthetists and 20 non-anaesthetists in a simulated operating theatre, both with and without distraction tasks. Typical operating theatre distractions were simulated by requiring anaestheti... |
Recovery characteristics after early administration of anticholinesterases during intense mivacurium-induced neuromuscular block | The time course of recovery after early administration of anticholinesterases during intense mivacurium-induced block was evaluated by recording the mechanomyographic response of the adductor pollicis to post-tetanic count (PTC) and train-of-four (TOF) ulnar nerve stimulation. Seventy-two adult patients receiving thiop... |
The TOF‐Guard neuromuscular transmission monitor: A comparison with the Myograph 2000 | The TOF‐Guard neuromuscular monitor uses an accelerometer to measure the response to nerve stimulation. In this study, we have compared it to a standard mechanomyographic monitor, the Myograph 2000, for neuromuscular monitoring in 28 subjects. A train‐of‐four mode of stimulation was used in both cases. The times taken ... |
The Trilite inhaler. An historical review and performance assessment | The Trilite inhaler was developed for use in World War II. Its efficient performance is confirmed and a brief biography of its inventor is also given. Copyright © 1990, Wiley Blackwell. All rights reserved |
The enhanced recovery after surgery (ERAS) Greenie Board: a Navy-inspired quality improvement tool | The United States Navy uses a visual feedback system for pilots, named ‘the Greenie Board’, to improve flight manoeuvres on aircraft carriers. Given that increased compliance with enhanced recovery after surgery protocols reduces postoperative complications, we decided to apply a similar feedback system to our institut... |
The Universal Anaesthesia Machine (UAM): assessment of a new anaesthesia workstation built with global health in mind | The Universal Anaesthesia Machine has been developed as a complete anaesthesia workstation for use in low- and middle-income countries, where the provision of safe general anaesthesia is often compromised by unreliable supply of electricity and anaesthetic gases. We performed a functional and clinical assessment of thi... |
A cumulative anaesthesia record system | The use of a cumulative anaesthesia record draws attention to possible hazards, avoids dangers of repeat administrations, recalls patients' preferences and successful techniques and shows the complete course of an anaesthetic in the event of medicolegal problems. Copyright © 1982, Wiley Blackwell. All rights reserved |
Deception in simulation-based education: a randomised controlled trial of the effect of deliberate deception on the performance of anaesthesia trainees | The use of deliberate deception in simulation allows for a level of realism that is not normally feasible. However, the use of deception is controversial, and carries the risk of psychological harm to learners. There are currently no quantitative data on the effect of deception on learner performance, making it difficu... |
The use of a checklist for anaesthetic machines | The use of the Association of Anaesthetists of Great Britain and Ireland checklist for anaesthetic machines, based on an oxygen analyser, was surveyed over a 5‐week period in a teaching hospital. Fifty‐five completed checklists were analysed; no problems developed during anaesthesia which were missed by the checklist. ... |
Overview and Limitations of Database Research in Anesthesiology: A Narrative Review | The utilization of large-scale databases for research in medical fields, including anesthesiology, has increased in popularity over the last decade, likely due to their structured content and relative ease of access. These databases have been used in a variety of perioperative studies, including analyses of risk strati... |
Anaesthesia during the Falklands campaign: The experience of the Royal Navy | The work of nine Naval anaesthetists deployed with the Task Force during the Falklands campaign is described. The anaesthetists worked in a field hospital (Ajax Bay), a hospital ship (SS Uganda), a troop ship (SS Canberra), aircraft carriers (HMS Hermes and HMS Invincible) and a Royal Fleet Auxiliary (Tidespring). The ... |
Anaesthesia during the Falklands campaign: The land battles | The work of the Parachute Field Surgical Team in the Falkland's campaign is described. Data are provided on the methods of resuscitation and anaesthesia used. Suggestions are made for improving drugs and equipment for use in civil disaster or war. Copyright © 1983, Wiley Blackwell. All rights reserved |
The Hewitt airway - The first known artificial oral 'air-way' 101 years since its description | The year 2008 marked 100 years since the publication of Sir Frederic W. Hewitt's description of his artificial airway. Hewitt's airway was the first known oral airway and laid the foundations for the numerous other airways that were later developed. Oral airways made anaesthesia safer and significantly reduced the trau... |
The Editors-in-Chief of Anesthesia & Analgesia Over 100 Years: Creating the Voice of the Global Anesthesiology Community | The year 2022 marks the 100th anniversary of Anesthesia & Analgesia, the longest-running anesthesiology publication in the world. Founded in 1922 as Current Researches in Anesthesia & Analgesia by the visionary and charismatic Francis McMechan, MD, the journal served as a reliable mirror for the key scientific and poli... |
Education: The heart of the matter | There are inadequate numbers of anesthesia providers in many parts of the world. Good quality educational programs are needed to increase provider numbers, train leaders and teachers, and increase knowledge and skills. In some countries, considerable external support may be required to develop self-sustaining programs.... |
Teaching medical students clinical anesthesia | There are many reasons for evaluating our approach and improving our teaching of America’s future doctors, whether they become anesthesiologists (recruitment) or participate in patient management in the perioperative period (general patient care). Teaching medical students the seminal aspects of any medical specialty i... |
Psychologic testing as an aid to selection of residents in anesthesiology | There are no precise psychologic criteria for the selection of residents in anesthesiology. We attempted to provide an objective guide by comparing clinical performance with psychologic tests which we administered to 95 beginning residents in six training programs. The performance of the residents was evaluated by facu... |
Errors and omissions in anesthesia: A pilot study using a pilot's checklist | There are recent concerns that anesthesiologists are becoming less skilled in providing general anesthesia for Cesarean delivery. We considered whether a verbal checklist would help in the preparation for this event. We created a list of items to be checked when preparing to administer general anesthesia for a Cesarean... |
Guidelines for the safe provision of anaesthesia in magnetic resonance units 2019: Guidelines from the Association of Anaesthetists and the Neuro Anaesthesia and Critical Care Society of Great Britain and Ireland | There has been an increase in the number of units providing anaesthesia for magnetic resonance imaging and the strength of magnetic resonance scanners, as well as the number of interventions and operations performed within the magnetic resonance environment. More devices and implants are now magnetic resonance imaging ... |
Psychometrics: Trust, but Verify | There is a continued mandate for practicing evidence-based medicine and the prerequisite rigorous analysis of the comparative effectiveness of alternative treatments. There is also an increasing emphasis on delivering value-based health care. Both these high priorities and their related endeavors require correct inform... |
Position statement from the Editors of Anaesthesia on equity, diversity and inclusion | There is a need to prioritise equity, diversity and inclusion within anaesthesia and medicine as a whole. This position statement outlines the Anaesthesia Editors' current policies and practices aiming to achieve equity, represent the diversity of our specialty and actively include people engaged with this journal and ... |
Laryngeal mask airway versus other airway devices for anesthesia in children with an upper respiratory tract infection: A systematic review and metaanalysis of respiratory complications | There is an association between upper respiratory tract infection (URTI) and an increased incidence of perioperative respiratory adverse events (PRAEs), which is a major risk for morbidity during pediatric anesthesia. The aim of the present study was to compare the risk of PRAEs among different airway devices during an... |
The Safer Anaesthesia from Education (SAFE)® paediatric anaesthesia course: educational impact in five countries in East and Central Africa | There is an urgent need to improve access to safe surgical and anaesthetic care for children living in many low- and middle-income countries. Providing quality training for healthcare workers is a key component of achieving this. The 3-day Safer Anaesthesia from Education (SAFE)® paediatric anaesthesia course was devel... |
Are short subspecialty courses the educational answer? | There is an urgent need to train more anesthesia providers in low- and middle-income countries (LMICs). There is also a need to provide more educational opportunities in subspecialty areas of anesthetic practice such as trauma management, pain management, obstetric anesthesia, and pediatric anesthesia. Together, these ... |
Integrating Sleep Knowledge into the Anesthesiology Curriculum | There is common ground between the specialties of anesthesiology and sleep medicine. Traditional sleep medicine curriculum for anesthesiology trainees has revolved around the discussion of obstructive sleep apnea (OSA) and its perioperative management. However, it is time to include a broader scope of sleep medicine-re... |
The effect of the European Working Time Directive on anaesthetic working patterns and training | There is concern that the European Working Time Directive 2009 has led to reduced time available for training, and this study examined if this has been the case. For two identical six-month periods in 1999 (pre-Directive) and 2009 (post-Directive), weekly data were collected on the total number of sessions attended by ... |
The use of regional anesthesia by anesthesiologists in Nigeria | There is growing interest in the use of regional anesthesia worldwide. With this survey, we determined the use of regional techniques among anesthesiologists in Nigeria using a cross-sectional study design. A self-administered questionnaire was mailed to a randomly generated list of anesthesiologists in Nigeria. From 1... |
Knowledge Gaps in the Perioperative Management of Adults with Narcolepsy: A Call for Further Research | There is increasing awareness that sleep disorders may be associated with increased perioperative risk. The Society of Anesthesia and Sleep Medicine created the Narcolepsy Perioperative Task Force: (1) to investigate the current state of knowledge of the perioperative risk for patients with narcolepsy, (2) to determine... |
Integrated approaches to academic anaesthesia - The Cambridge experience | There is mounting concern about the pressures experienced by University Departments of Anaesthesia, which, if lost, could threaten undergraduate peri-operative medicine teaching, development of critical appraisal skills among anaesthetists, and the future of coherent research programs. We have addressed these problems ... |
Capacity to give surgical consent does not imply capacity to give anesthesia consent: Implications for anesthesiologists | There is precedent in medicine for recognizing and accepting intact decisional capacity and the subsequent ability to provide valid consent in one treatment domain, while simultaneously recognizing that the patient lacks decisional capacity in other domains. As such, obtaining consent for anesthesia for a surgical proc... |
Recruitment to higher specialty training in anaesthesia in the UK during the COVID-19 pandemic: a national survey | There were more applications for higher specialty training posts in anaesthesia in the UK starting in August 2021 than in previous years, with approximately two-thirds being unsuccessful. We surveyed applicants to investigate their experience of the recruitment process (response rate 536/1056; 51%). Approximately 61% o... |
A split laryngeal mask as an aid to training in fibreoptic tracheal intubation: A comparison with the Herman II intubating airway | Thirty patients were randomly allocated to one of two groups in order to compare the use of a split laryngeal mask airway with the Herman II airway as aids to training in fibreoptic laryngoscopy. In both groups anaesthesia was induced with propofol and maintained with isoflurane in N2O/O2 (Fio2= 0.5). The fibreoptic la... |
Prevalence of hepatitis B markers in the anesthesia staff of a large inner-city hospital | Thirty-four of 70 anesthesia staff members from an inner-city hospital evidenced past infection with hepatitis B. This is more than twice the prevalence previously reported for university-affiliated hospitals. Our findings suggest that screening before vaccinating is likely to be cost-effective for senior or foreign-bo... |
Endotracheal tube holder | This apparatus is useful in anesthesiology for procedures in lateral, sitting, and prone positions, and in patients needing prolonged intubation. It is particularly useful in posterior cervical laminectomies and posterior fossa craniotomies where the back of the neck must be surgically prepared. |
Lord or vassal? Academic anesthesiology finances in 2000 | This article examines recent trends in the management of academic physician practice groups, and in particular the allocation of revenues and expenses to anesthesiology departments. The history of academic group practice is traced, beginning with the "corporate model", in which each department functioned in financial i... |
What's new in obstetric anesthesia: The 2009 Gerard W. ostheimer lecture | This article summarizes the most relevant publications in obstetric anesthesiology from 2008. Forty-two articles were selected from a pool of several thousand in >70 English-language journals that were deemed as having the most impact on the practice of obstetric anesthesia. © 2010 International Anesthesia Research Soc... |
The measurement of adult blood pressure and management of hypertension before elective surgery: Joint Guidelines from the Association of Anaesthetists of Great Britain and Ireland and the British Hypertension Society | This guideline aims to ensure that patients admitted to hospital for elective surgery are known to have blood pressures below 160 mmHg systolic and 100 mmHg diastolic in primary care. The objective for primary care is to fulfil this criterion before referral to secondary care for elective surgery. The objective for sec... |
Recommendations for standards of monitoring during anaesthesia and recovery 2021: Guideline from the Association of Anaesthetists | This guideline updates and replaces the 5th edition of the Standards of Monitoring published in 2015. The aim of this document is to provide guidance on the minimum standards for monitoring of any patient undergoing anaesthesia or sedation under the care of an anaesthetist. The recommendations are primarily aimed at an... |
Anaesthesia in Banjul, The Gambia | This is a report of experience of anaesthesia in one year in The Gambia. The problems related to the development of an anaesthetic service are described and the important function of nurse anaesthetists is emphasised. Recommendations are made about future developments of the specialty. Copyright © 1981, Wiley Blackwell... |
The appointment of an anaesthetist: Edinburgh Royal Infirmary 1900–12 | This is an historical vignette about a stage in the evolution of specialist anaesthesia in the capital city of Scotland. Ignorant management decisions delayed development in Edinburgh by 25 years. Copyright © 1988, Wiley Blackwell. All rights reserved |
Anaesthesia‐related surgical mortality | This is the report of the second of two studies conducted by the Association of Anaesthetists of Great Britain and Ireland based on anonymous reports of deaths within 6 days of anaesthesia. One hundred and ninety‐seven detailed reports were received during 1981; 43% were found by assessors to have nothing to do with an... |
Basic simulations for anaesthetists A pilot study of the ACCESS system | This paper describes the design and initial testing of the ACCESS (Anaesthetic Computer Controlled Emergency Situation Simulator) system, which has been designed to simulate anaesthetic emergencies with the aim of providing training for junior doctors. The simulations require little or no capital expenditure with minim... |
A new microprocessor-controlled anaesthetic machine | This paper describes the development of a microprocessor controlled anaesthetic machine comprising an integrated anaesthetic apparatus and monitoring system. Following prolonged reliability trials in the laboratory, changes have been made to major components which were described in earlier publications. © 1989 British ... |
Evaluation in the continuum of medical education. The GAP report revisited. Thirteenth annual Baxter Travenol lecture | This paper, by the chairman of the Committee which authored the report, provides a review of: the trends in medical education which formed the basis of the recommendations, the recommendations themselves, reactions to the report subsequent to its publication and actions taken by various groups relating to issues discus... |
Unanticipated difficult airway management in anaesthetised patients: A prospective study of the effect of mannequin training on management strategies and skill retention | This prospective study on a medium-fidelity simulator (SimMan®, Laerdal Medical Corporation, Wappingers Falls, NY, USA) examined the management of unanticipated difficult airway by 21 anaesthetists and the effect of training in this context. There were two scenarios investigated: 'cannot intubate, can ventilate'(CI) an... |
Radiation exposure of trainee anaesthetists | This prospective study was conducted to determine the level of radiation exposure of trainee anaesthetists working in urology, orthopaedics and radiology environments. Anaesthetists wore lithium fluoride thermoluminescent dosimeter (TLD) badges over a 6-month period. The position of badges was standardised at the colla... |
The effects of an aviation-style computerised pre-induction anaesthesia checklist on pre-anaesthetic set-up and non-routine events | This prospective, observational study compared the proportion of cases with missing critical pre-induction items before and after the implementation of an aviation-style computerised pre-induction anaesthesia checklist. Trained observers recorded the availability of critical pre-induction items and evaluated the charac... |
Women of the First Anesthesia Journal | This special article briefly discusses the role of women as the new journal Current Researches in Anesthesia and Analgesia (now Anesthesia & Analgesia [A&A]) began in 1922. It was a time of a few women physicians, and they were usually isolated from the world of mainstream medicine and its predominantly male practition... |
The construction of learning curves for basic skills in anesthetic procedures: An application for the cumulative sum method | This study aimed at constructing learning curves for basic procedural skills in anesthesiology using the cumulative sum method. We recorded 1234 peripheral venous cannulations, 895 orotracheal intubations, 688 spinals, and 344 epidurals performed by residents during the first 10 mo of training. Learning curves for each... |
Making monitoring 'work': Human-machine interaction and patient safety in anaesthesia | This study aimed to explore the use of electronic monitoring within the context of anaesthetic practice. We conducted workplace observation of, and interviews with, anaesthetists and other anaesthetic staff in two UK hospitals. Transcripts were analysed inductively for recurrent themes. Whilst formal sources of knowled... |
Learning fibreoptic intubation: Use of simulators V. Traditional teaching | This study compared a graduated training programme with that of a traditional teaching method to facilitate the learning of the technique of fibreoptic nasotracheal intubation. Thirty-two anaesthesia trainees were randomly assigned to two groups. The graduated programme involved: practice on a bronchoscopy teaching mod... |
The American Board of Anesthesiology's Staged Examination System and Performance on the Written Certification Examination after Residency | This study compared anesthesiology residency graduates' written certification examination performance before and after the American Board of Anesthesiology (ABA) introduced the staged examination system. After equating test scores using common test items, the first 2 cohorts (2013, 2014) in the staged system scored 7.1... |
The importance of the postoperative anesthetic visit: Do repeated visits improve patient satisfaction or physician recognition? | This study evaluates whether repeated postoperative visits by the anesthesiologist improve patient ability to recall the anesthesiologist's name and the patient's perception of and satisfaction with anesthesia services. In a randomized, prospective trial, 144 patients with an anticipated postoperative length of stay of... |
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