Title stringlengths 11 422 | Abstract stringlengths 130 3.94k |
|---|---|
The ability of anaesthetists to identify the position of the right internal jugular vein correctly using anatomical landmarks | We performed a study of 85 consenting anaesthetists to assess their ability to locate the right internal jugular vein using a landmark technique. Initially, a questionnaire was completed ascertaining previous user experience. An ultrasound probe, using the midpoint as an 'imaginary needle', was placed on the neck of a ... |
The feasibility of sharing simulation-based evaluation scenarios in anesthesiology | We prospectively assessed the feasibility of international sharing of simulation-based evaluation tools despite differences in language, education, and anesthesia practice, in an Israeli study, using validated scenarios from a multiinstitutional United States (US) study. Thirty-one Israeli junior anesthesia residents p... |
Pre-operative detection of valvular heart disease by anaesthetists | We prospectively estimated the prevalence of heart murmurs in 2522 consecutive adult non-cardiac surgery patients during pre-operative evaluation. Factors that contribute to the detection of a heart murmur were identified, and echocardiography was used to evaluate to what extent a murmur reflected presence of valvular ... |
The accuracy of trained nurses in pre-operative health assessment: Results of the OPEN study | We quantified the accuracy of trained nurses to correctly assess the pre-operative health status of surgical patients as compared to anaesthetists. The study included 4540 adult surgical patients. Patients' health status was first assessed by the nurse and subsequently by the anaesthetist. Both needed to answer the que... |
An anesthesiologist with an allergy to multiple neuromuscular blocking drugs: A new occupational hazard | We report a case of a final-year anesthesiology trainee who developed a severe allergic reaction to cutaneous exposure of succinylcholine. Intradermal testing was strongly positive to succinylcholine and all the aminosteroid neuromuscular blocking drugs (NMBDs). Specific immunoglobulin E to succinylcholine was also str... |
Epidemiology and morbidity of regional anesthesia in children: A one- year prospective survey of the French-Language Society of Pediatric Anesthesiologists | We report the results of a prospective study on the practice of pediatric regional anesthesia by the French-Language Society of Pediatric Anesthesiologists (ADARPEF) during the period from May 1, 1993 to April 30, 1994. This study was designed to provide data concerning the epidemiology of regional anesthesia and its c... |
Perioperative management of a child with von Willebrand disease undergoing surgical repair of craniosynostosis: Looking at unusual targets | We report the successful management of a craniosynostosis repair in a child with severe Type I von Willebrand disease diagnosed during the preoperative assessment and treated by coagulation factor VIII and ristocetin cofactor. Collaboration among the anesthesiologist, the neurosurgeon, the clinical pathologist, and the... |
Litigation related to anaesthesia: analysis of claims against the NHS in England 2008–2018 and comparison against previous claim patterns | We reviewed all 1230 claims against anaesthesia notified to NHS Resolution (formerly the NHS Litigation Authority, 1995–2017) in England between 2008 and 2018. Claims were categorised by incident type, severity (whether physical or psychological), and cost, and comparisons were made against a similar published analysis... |
Seventh and eighth year follow-up on workforce and finances of the United States anesthesiology training programs: 2007 and 2008 | We sent follow-up financial and workforce surveys to 121 United States anesthesiology training programs in 2007 and 2008. Seventy-four respondents (61%) demonstrated a continued increase in the institutional support for faculty and stabilization in the number of open positions. Institutional support per faculty full ti... |
Assessing the relative quality of anesthesiology and critical care medicine Internet mailing lists | We studied the relative quality of a subset of anesthesiology and critical care medicine Internet mailing lists regarding the publishing capacity of their members to compare them with the major journals and conferences regarding these specialties. Using systematic searches on MEDLINE and according to the Science Citati... |
Multi-institutional survey of graduates of pediatric anesthesia fellowship: Assessment of training and current professional activities | We surveyed all the graduates of four fellowship programs in pediatric anesthesia between 1985 and 1993 to assess their current professional activities, their evaluation of fellowship training, and their opinions on future directions of such training. One-hundred ninety-one (62%) of the graduates responded. Nearly all ... |
Emergency preparedness for biological and chemical incidents: A survey of anesthesiology residency programs in the United States | We surveyed health care professionals about their preparations to manage the clinical problems associated with patients exposed to hazardous substances, including weapons of mass destruction (WMD). Training for WMD is considered a key part of public health policy and preparedness. Although such events are rare, when th... |
Decreases in anesthesia-controlled time cannot permit one additional surgical operation to be reliably scheduled during the workday | We tested whether anesthesiologists can decrease operating room (OR) costs by working more quickly. Anesthesia-controlled time (ACT) was defined as the sum of 1) the time starting when the patient enters an OR until preparation or surgical positioning can begin plus 2) the time starting when the dressing is finished an... |
Premedication in the United States: A status report | We undertook a mailing survey study to assess the current practice of sedative premedication in anesthesia. A total of 5396 questionnaires were mailed to randomly selected physician members of the American Society of Anesthesiologists. Forty-six percent (n = 2421) of those sampled returned the questionnaire after two m... |
Simulator evaluation of a prototype device to reduce medication errors in anaesthesia | We undertook a randomised control led trial to evaluate the effect of a prototype device which attaches to the intravenous drug administration port, and allows injection of intravenous drugs only after the user scans the barcode on the syringe label. This requires two steps: first, that the correct drug label is genera... |
Decline in research publications from the United Kingdom in anaesthesia journals from 1997 to 2006 | We undertook this survey to identify the trend in the published output of original research in anaesthesia emanating from the United Kingdom (UK) in a 10-year period from 1997 to 2006, inclusive. We examined seven major anaesthetic journals for each of the 10 years, and four other specialist journals for the years 1997... |
Development and Usability Testing of the Society for Pediatric Anesthesia Pedi Crisis Mobile Application | When life-Threatening, critical events occur in the operating room, the fast-paced, high-distraction atmosphere often leaves little time to think or deliberate about management options. Success depends on applying a team approach to quickly implement well-rehearsed, systematic, evidence-based assessment and treatment p... |
A new mouthpiece for the wright peak flow meter | When tested against artificially produced peak flows, the Wright peak flow meter is found to be an accurateinstrument. A factor contributing to the variation seen when the meter is in clinical use is the design of the mouthpiece. This paper reports the results obtained using a new mouthpiece designed specifically to re... |
End-tidal CO2 excretion waveform and error with gas sampling line leak | When there is a loose connection between an end-tidal CO2 sampling line and the CO2 analyzer (Saracap), the CO2 excretion waveform is very unusual and consists of a long plateau followed by a brief peak, rather than the usual square CO2 excretion waveform. The long CO2 plateau is caused by entrainment of room air throu... |
An analysis of citations of publications in anaesthesia journals | Which journals cite work published in anaesthetic journals is of potential interest to authors, editors and publishers. We analysed citations made in 2017–2018 for articles, reviews, editorials and letters published by 12 anaesthetic journals in 2016, using the Web of Science™ citation index platform. We analysed 12,54... |
National representation in the anaesthesia literature: A bibliometric analysis of highly cited anaesthesia journals | While previous studies have investigated the country of origin of anaesthetic publications, they have generally used a medline computer search to identify original articles and have often excluded non-English language articles. We undertook a hand-search of journals in the Journal Citation Reports® using the subject ca... |
Automated checkout routines in anesthesia workstations vary in detection and management of breathing circuit obstruction | While rare, anesthesia breathing system obstruction can have devastating consequences. We created simulated occlusions of the expiratory and inspiratory limb of the circle breathing system in 3 current anesthesia workstations; Aisys, ADU (both by GE Healthcare, Madison WI), and Apollo (Draeger Medical, Telford, PA). Th... |
Estimating hourly anaesthetic and surgical reimbursement from private medical insurers' benefit maxima: Implications for pricing services and for incentives: Special aritcle | While some speculation surrounds annual private practice incomes of anaesthetists, little is known of the hours of work needed to generate any presumed income (the hourly rate). The benefit maxima of five private medical insurers are published in fee schedules and data on the duration of common operations are now also ... |
Pilot Survey of Female Anesthesiologists' Childbearing and Parental Leave Experiences | While the literature regarding physicians' childbearing experiences is growing, there are no studies documenting those of anesthesiologists. We surveyed a convenience sample of 72 female anesthesiologists to obtain pilot data. Sixty-six women completed the survey (91.7% response rate), reporting 113 total births from b... |
National Institutes of Health-Funded Anesthesiology Research and Anesthesiology Physician-Scientists: Trends, Promises, and Concerns | With a difficult National Institutes of Health (NIH) funding climate, the pipeline of physician-scientists in Anesthesiology is continuing to get smaller with fewer new entrants. This article studies current NIH funding trends and offers potential solutions to continue the historical trend of academic innovation and re... |
Development of an Objective Structured Clinical Examination as a Component of Assessment for Initial Board Certification in Anesthesiology | With its first administration of an Objective Structured Clinical Examination (OSCE) in 2018, the American Board of Anesthesiology (ABA) became the first US medical specialty certifying board to incorporate this type of assessment into its high-stakes certification examination system. The fundamental rationale for the ... |
Road to Perioperative Medicine: A Perspective from China | With the development of anesthesiology, patient safety has been remarkably improved, but the postoperative mortality rate at 30 days is still as high as 0.56%-4%, and the morbidity is even higher. Three years ago, the Chinese Society of Anesthesiology proposed that the direction of the anesthesiology development should... |
The impact of internet and simulation-based training on transoesophageal echocardiography learning in anaesthetic trainees: A prospective randomised study | With the increasing role of transoesophageal echocardiography in clinical fields other than cardiac surgery, we decided to assess the efficacy of multi-modular echocardiography learning in echo-naïve anaesthetic trainees. Twenty-eight trainees undertook a pre-test to ascertain basic echocardiography knowledge, followin... |
Innovation in Education Research: Creation of an Education Research Core | Within academic medical centers, there is increasing interest among physicians to pursue education as a promotion pathway. Many medical schools and universities offer professional development opportunities for these individuals such as workshops and certificate and advanced degree programs. However, there exists a need... |
Evaluation of Job Stress and Burnout Among Anesthesiologists Working in Academic Institutions in 2 Major Cities in Pakistan | Work stress is an integral part of anesthetic practice and has been a subject of many studies. Persistent stress can lead to burnout. There is limited published literature from lower- and middle-income countries where job stressors may be different from high-income countries. The aim of this study was to find out the l... |
Rating the importance of clinical teaching attributes | 41 attributes of a clinical teacher are evaluated. They all were important to both residents and faculty. The data support a general picture of agreement between faculty and residents on attributes considered important in teaching. Specific attributes on which the two groups disagree may identify areas of concern in cu... |
Specific bradycardic agents, a new therapeutic modality for anesthesiology: hemodynamic effects of UL-FS 49 and propranolol in conscious and isoflurane-anesthetized dogs. | A "specific bradycardic agent" has direct negative chronotropic actions without producing other systemic or coronary hemodynamic alterations. UL-FS 49, a recently synthesized structural analog of verapamil without classical slow channel calcium blocking activity, is proposed as such an agent. The purpose of this invest... |
Another matter of life and death: What every anesthesiologist should know about the ethical, legal, and policy implications of the non-heart-beating cadaver organ donor | A COMMUNITY hospital agrees to participate in organ harvest from non-heart-beating cadaveric donors (NHBCDs). Members of the anesthesiology department are informed that patients requiring life support will be transferred to the operating room, where an anesthesiologist will monitor them during preparation and draping f... |
A modified Pitot tube for the accurate measurement of tidal volume in children. | A device using modification of a Pitot tube has been designed for measurement of tidal volume in infants and small children. Its accuracy was compared both n vitro and n vivo to that of a calibrated pneumotachograph (Fleish #1) designed for a similar flow range. In vitro measurement of air flow with the modified Pitot ... |
Occupational disease among operating room personnel: A national study | A national study of occupational disease among operating room personnel was conducted by mailing questionnaires to 49,585 exposed operating room personnel in 4 professional societies and to 23,911 unexposed individuals in 2 professional societies serving as a comparison group. The results indicate that female members i... |
A new laryngoscope blade to overcome pharyngeal obstruction. | A new laryngoscope blade has been designed for emergency visualization of the pharynx and larynx when the pharyngeal space is restricted. The blade incorporates a 7-cm tube in the distal portion and an intraluminal light source protected from obstruction. It attaches to standard battery-powered light handles, making it... |
Work and rest cycles in anesthesia practice | A questionnaire inquiring about existing and desirable work and rest patterns appeared in a newsletter mailed to about 22,000 anesthesiologists and anesthesiology residents and 24,000 nurse anesthetists (CRNA). Almost 3,000 anonymous replies were received and analyzed. Respondents reported mean work weeks of 47.5 h (CR... |
Birth defects among children of nurse anesthetists | A survey of 621 female nurse anesthetists was performed to determine the incidence of birth defects among the offspring of this group. Two separate mailings and telephone interviews resulted in a response rate of 84.5%. Of children whose mothers worked during pregnancy, 16.4% had birth defects, while only 5.7% of child... |
A matter of life and death: What every anesthesiologist should know about the medical, legal, and ethical aspects of declaring brain death | Accurate criteria for death are increasingly important as it becomes more difficult for the public to distinguish between patients who are still alive from those who, through the aid of medical technology, merely look like they are alive even though they are dead. Patients and their families need to know that a clear l... |
Adverse respiratory events in anesthesia: A Closed Claims Analysis | Adverse outcomes associated with respiratory events constitute the single largest class of injury in the American Society of Anesthesiology Closed Claims Study (522 of 1541 cases; 34%). Death or brain damage occurred in 85% of cases. The median cost of settlement or jury award was $200,000. Most outcomes (72%) were con... |
Of Penguins, Pinnipeds, and Poisons: Anesthesia on Elephant Island | Although Ernest Shackleton's Endurance Antarctic expedition of 1914 to 1916 is a famous epic of survival, the medical achievements of the two expedition doctors have received little formal examination. Marooned on Elephant Island after the expedition ship sank, Drs. Macklin and McIlroy administered a chloroform anesthe... |
Ebenezer Hopkins Frost (1824-1866): William T.G. Morton's first identified patient and why he was invited to the Ether demonstration of October 16, 1846. | Although he was not the first to use ether as an anesthetic, it was not until William Thomas Green Morton's demonstration of the efficacy of ether anesthesia that its use spread rapidly throughout the world. Full identities of the first anesthetized patients of William Edward Clarke and Horace Wells are not known, but ... |
Beyond the Do-not-resuscitate Order: An Expanded Approach to Decision-making Regarding Cardiopulmonary Resuscitation in Older Surgical Patients | American Society of Anesthesiologists guidelines recommend that anesthesiologists revisit do-not-resuscitate orders preoperatively and revise them if necessary based on patient preferences. In patients without do-not-resuscitate orders or other directives limiting treatment however, "full code"is the default option irr... |
Delayed asthmatic response following occupational exposure to enflurane | An anesthesiology resident is described, who developed an asthma attach each time he administered an enflurane anesthetic. Administering other inhalation anesthesia did not cause any trouble. |
A survey of academic anesthesiology. Submitted by ASA subcommittee (Task Force) on academic anesthesia manpower | An assessment of the manpower situation for academic anesthesiology was approached by means of a questionnaire concerning present and future faculty size, clinical and educational work load, and budgetary support. Replies to this questionnaire were solicited from 109 medical schools in the United States and Puerto Rico... |
Why question established practice? | An Evaluation of Vasopressor Therapy for Maternal Hypotension during Spinal Anesthesia. By James FM III, Griess FC, Kemp RA. ANESTHESIOLOGY 1970; 33:25-34. Abstract reprinted with permission from Wolters Kluwer Health.†During hypotension resulting from conduction anesthesia in gravid ewes, uterine blood flow (UBF) decr... |
Society of Neurosurgical Anesthesia and Critical Care Annual Meeting. San Francisco, California, October 10, 2003 | An important function of the Annual Meeting is to provide a forum in which research performed by SNACC members can be presented and critically appraised. This year's meeting was of particular success in this regard. A large number of abstracts were presented during the meeting. The topics ranged from cerebral ischemia/... |
The risk of needlestick injuries and needlestick-transmitted diseases in the practice of anesthesiology | Anesthesiologists are at risk for acquiring blood-borne infections through contact with blood or body fluids. 99 From prospective studies, the greatest risk of transmission is through a percutaneous exposure such as needlestick injury. Personal protective equipment such as gloves and gowns do not completely prevent the... |
Learners and Luddites in the Twenty-first Century: Bringing Evidence-based Education to Anesthesiology | Anesthesiologists are both teachers and learners and alternate between these roles throughout their careers. However, few anesthesiologists have formal training in the methodologies and theories of education. Many anesthesiology educators often teach as they were taught and may not be taking advantage of current eviden... |
Anesthesiology: Resetting Our Sights on Long-term Outcomes: The 2020 John W. Severinghaus Lecture on Translational Science | Anesthesiologists have worked relentlessly to improve intraoperative anesthesia care. They are now well positioned to expand their horizons and address many of the longer-term adverse consequences of anesthesia and surgery. Perioperative neurocognitive disorders, chronic postoperative pain, and opioid misuse are not in... |
The anesthesiologist in critical care medicine: Past, present, future | Anesthesiologists represent a dwindling minority of physicians who practice critical care medicine. Although its gradual extinction would clearly be detrimental to anesthesiology, new developments suggest that strategic support and proactive development of the subspecialty may have broad, positive ramifications for the... |
Economics of anesthetic practice | Anesthesiologists, like all other specialists, need to examine carefully their clinical practices so that excessive costs and waste can be reduced without compromising patient care or safety. While costs of drugs, used for anesthesia constitute only a small fraction of total health care cost, they are highly visible co... |
Anesthesiologists' training and knowledge of basic life support | Anesthesiologists' training and knowledge in one aspect of cardiopulmonary resuscitation (CPR), Basic Life Support, was evaluated by an anonymous mailed questionnaire. Two hundred forty-six of 780 (32 per cent) surveyed responded. A random group of non-respondents was questioned by telephone; 18 of 78 non-respondents c... |
United States anesthesiologists over 50: retirement decision making and workforce implications. | Anesthesiology is among the medical specialties expected to have physician shortage. With little known about older anesthesiologists' work effort and retirement decision making, the American Society of Anesthesiologists participated in a 2006 national survey of physicians aged 50-79 yr. Samples of anesthesiologists and... |
Artificial intelligence in anesthesiology: Current techniques, clinical applications, and limitations | Artificial intelligence has been advancing in fields including anesthesiology. This scoping review of the intersection of artificial intelligence and anesthesia research identified and summarized six themes of applications of artificial intelligence in anesthesiology: (1) depth of anesthesia monitoring, (2) control of ... |
Assessment of competency in anesthesiology | Assessment of competency in traditional graduate medical education has been based on observation of clinical care and classroom teaching. In anesthesiology, this has been relatively easy because of the high volume of care provided by residents under the direct observation of faculty in the operating room. With the move... |
Exposed O2 flush hazard | At the end of an outpatient dental anesthesia using a Dupaco Compact 75 machine, as the drapes were being removed, the telethermometer was dislodged accidentally from the shelf above the machine. The box fell directly onto the vertically mounted O2 flush knob jamming it into the mechanism. Fortunately, the anesthesiolo... |
Government account for relief in occupied area: A Japanese physician's journey to a new medical specialty | At the end of World War II, not a single full-time anesthesiologist was in Japan. To address this dearth of anesthesiologists, a little known U.S. government program, Government Account for Relief in Occupied Area, played a significant role initiating the specialization of anesthesiology in Japan. This article examines... |
Retraction: Population kinetics of 0.9% saline distribution in hemorrhaged awake and isoflurane-anesthetized volunteers (Journal of Physical Chemistry (2019) 131 (501-511) DOI: 10.1097/ALN.0000000000002816) | At the request of the authors, the Editors and Publisher retract the article “Population Kinetics of 0.9% Saline Distribution in Hemorrhaged Awake and Isoflurane-anesthetized Volunteers” by Nyberg et al. published in the September 2019 issue of Anesthesiology. © 2020 Lippincott Williams and Wilkins. All rights reserved... |
Autopilots in the Operating Room: Safe Use of Automated Medical Technology | Automated medical technology is becoming an integral part of routine anesthetic practice. Automated technologies can improve patient safety, but may create new workflows with potentially surprising adverse consequences and cognitive errors that must be addressed before these technologies are adopted into clinical pract... |
A technique for population pharmacody nantic analysis of concentration-binary response data | Background- Pharmacodynamic data frequently consist of the binary assessment (a "yes" or "no" answer) of the response to a defined stimulus (verbal stimulus, intubation, skin incision, and so on) for multiple patients. The concentrationeffect relation is usually reported in terms of C50, the drug concentration associat... |
Opioid Stewardship Program and Postoperative Adverse Events: A Difference-in-differences Cohort Study | Background: A 6-month opioid use educational program consisting of webinars on pain assessment, postoperative and multimodal pain opioid management, safer opioid use, and preventing addiction coupled with on-site coaching and monthly assessments reports was implemented in 31 hospitals. The authors hypothesized the inte... |
Meta-analysis of thoracic epidural anesthesia versus general anesthesia for cardiac surgery | Background: A combination of general anesthesia (GA) with thoracic epidural anesthesia (TEA) may have a beneficial effect on clinical outcomes after cardiac surgery. We have performed a meta-analysis to compare mortality and cardiac, respiratory, and neurologic complications in patients undergoing cardiac surgery with ... |
Analysis of statistical tests to compare doses of analgesics among groups | Background: A common type of anesthesiologic study determines the effect of an intervention on the doses of analgesics given to groups of patients. The goal of this study was to evaluate the effectiveness of several appropriate statistical tests to examine the results of such studies. Methods: Total doses of morphine r... |
Factors affecting perioperative transfusion decisions in patients with coronary artery disease undergoing coronary artery bypass surgery | BACKGROUND: A high proportion of patients having cardiac bypass surgery receive erythrocyte transfusions. Decisions about when to transfuse patients having surgery for coronary artery disease may impact on erythrocyte utilization and patient morbidity and mortality. There are no published data about the factors that in... |
Laryngeal mask airway in pediatric practice: A prospective study of skill acquisition by anesthesia residents | Background: A prospective study was conducted to determine the rate of skill acquisition with the laryngeal mask airway in pediatric anesthesiology practice. The aim of the study was to provide information about the amount of supervised training required before satisfactory levels of skill were achieved. Methods: Eight... |
Acute care skills in anesthesia practice: A simulation-based resident performance assessment | Background: A recurring initiative in graduate education is to find more effective methods to assess specialists' skills. Life-sized simulators could be used to assess the more complex skills expected in specialty practice if a curriculum of relevant exercises were developed that could be simply and reliably scored. Th... |
Feasibility of tobacco interventions in anesthesiology practices: A pilot study | Background: Abstinence from smoking can improve postoperative outcomes, and surgery is also an excellent opportunity for smokers to permanently quit. One strategy for perioperative tobacco interventions is that anesthesiologists Ask, Advise, and Refer (AAR)-Ask their patients about tobacco use, Advise them to abstain, ... |
Classification of current procedural terminology codes from electronic health record data using machine learning | Background: Accurate anesthesiology procedure code data are essential to quality improvement, research, and reimbursement tasks within anesthesiology practices. Advanced data science techniques, including machine learning and natural language processing, offer opportunities to develop classification tools for Current P... |
Factors affecting admission to anesthesiology residency in the united states: Choosing the future of our specialty | BACKGROUND: Admission to an anesthesiology residency in the United States is competitive, and the odds associated with a successful match based on the applicants' characteristics have not been determined. The objective of this study was to examine factors associated with admission to anesthesiology residency in the Uni... |
Antichemical Protective Gear Prolongs Time to Successful Airway Management: A Randomized, Crossover Study in Humans | Background: Airway management is the first step in resuscitation. The extraordinary conditions in mass casualty situations impose special difficulties in airway management, even for experienced caregivers. The authors evaluated whether wearing surgical attire or antichemical protective gear made any difference in anest... |
Methylphenidate actively induces emergence from general anesthesia | Background: Although accumulating evidence suggests that arousal pathways in the brain play important roles in emergence from general anesthesia, the roles of monoaminergic arousal circuits are unclear. In this study, the authors tested the hypothesis that methylphenidate (an inhibitor of dopamine and norepinephrine tr... |
Academic performance in adolescence after inguinal hernia repair in infancy: A nationwide cohort study | Background: Although animal studies have indicated that general anesthetics may result in widespread apoptotic neurodegeneration and neurocognitive impairment in the developing brain, results from human studies are scarce. We investigated the association between exposure to surgery and anesthesia for inguinal hernia re... |
The successful implementation of pharmaceutical practice guidelines: Analysis of associated outcomes and cost savings | Background: Although approximately 2,000 medical practice guidelines have been proposed, few have been successfully implemented and sustained. We hypothesized that we could develop and institute practice guidelines to promote more appropriate use of costly anesthetics, to generate and sustain widespread compliance from... |
Hydromorphone Unit Dose Affects Intraoperative Dosing: An Observational Study | Background: Although clinical factors related to intraoperative opioid administration have been described, there is little research evaluating whether administration is influenced by drug formulation and, specifically, the unit dose of the drug. The authors hypothesized that the unit dose of hydromorphone is an indepen... |
Uncovering the History of Operating Room Attire through Photographs | Background: Although early proponents for each of the four basic articles of operating room clothing - gowns, caps, masks, and gloves - can be identified, it is unclear from historical commentaries when each article achieved general acceptance and was consistently worn by surgeons and by anesthesia providers. Methods: ... |
Machine Learning Prediction of Postoperative Emergency Department Hospital Readmission | Background: Although prediction of hospital readmissions has been studied in medical patients, it has received relatively little attention in surgical patient populations. Published predictors require information only available at the moment of discharge. The authors hypothesized that machine learning approaches can be... |
Predictors and clinical outcomes from failed laryngeal mask airway unique™: A study of 15,795 patients | Background: Although the estimated risk of life-threatening adverse respiratory events during supraglottic airway device use is rare, the reported rate of events leading to failure of the airway device is 0.2-8%. Little is known about the risk-adjusted prediction of Laryngeal Mask Airway failure requiring rescue trache... |
A cost-construction model to assess the total cost of an anesthesiology residency program | Background: Although the total costs of graduate medical education are difficult to quantify, this information may be of great importance for health policy and planning over the next decade. This study describes the total costs associated with the residency program at the University of Texas - Houston Department of Ane... |
Performance assessment in airway management training for nonanesthesiology trainees: An analysis of 4,282 airway procedures performed at a level-1 trauma center | Background: Although the use of an anesthesiology "airway" rotation to train the nonanesthesiologist is commonly employed, little data exist on the utility, clinical exposure, and outcomes of these programs. © 2013, the American Society of Anesthesiologists, Inc. Lippincott Williams & Wilkins. |
Levels of Evidence Supporting the North American and European Perioperative Care Guidelines for Anesthesiologists between 2010 and 2020: A Systematic Review | Background: Although there are thousands of published recommendations in anesthesiology clinical practice guidelines, the extent to which these are supported by high levels of evidence is not known. This study hypothesized that most recommendations in clinical practice guidelines are supported by a low level of evidenc... |
The effectiveness of video technology as an adjunct to teach and evaluate epidural anesthesia performance skills | Background: Although video review has been used in teaching, it has not been reported for use as an adjunct to teaching anesthesiology residents. The purpose of the prospective, randomized, blinded study was to determine whether teaching with video review improves epidural anesthesia skills of anesthesiology residents.... |
Measuring the performance of anesthetic depth indicators | Background: An appropriate measure of performance is needed to identify anesthetic depth indicators that are promising for use in clinical monitoring. To avoid misleading results, the measure must take into account both desired indicator performance and the nature of available performance data. Ideally, anesthetic dept... |
Influence of supervision ratios by anesthesiologists on first-case starts and critical portions of anesthetics | Background: Anesthesia groups may wish to decrease the supervision ratio for nontrainee providers. Because hospitals offer many first-case starts and focus on starting these cases on time, the number of anesthesiologists needed is sensitive to this ratio. The number of operating rooms that an anesthesiologist can super... |
Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association | BACKGROUND: Anesthesia is associated with complications, and some of them may be fatal. The authors investigated the circumstances under which deaths were associated with anesthesia. In Denmark, the specialty anesthesiology encompasses emergency medicine, chronic and acute pain medicine, anesthetic procedures, perioper... |
Multicenter study of contaminated percutaneous injuries in anesthesia personnel | Background: Anesthesia personnel are at risk for occupational infection with bloodborne pathogens from contaminated percutaneous injuries (CPIs). Additional information is needed to formulate methods to reduce risk. Methods: The authors analyzed CPIs collected during a 2-yr period at 11 hospitals, assessed CPI underrep... |
Evaluation of anesthesia residents using mannequin-based simulation: A multiinstitutional study | Background: Anesthesia simulators can generate reproducible, standardized clinical scenarios for instruction and evaluation purposes. Valid and reliable simulated scenarios and grading systems must be developed to use simulation for evaluation of anesthesia residents. Methods: After obtaining Human Subjects approval at... |
December Is Coming: A Time Trend Analysis of Monthly Variation in Adult Elective Anesthesia Caseload across Florida and Texas Locations of a Large Multistate Practice | Background: Anesthesia staffing models rely on predictable surgical case volumes. Previous studies have found no relationship between month of the year and surgical volume. However, seasonal events and greater use of high-deductible health insurance plans may cause U.S. patients to schedule elective surgery later in th... |
Performance of residents and anesthesiologists in a simulation-based skill assessment | BACKGROUND: Anesthesiologists and anesthesia residents are expected to acquire and maintain skills to manage a wide range of acute intraoperative anesthetic events. The purpose of this study was to determine whether an inventory of simulated intraoperative scenarios provided a reliable and valid measure of anesthesia r... |
Anesthesiology residents performance of pediatric resuscitation during a simulated hyperkalemic cardiac arrest | Background: Anesthesiologists are responsible for the management of perioperative cardiopulmonary arrest in children. This study used simulation to assess the pediatric resuscitation skills of experienced anesthesia residents. METHODS:: Nineteen anesthesia residents were evaluated using a pediatric pulseless electrical... |
Visual display format affects the ability of anesthesiologists to detect acute physiologic changes: A laboratory study employing a clinical display simulator | Background: Anesthesiologists use data presented on visual displays to monitor patients' physiologic status. Although studies in nonmedical fields have suggested differential effects on performance among display formats, few studies have examined the effect of display format on anesthesiologist monitoring performance. ... |
Quantifying Net Staffing Costs Due to Longer-than-average Surgical Case Durations | Background: Anesthesiology departments incur staffing costs that are not covered by revenue because the operating room (OR) time allocation and case scheduling are not done to maximize OR efficiency and because surgical durations are longer than average. The purpose of this article is to demonstrate a method to quantif... |
Effects of divided attention and operating room noise on perception of pulse oximeter pitch changes: A laboratory study | Background: Anesthesiology requires performing visually oriented procedures while monitoring auditory information about a patient's vital signs. A concern in operating room environments is the amount of competing information and the effects that divided attention has on patient monitoring, such as detecting auditory ch... |
Automated near-real-time clinical performance feedback for anesthesiology residents: One piece of the milestones puzzle | Background: Anesthesiology residencies are developing trainee assessment tools to evaluate 25 milestones that map to the six core competencies. The effort will be facilitated by development of automated methods to capture, assess, and report trainee performance to program directors, the Accreditation Council for Gradua... |
Transient effects of anesthetics on dendritic spines and filopodia in the living mouse cortex | Background: Anesthetics are widely used to induce unconsciousness, pain relief, and immobility during surgery. It remains unclear whether the use of anesthetics has significant and long-lasting effects on synapse development and plasticity in the brain. To address this question, the authors examined the formation and e... |
Association between Participation in an Intensive Longitudinal Assessment Program and Performance on a Cognitive Examination in the Maintenance of Certification in Anesthesiology Program® | Background: As part of the Maintenance of Certification in Anesthesiology Program® (MOCA®), the American Board of Anesthesiology (Raleigh, North Carolina) developed the MOCA Minute program, a web-based intensive longitudinal assessment involving weekly questions with immediate feedback and links to learning resources. ... |
Severe Hypoxemia Prevents Spontaneous and Naloxone-induced Breathing Recovery after Fentanyl Overdose in Awake and Sedated Rats | Background: As severe acute hypoxemia produces a rapid inhibition of the respiratory neuronal activity through a nonopioid mechanism, we have investigated in adult rats the effects of hypoxemia after fentanyl overdose-induced apnea on (1) autoresuscitation and (2) the antidotal effects of naloxone. Methods: In nonsedat... |
Implementation and Evaluation of the Z-Score System for Normalizing Residency Evaluations | Background: Assessment of clinical competence is essential for residency programs and should be guided by valid, reliable measurements. We implemented Baker's Z-score system, which produces measures of traditional core competency assessments and clinical performance summative scores. Our goal was to validate use of sum... |
Simulation-based assessment of pediatric anesthesia skills | BACKGROUND: Assessment of pediatric anesthesia trainees is complicated by the random nature of adverse patient events and the vagaries of clinical exposure. However, assessment is critical to improve patient safety. In previous studies, a multiple scenario assessment provided reliable and valid measures of the abilitie... |
Awake fiberoptic or awake video laryngoscopic tracheal intubation in patients with anticipated difficult airway management: A randomized clinical trial | Background: Awake flexible fiberoptic intubation (FFI) is the gold standard for management of anticipated difficult tracheal intubation. The purpose of this study was to compare awake FFI to awake McGrath® video laryngoscope, (MVL), (Aircraft Medical, Edinburgh, Scotland, United Kingdom) intubation in patients with an ... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.