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The application of Read Codes to anaesthesia | The Anaesthetic Specialty Working Group of the Clinical Terms Project is creating a set of terms for anaesthesia. These terms can be used to describe the activities of an anaesthetist, and are designed for use in computerised systems such as automated anaesthetic record‐keeping systems. These terms will be coded as Rea... |
The Anesthesia Patient Safety Foundation at 25: A pioneering success in safety, 25th anniversary provokes reflection, anticipation | The Anesthesia Patient Safety Foundation (APSF) was created in 1985. Its founders coined the term "patient safety" in its modern public usage and created the very first patient safety organization, igniting a movement that is now universal in all of health care. Driven by the vision "that no patient shall be harmed by ... |
Increase in quality, but not quantity, of clinical trials in acute pain: 1992 versus 2007 | The annual number of published clinical trials in acute postoperative pain in adults has changed little in 15 yr and, as a fraction of all clinical trials published in the six highest impact journals in anesthesiology, has actually decreased from 16% (95% confidence interval: 12-20) to 11% (95% confidence interval: 9-1... |
A novel method of measuring cricoid force | The application of cricoid pressure is an effective means of preventing regurgitation of gastric contents when correctly applied. A force of 30 N (3 kg) is recommended for an unconscious patient. This study assesses the validity of using floor scales to measure cricoid force applied by anaesthetic assistants and compar... |
Ultrasound-guided training in the performance of brachial plexus block by the posterior approach: An observational study | The application of ultrasonography in guiding and controlling the path of the stimulating needle to the brachial plexus via the posterior approach (Pippa technique) was studied. In 21 ASA physical status 1 and 2 patients, scheduled for surgery of the shoulder or upper arm, needle insertion was monitored by ultrasonogra... |
A mixed-methods evaluation of the Association of Anaesthetists of Great Britain and Ireland Uganda Fellowship Scheme | The Association of Anaesthetists of Great Britain and Ireland and the then Uganda Society of Anaesthesia established the Uganda Fellowship Scheme in 2006, to provide scholarships to encourage doctors to train in anaesthesia in Uganda. We conducted an evaluation of this programme using online questionnaires and face-to-... |
Improving anaesthetists' communication skills | The attitude, behaviour and communication skills of specialised doctors are increasingly recognised as important and they have been identified as training requirements. We designed a programme to teach communication skills to doctors in a University Department of Anaesthesia and evaluated its effect on patient outcomes... |
Inadequate pre-operative evaluation and preparation: A review of 197 reports from the Australian incident monitoring study | The Australian Incident Monitoring Study database was examined for incidents involving inadequate pre-operative patient preparation and/or evaluation. Of 6271 reports, 727 had appropriate keywords, of which 197 (3.1%) were used for subsequent analysis. All surgical categories were represented. In 10% of reports the pat... |
An anaesthetist in a camp for Cambodian refugees | The author describes his experiences as the junior anaesthetist for a Red Cross surgical unit on the Thai‐Cambodian border, from July to October 1981. Copyright © 1983, Wiley Blackwell. All rights reserved |
The anaesthetist and the day‐surgery unit | The author retired from active practice as a consultant anaesthetist in the British National Health Service during 1980 at the age of 60. He kept a detailed diary for his last full year as a consultant. One of the Editors suggested that the diary, augmented by his considered views culled from the experiences of a profe... |
The anaesthetist and intensive care | The author retired from active practice as a consultant anaesthetist in the British National Health Service during 1980 at the age of 60. He kept a detailed diary for the last full year as a consultant. One of the Editors suggested that the diary, augmented by his considered views culled from the experiences of a profe... |
The anaesthetist and the obstetric department | The author retired from active practice as a consultant anaesthetist in the British National Health Service during 1980 at the age of 60. He kept a detailed diary for the last full year as a consultant. One of the editors suggested that the diary, augmented by his considered views culled from the experiences of a profe... |
The anaesthetists and distinction awards | The author retired from active practice as a consultant anaesthetist in the british National Health Service during 1980 at the age of 60. He kept a detailed diary for the last full year as a consultant. One of the editors suggested that the diary, augmented by his considered views culled from the experiences of a profe... |
The anaesthetist and industrial action by ancillary workers: Reflections on the 1979 strike | The author retired from active practice as a consultant anaesthetist in the British National Health Service during 1980 at the age of 60. He kept a detailed diary for the last full year as consultant. One of the Editors suggested that the diary could form the basis of a series of essays on various aspects of the life a... |
The anaesthetist in the operating theatre | The author retired from active practice, as a consultant anaesthetist in the British National Health Service during 1980 at the age of 60. He kept a detailed diary for the last full year as a consultant. One of the Editors suggested that the diary, augmented by his considered views culled from the experiences of a prof... |
On assisting the anaesthetist: Reflections of an anaesthetic room nurse | The author was born in Leipzig Germany in 1936. She first trained as a children's nurse in West Berlin and, after bringing up three children, qualified as a State Enrolled Nurse at Addenbrooke's Hospital Cambridge in 1976. She has held her present post as an anaesthetic room nurse in the Ear Nose and Throat operating t... |
The road to success: A review of 1000 axillary brachial plexus blocks | The authors present their experience of > 1000 axillary brachial plexus blocks performed over 13 years (1990-2002). Using a technique that involves the location of individual nerves with a nerve stimulator, the overall success rate was 97.9%, ranging from 89.7% in 1990 to 98.4% in 1998. There have been no failures, def... |
Distinguished Service Awards in Anesthesiology Specialty Societies: Analysis of Gender Differences | The authors queried 9 anesthesiology societies to examine Distinguished Service Award recipients over time by gender. Of the 211 total Distinguished Service Awards given by all 9 societies, women received 25 (11.8%). Comparing pre-2008 data to the most recent decade, there was no statistical difference in the number of... |
Epidural test dose and intravascular injection in obstetrics: Sensitivity, specificity, and lowest effective dose | The authors studied the sensitivity and specificity of several epidural test doses as markers of intravascular injection in laboring patients in a prospective double-blind, randomized study. Fifty-nine parturients were assigned randomly to receive an intravenous injection of either normal saline solution (3 mL, NS grou... |
Evaluation of the Basic Airway Model, a novel mask ventilation training manikin | The Basic Airway Model is an airway manikin designed for training in mask ventilation. We investigated the ability of the Basic Airway Model to provide varying levels of difficulty for mask ventilation. Volunteers with three levels of experience (novice, intermediate and expert) attempted to ventilate the manikin at th... |
The Nuts and Bolts of Performing Focused Cardiovascular Ultrasound (FoCUS) | The benefit of focused cardiovascular ultrasound as an adjunct to physical examination has been shown in numerous specialties and in diverse clinical settings. Although the value of these techniques to the practice of anesthesiology is substantial, they have only begun to be incorporated. This article reviews the basic... |
Causes of death among anesthesiologists: 1930-1946 | The causes of death among anesthesiologists from 1930 through 1946 were determined and compared to the causes of death for contemporaneous physicians as well as anesthesiologists in later eras. Names of US white male anesthesiologists listed in the annual Directories of Anesthetists compiled by the International Anesth... |
The effect of the European Clinical Trials Directive on published drug research in anaesthesia | The clinical indications for anaesthetic drugs are developed through peer-reviewed publication of clinical trials. We performed a bibliometric analysis of all human research papers reported in nine general anaesthesia journals over 6 years (n = 6489), to determine any effects of the 2004 European Clinical Trials Direct... |
A laboratory evaluation of resistive intravenous flow regulators | The clinical performance of four different resistive intravenous flow regulators was simulated in the laboratory. The devices tested were the Dial-A-Flo (DAF), Stat Master (SM), CorrectFlo (CFLO), and Arm-A-Flow (AAF). Five DAFs and five SMs were tested for accuracy at each of two flow settings. Accuracy is irrelevant ... |
Considerations for Clock Drawing Scoring Systems in Perioperative Anesthesia Settings | The Clock Drawing Test is a cognitive screening tool gaining popularity in the perioperative setting. We compared 3 common scoring systems: (1) the Montreal Cognitive Assessment; (2) the Mini-Cog; and (3) the Libon scale. Three novice raters acquired interrater and intrarater reliability for each scoring system and the... |
Accuracy, alarm limits and rise times of 12 oxygen analysers | The Comité Européen de Normalisation recently proposed a new standard for‘the particular requirements of oxygen monitors for medical use’. The feasibility of this proposed standard was tested in respect of (1) accuracy of alarm activation (2) accuracy of oxygen display value during both continuous and cyclical gas flow... |
An epidural injection simulator | The construction and function of a teaching aid for the insertion of epidural injections is described. Copyright © 1990, Wiley Blackwell. All rights reserved |
Educating Anesthesiologists During the Coronavirus Disease 2019 Pandemic and Beyond | The coronavirus disease 2019 (COVID-19) pandemic has altered approaches to anesthesiology education by shifting educational paradigms. This vision article discusses pre-COVID-19 educational methodologies and best evidence, adaptations required under COVID-19, and evidence for these modifications, and suggests future di... |
A Practical Guide for Anesthesia Providers on the Management of Coronavirus Disease 2019 Patients in the Acute Care Hospital | The coronavirus disease 2019 (COVID-19) pandemic has infected millions of individuals and posed unprecedented challenges to health care systems. Acute care hospitals have been forced to expand hospital and intensive care capacity and deal with shortages in personal protective equipment. This guide will review 2 areas w... |
Aid to developing countries | The Council of the Association has given instructions that part of the Sub‐Committee's report sub‐titled ‘Britain's Contribution’ should be published in ‘Anæsthesia’. Copyright © 1967, Wiley Blackwell. All rights reserved |
Critical incident reporting in an anaesthetic department quality assurance programme | The critical incident technique was introduced as an additional form of quality assurance to an anaesthetic department of a major Hong Kong teaching hospital. In one year, 125 critical incidents were reported from over 16000 anaesthetics. The most common incidents reported concerned the airway, breathing systems, and d... |
Anaesthesia at King Edward VIII Hospital, Durban, South Africa | The cultural and medical background to the practice of the department of anaesthetics is reviewed Copyright © 1981, Wiley Blackwell. All rights reserved |
The Cyclops 33 radiation thermometer: An appraisal for use in anaesthesia | The Cyclops 33 is a portable infrared radiation thermometer. It has many potential advantages over existing thermometers in anaesthetic practice. The technical details are described and the benejits over other instruments discussed. This apparatus offers considerable scope for advance in the field of thermometry in ana... |
Customer focused incident monitoring in anaesthesia | The database of incident forms relating to anaesthesia services in an institutional risk management programme were reviewed for 2003-2005, the aim being to identify any recurring patterns. Incidents were prospectively categorised as relating to attitude/behaviour, communication breakdown, delay in service, or were rela... |
Trends in the financial status of United States anesthesiology training programs: 2000 to 2004 | The decrease in resident applicants for United States (U.S.) anesthesiology training programs in the mid-1990s has resulted in a national anesthesiologist shortage. This shortage has been associated with increased salaries for anesthesiologists in academic institutions. Salary increases have placed the financial condit... |
The anaesthetist and the obstetric flying squad: Could complacency creep in? | The demands made upon the Bristol obstetric flying squad over the past 14 years have been analysed. During this period, the number of calls received per year has decreased dramatically. The reasons for this are discussed in the context of current obstetric practice. The management of retained placenta is reviewed. Of i... |
A rapid-response U.V. Halothene meter | The design and performance characteristics of an instrument for monitoring halothene concentrations which operates on the principle of the absorpotion of u.v.light are described. The innovation is that the entire exhaled breath passes through the sample cell, enabling the breath-by-breath halothene concentration to be ... |
Calibration atmosphere generator for operating theatre pollution studies: A system for the controlled production of trace concentrations of inhalation anaesthetics | The design and performance of an apparatus for producing accurately known trace concentrations of anaesthetic agents in air is described. The generator was constructed to facilitate the testing and calibration of equipment used in measuring the personal exposure of operating theatre staff to waste anaesthetic gases, an... |
A history of anaesthetic rooms | The development of anaesthetic induction rooms since 1860 to the present day is outlined. Copyright © 1989, Wiley Blackwell. All rights reserved |
Effect of palpable vs. impalpable cricothyroid membranes in a simulated emergency front-of-neck access scenario | The Difficult Airway Society 2015 guidelines recommend and describe in detail a surgical cricothyroidotomy technique for the can't intubate, can't oxygenate (CICO) scenario, but this can be technically challenging for anaesthetists with no surgical training. Following a structured training session, 104 anaesthetists to... |
Litigation related to anaesthesia: An analysis of claims against the NHS in England 1995-2007 | The distribution of medico-legal claims in English anaesthetic practice is unreported. We studied National Health Service Litigation Authority claims related to anaesthesia since 1995. All claims were reviewed by three clinicians and variously categorised, including by type of incident, claimed outcome and cost. Anaest... |
John Snow MD—his early days | The early background of John Snow is examined on the basis of some contemporary evidence. His birthplace, baptism and early schooling are recorded. Copyright © 1984, Wiley Blackwell. All rights reserved |
Laryngeal mask airway insertion: A comparison of the standard versus neutral position in normal patients with a view to its use in cervical spine instability | The ease of insertion of the laryngeal mask airway with the patient's head in the standard position and the neutral position was compared, in a study of 80 healthy patients. Successful insertion was assessed byfibreoptic bronchoscopy and the functioning of the airway. In terms of function the successful insertion rate ... |
The occupational hazard of human immunodeficiency virus and hepatitis B virus infection: II. Effect of grade, age, sex and region of employment on perceived risks and preventive measures adopted by anaesthetists | The effect of grade, age, sex and region of employment on the attitude of anaesthetists to the possible risk of Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV) infection and the measures adopted to minimise the risk were assessed. As a group, anaesthetists in training were more concerned than consultants... |
Interaction between atracurium and drugs used in anaesthesia | The effects of various drugs used during anaesthesia on the neuromuscular blocking activity of atracurium have been studied in anaesthetized cats. Clinically effective doses of diazepam, morphine, pentazocine, pethidine, ketamine, Althesin, methohexitone, Septrin, lignocaine, propranolol, calcium chloride or azathiopri... |
Efficiency of airway heat and moisture exchangers in anesthetized humans | The efficiencies of airway heat and moisture exchanging filters in reducing respiratory water losses and increasing airway temperatures during general anesthesia were studied in five tracheally intubated patients given isoflurane, nitrous oxide, and oxygen anesthesia during controlled ventilation. Filters (Humid-Vent F... |
The reliability of quantitative electroencephalography as an indicator of cerebral ischemia | The electroencephalogram (EEG) has been used to detect episodes of cerebral ischemia during various surgical procedures. Recently, computerized system for recording and interpreting the quantitative EEG (QEEG) have been used by anesthesiologists because of their ease of application, clarity of display, and reported abi... |
Impact of the European Working Time Directive on the training of paediatrics anaesthetists | The European Working Time Directive and the New Deal have decreased the number of hours worked by anaesthetic trainees. We implemented the Working Time Directive in May 2004 and evaluated the effect of its implementation on training. During two 6-month periods, one before and one after the change, we determined the num... |
Performance evaluation: Continuous lumbar epidural anesthesia skill test | The evaluation of skills in anesthesiology residents is usually subjective and lacks demonstrable reliability. Therefore, an objective criterion-referenced skill test for measuring performance of continuous lumbar epidural anesthesia was developed. For such a test to be useful, it is necessary to demonstrate agreement ... |
The Anesthesiology Milestones 2.0: An Improved Competency-Based Assessment for Residency Training | The evolution of medical education, from a time-based to a competency-based platform, began nearly 30 years ago and continues to slowly take shape. The development of valid and reproducible assessment tools is the first step. Medical educators across specialties acknowledge the challenges and remain motivated to develo... |
Advanced trauma life support: A time for reappraisal | The experience of Advanced Trauma Life Support training received by three anaesthetists is discussed with particular reference to the teaching of airway management, the grade of staff who should attend the present courses and the relevance to the British hospital system. We conclude that these courses are useful but li... |
Where is T5? A survey of anaesthetists | The extent of a regional block for Caesarean section must be tested and documented before surgery commences. In recent years a block to 'touch' that includes T5 has increasingly been considered the best predictive test for a pain-free Caesarean section. Our survey examines the consistency with which different anaesthet... |
The Association of Anaesthetists of Great Britain and Ireland 1932–82 | The first 50 years (1932–82) of the existence of the Association of Anaesthetists of Great Britain and Ireland are described and its progress, organisation and future aspirations are explored. Copyright © 1982, Wiley Blackwell. All rights reserved |
A national survey of practical airway training in UK anaesthetic departments. Time for a national policy? | The Fourth National Audit Project (NAP4) recommended airway training for trainee and trained anaesthetists. As the skills required for management of airway emergencies differ from routine skills and these events are rare, practical training is likely to require training workshops. In 2013, we surveyed all UK National H... |
Cases relating to anaesthetists handled by the UK General Medical Council in 2009: Methodological approach and patterns of referral | The General Medical Council is the regulatory body charged with maintaining standards in the medical profession in the UK. We analysed cases relating to anaesthetists handled in 2009 using fitness-to-practise data, comparing them with the profession as a whole and examining patterns of referral. Complaints were made ab... |
Building a large-scale perioperative anaesthesia outcome-tracking database: Methodology, implementation, and experiences from one provider within the German quality project | The German Society of Anaesthesiology and Intensive Care Medicine evaluates voluntary, standardized, everyday, perioperative anaesthesia outcome measures. A standard minimal data set is collected for national benchmarking. This article reviews the implementation of a data acquisition system in one academic centre that ... |
The impact of minor perioperative anesthesia-related incidents, events, and complications on postanesthesia care unit utilization | The German Society of Anesthesiology and Intensive Care Medicine evaluates the standardized and routine reporting of perioperative anesthesia- related incidents, events, and complications (IEC). As part of the long-term project's definitions, IECs are graded according to severity and to their clinical consequence on fu... |
An analysis of scholarly productivity in United States academic anaesthesiologists by citation bibliometrics | The h-index is used to evaluate scholarly productivity in academic medicine, but has not been extensively used in anaesthesia. We analysed the publications, citations, citations per publication and h-index from 1996 to date using the Scopus® database for 1630 (1120 men, 510 women) for faculty members from 24 randomly s... |
References to anesthesia, pain, and analgesia in the hippocratic collection | The Hippocratic Collection, containing 60 medical texts by Hippocrates and his pupils, was searched using the electronic database Thesaurus Lingua Graeca to identify the words "anaesthesia" and "analgesia," their derivatives and also words related to pain. Our purpose was to investigate the special use and meaning of t... |
The current status of pulse oximetry: Clinical value of continuous noninvasive oxygen saturation monitoring | The history of the development of pulse oximetry is outlined and the principle of how the apparatus works is described. The instrument detects hypoxic hypoxia and the shape of the oxygen dissociation curve means that the minimum saturation alarm should be set at 94% in anaesthetic usage. It is accurate to within 2% and... |
Franz Kuhn: His contribution to anaesthesia | The history of tracheal intubotion has been described before, but earlier accounts have overlooked several aspects and, in particular, the part played by Kuhn, who also deserves to be recognised for a number of other original contributions to anaesthesia. Copyright © 1985, Wiley Blackwell. All rights reserved |
Humidity of the Bain and circle systems reassessed | The humidity outputs of the Bain circuit, a traditional non-coaxial Mapleson D system, and a circle system with and without a soda lime absorber were evaluated in a laboratory model simulating a 70-kg subject. The breathing systems were tested with tidal volumes of 0.35 and 0.70 L and frequencies of 10-20 breaths/min t... |
Changes in hardness and resilience of i-gel TM cuffs with temperature: a benchtop study | The i-gel TM is a supraglottic airway with a gel-like thermoplastic cuff. It has been suggested that the seal around the larynx improves following insertion. Perhaps the most intuitive hypothesis proposed for this is that cuff softening occurs during warming from ambient to body temperature. We investigated this using ... |
Evaluation of M43B Lumbar puncture simulator-II as a training tool for identification of the epidural space and lumbar puncture | The identification of the epidural space, insertion of an epidural catheter and lumbar puncture are advanced technical skills that can be challenging to teach to novice anaesthetists. The M43B Lumbar puncture simulator-II (Limbs & Things Ltd., Sussex Street, Bristol, UK) is a teaching aid designed for epidural and spin... |
Historical note: Snow, Empson and the Barkers of Bath. | The identity of the artist who painted the well-known portrait of John Snow has been established. It has been discovered that the painting was exhibited at the Royal Academy of Arts, London in 1847. |
Equipment and strategies for emergency tracheal access in the adult patient | The inability to maintain oxygenation by non-invasive means is one of the most pressing emergencies in anaesthesia and emergency care. To prevent hypoxic brain damage and death in a 'cannot intubate, cannot oxygenate' situation, emergency percutaneous airway access must be performed immediately. Even though this emerge... |
Blood contamination of anaesthetic and related staff | The incidence of skin contamination of anaesthetic and related staff by patient's blood and saliva was studied during 270 anaesthetics in Cardiff hospitals over seven continuous days in October 1989. A survey was also made of current Hepatitis B immunisation status and glove‐wearing habits of 75 anaesthetists. Blood fr... |
Safety in anaesthesia: A study of 12 606 reported incidents from the UK National Reporting and Learning System | The incident reporting database at the National Patient Safety Agency was interrogated on the nature, frequency and severity of incidents related to anaesthesia. Of 12 606 reports over a 2-year period, 2842 (22.5%) resulted in little harm or a moderate degree of harm, and 269 (2.1%) resulted in severe harm or death, wi... |
Adherence to guidance on registration of randomised controlled trials published in Anaesthesia | The International Committee of Medical Journal Editors recommends the prospective registration of interventional clinical trials. We aimed to assess the compliance with these guidelines for manuscripts submitted to and published by a single anaesthetic journal. We examined the rates of prospective trial registration, t... |
Patient information about general anaesthesia on the internet | The internet is a frequently consulted source of health information. Using the Google search engine, we searched for patient information about general anaesthesia on the world wide web, using four synonyms of the term in four languages and analysing the top 20 results. Of the 320 search results, 104 (32%) contained rel... |
Anaesthesia and the Internet | The Internet is a network of computers that allows rapid transfer of information throughout the world. The number of medical, and particularly anaesthetic, resources is rapidly increasing. This article briefly describes the Internet and its features which maybe of interest to anaesthetists and intensivists in the Unite... |
Differences between patients’ and clinicians’ research priorities from the Anaesthesia and Peri-operative Care Priority Setting Partnership | The James Lind Alliance Anaesthesia and Peri-operative Care Priority Setting Partnership was a recent collaborative venture bringing approximately 2000 patients, carers and clinicians together to agree priorities for future research into anaesthesia and critical care. This secondary analysis compares the research prior... |
Evaluation of the Lamtec anaesthetic agent monitor | The Lamtec agent monitor is a compact anaesthetic analyser designed to measure halothane, isoflurane and enflurane. It shows good linearity and stability. The faster model can be used for end‐tidal measurements up to 25 breaths per minute. Calibration using a standard of the gas to be measured is recommended. Copyright... |
Using psychometric ability to improve education in ultrasound-guided regional anaesthesia: a multicentre randomised controlled trial | The learning curve for novices developing regional anaesthesia skills, such as real-time ultrasound-guided needle manipulation, may be affected by innate visuospatial ability, as this influences spatial cognition and motor co-ordination. We conducted a multinational randomised controlled trial to test if novices with l... |
Learning manual skills in anesthesiology: Is there a recommended number of cases for anesthetic procedures? | The learning process is a multidimensional function with a wide intra- and interindividual scattering. To determine the learning process in anesthesia, we evaluated 11 first-year residents according to their rate of success or failure when applying manual anesthesiological skills, such as performance of spinal, epidura... |
Ambition for Self and for Specialty: Emery A. Rovenstine and the Politics of Organized Anesthesia, 1937-1947 | The letters between Emery Andrew Rovenstine, MD (1895-1960), and Arthur Ernest Guedel, MD (1883-1956), are a window into the personalities and politics of the creation of American anesthesiology. The ambition of these men, both personal and professional, lay at the heart of their sacrifices and successes. Their corresp... |
Guidelines for safe transfer of the brain-injured patient: trauma and stroke, 2019: Guidelines from the Association of Anaesthetists and the Neuro Anaesthesia and Critical Care Society | The location of care for many brain-injured patients has changed since 2012 following the development of major trauma centres. Advances in management of ischaemic stroke have led to the urgent transfer of many more patients. The basis of care has remained largely unchanged, however, with emphasis on maintaining adequat... |
Spinal cord injuries: A review of the problems facing the anaesthetist | The major problems of spinal cord injuries which may involve an anaesthetist are described. The mechanisms of injury, the results and pathophysiology together with some aspects of management are reviewed. Copyright © 1982, Wiley Blackwell. All rights reserved |
Status of the match in anesthesiology: 1988 | The majority of anesthesia program directors agreed 2 years ago to use the National Resident Matching Program (NRMP) as the mechanism for appointing senior medical students to second postgraduate year positions in anesthesiology. Eighty-seven applicants for the Mayo Clinic program were surveyed to measure the level of ... |
Survey of arrangements for anaesthesia for interventional neuroradiology for aneurysmal subarachnoid haemorrhage | The management of patients with subarachnoid haemorrhage following rupture of an intracranial aneurysm is changing. The recent introduction of endovascular occlusion of the aneurysm using detachable coils offers an alternative to craniotomy and clipping of the aneurysm for the prevention of recurrent aneurysmal haemorr... |
Medical education of foreign physicians in the United States | The mass migration of foreign physicians to the United States of America is the result of national and international conditions with unfilled educational positions in hospitals serving as the major means of entry. No hospital training exists in the United States having as its sole intent the education of foreign physic... |
Error grid analysis for arterial pressure method comparison studies | The measurement of arterial pressure (AP) is a key component of hemodynamic monitoring. A variety of different innovative AP monitoring technologies became recently available. The decision to use these technologies must be based on their measurement performance in validation studies. These studies are AP method compari... |
Anaesthetists and the Common Market | The Medical Directives of the E.E.C. are now in force. Those relating to basic registration and specialist registration in anaesthesia are considered. Problems arising from the implementation of these Directives are discussed together with their impact on British anaesthetists wishing to work in other E.E.C. States as ... |
Issues of concern for the aging anesthesiologist | The medical specialty of anesthesiology has the potential to provide great benefit and great harm to the anesthesiologist, as well as the patient. The process of aging imparts some definite advantages and some disadvantages to a practicing anesthesiologist. From a purely biologic perspective, aging is associated with a... |
The Mental Capacity Act 2005 - Implications for anaesthesia and critical care | The Mental Capacity Act 2005 is due to come into force in April 2007. The Act provides a protective statutory framework for decision-making on behalf of incompetent adults, representing, in the main, a codification of the common law that had already developed in this area. For example, 'advance decisions' are now given... |
Researches regarding the morton ether inhaler at massachusetts general hospital, boston | The Morton ether inhaler in the possession of Massachusetts General Hospital, Boston, MA, was traced back to 1906 when the earliest known photograph of it was published. The authors believe that the inhaler was given by William T. G. Morton, MD, to J. Mason Warren, MD, in January 1847. The inhaler was acquired by the W... |
A Primer on Population Health Management and Its Perioperative Application | The movement toward value-based payment models, driven by governmental policies, federal statutes, and market forces, is propelling the importance of effectively managing the health of populations to the forefront in the United States and other developed countries. However, for many anesthesiologists, population health... |
Analysis of the distribution and scholarly output from National Institute of Academic Anaesthesia (NIAA) research grants | The National Institute of Academic Anaesthesia (NIAA) was founded in 2008 to lead a UK strategy for developing academic anaesthesia. We aimed to assess the distribution of applications and quantify the academic returns of NIAA-supported research grants, as this has hitherto not been analysed. We sought data on the base... |
The use of a human patient simulator in the evaluation of and development of a remedial prescription for an anesthesiologist with lapsed medical skills | The New York State Society of Anesthesiologists' Committee on Continuing Medical Education and Remediation has been charged by the Office of Professional Medical Conduct of the New York State Department of Health to develop a remediation program for individuals ordered into retraining. We describe the development of an... |
Occupational exposure to anaesthetics in 20 hospitals | The nitrous oxide and halothane contamination in the inspired air of anaesthetists and in the atmospheres of operating theatres, anaesthetic induction and recovery rooms, were measured during normal unmodified working sessions in 20 hospitals using integrated personal samplers. The nitrous oxide (and halothane) levels ... |
Non-zero basal oxygen flow a hazard to anesthesia breathing circuit leak test | The non-zero basal flow (BF) of oxygen in anesthesia machines has been set to supply the basal metabolic requirement of oxygen. However, there is no scientific evidence of its necessity. In this study we sought to clarify whether non-zero BF affects leak detection during preanesthetic inspections. Twenty-five participa... |
Attitudes of anesthesiology residents toward critical care medicine training | The number of anesthesiology residents pursuing critical care medicine (CCM) fellowship training has been decreasing in recent years. A significant number of training positions remain unfilled each year. Possible causes of this decline were evaluated by surveying residents regarding their attitudes toward practice and ... |
Citation Classics in Anesthetic Journals | The number of citations an article receives after its publication reflects its recognition in the scientific community. In the present study, therefore, we identified and examined the characteristics of the top 100 most frequently cited articles published in anesthetic journals. These articles were identified using the... |
Anaesthetic staffing in England and Wales | The numbers of anaesthetists and of surgeons in the English Health Regions and in Wales as at September 1978, are given in whole‐time equivalents per 100,000 of population. All Regional figures are presented as percentages of the national average so that comparisons between Regions can be made. Marked inter‐Regional di... |
The effect of metrics-based feedback on acquisition of sonographic skills relevant to performance of ultrasound-guided axillary brachial plexus block | The objective of this study was to examine the effect of metrics-based vs. non-metrics-based feedback on novices learning predefined competencies for acquisition and interpretation of sonographic images relevant to performance of ultrasound-guided axillary brachial plexus block. Twelve anaesthetic trainees were randoml... |
Undergraduate teaching: a developing country experience | The objectives and programme of instruction for medical students in the University of Lagos are described. The reactions of 144 students to the course were assessed by a detailed questionnaire. AH the students expressed a preference for instructional simulation to teaching in an operating theatre. Twenty per cent indic... |
The Ohmeda Rascal II: A new gas analyser for anaesthetic use | The Ohmeda Rascal II is a multigas analyser and pulse oximeter for dedicated anaesthetic use. It uses the Raman scattering of laser light to identify and quantify oxygen, nitrogen, carbon dioxide, nitrous oxide and three volatile anaesthetic agents. Its response times equal or better the published response times of inf... |
Development of a preoperative patient clearance and consultation screening questionnaire | The optimal timing of the preanesthesia evaluation varies with the patient's comorbidities. As anesthesiologists assume a broader role in perioperative care, there may be opportunities to provide additional patient management beyond historical routine anesthesia services. This study was thus undertaken to survey our in... |
An American approach to anaesthesia research and a British perspective | The organisation of research in the Department of Anesthesiology at the University of Michigan is described and the comments of a British Senior Registrar working within the system are recorded. Copyright © 1981, Wiley Blackwell. All rights reserved |
The Wood Library-Museum's 1858 edition of John Snow's On Chloroform and Other Anaesthetics | The original 1858 edition of John Snow's On Chloroform and Other Anaesthetics, from which came the Wood Library-Museum of Anesthesiology reprints in 1971 and 1989, was donated to the Wood Library-Museum by Ralph Waters of Madison, Wisconsin, in 1967. The book contains a message of appreciation to Waters, dated October ... |
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