Title stringlengths 11 422 | Abstract stringlengths 130 3.94k |
|---|---|
John Snow: Anesthesiologist, Epidemiologist, Scientist, and Hero | A 19th century physician was crucial to the establishment of 2 medical specialties-anesthesiology and public health. Everyone whose interest in public health has increased in the last year will be amazed at Dr John Snow's career in anesthesiology. Those who recognize him as the first full-time physician anesthetist wil... |
Effects of laryngoscope handle light source on the light intensity from disposable laryngoscope blades | A bench-top study was performed to assess the effects of different laryngoscope handles on the light intensity delivered from disposable metal or plastic laryngoscope blades. The light intensity from both the handle light sources themselves and the combined handle and laryngoscope blade sets was measured using a custom... |
Fires and explosions with compressed gases: Report of an accident | A case of near-fire with resultant burns to an anaesthetist is reported. This happened upon opening the regulator valve of an oxygen cylinder which probably had been contaminated with liquid paraffin. Possible mechanisms of the accident is discussed. © 1965 John Sherratt and Son Ltd. |
Comparison of invasive and non-invasive measurement of continuous arterial pressure using the finapres | A comparison was made of arterial pressures measured invasively from a radial arterial cannula and non-invasively from the middle finger using the 2300 Finapres (Ohmeda) during induction and maintenance of anaesthesia. Digital outputs of both pressures were captured directly onto computer hard disk; data recorded durin... |
Teaching the uptake and distribution of halothane: A computer simulation program | A computer aided learning program for teaching the kinetics of uptake and distribution of the inhalational anaesthetic halothane is described. The program is based on a seven‐compartment model which simulates the action of halothane on ventilation and on the cardiovascular system. The program is available to the studen... |
A system for storage of references. A method of storage and retrieval of references on a personal microcomputer | A computer program, written in BBC BASIC, for storage and retrieval of literature references on a personal microcomputer Jilted with floppy disc drives is described. The storage capacity is 425 references per 100K disc. A versatile search function allows ready access to references by matching any number of combinations... |
A computer-assisted preanesthesia interview: Value of a computer-generated summary of patient's historical information in th preanesthesia visit | A computer-assisted preanesthesia historical interview and a computer-generated summary have been developed as an aid for preanesthesia rounds. Using a video monitor and a keyboard computer terminal, patients were questioned regarding previous medical, surgical, and anesthetic history, medications, allergies, and other... |
Nitrous oxide in Bristol in 1836: A series of lectures by William Herapath (1796–1868) | A course of lectures, given by William Herapath in Bristol in 1836, during which nitrous oxide was administered on six occasions, is described. 1983 The Association of Anaesthetists of Great Britain and Ireland |
Declining proportion of publications by American authors in major anesthesiology journals | A decline in the proportion of articles published by American authors in medical journals has been reported. We therefore sought to determine whether the contributions of authors from the United States to the three leading anesthesia journals changed between the years 1980 to 2000. The journals Pain, Anesthesiology, an... |
A near disaster from piped gases | A defect in a piped medical gas supply resulted in a patient developing cyanosis. The following investigation revealed several faults which are discussed. Copyright © 1984, Wiley Blackwell. All rights reserved |
Anaesthetic equipment for a developing country | A development aid project to Malawi is described. This involved the development of a suitable anaesthetic machine for use in underdeveloped countries and the selection of a suitable oxygen concentrator to provide it with air and oxygen. All government hospitals were provided with anaesthetic equipment and personnel wer... |
Evaluation of a device for the measurement of the evoked tensions of the rectus abdominis muscle | A device was developed to measure the evoked tensions of the rectus abdominis muscle which consisted of a fluid‐filled reservoir wedged between the rectus abdominis muscle and a self‐retaining retractor. The evoked contractions of the rectus muscle were compared with that of the tibialis anterior muscle in twelve dogs ... |
Diazepam as an adjunct in propanidid anaesthesia for abortion | A double-blind study of the effects of diazepam as an adjuvant to propanidid anaesthesia for legal abortion has shown that the incidence of nausea and vomiting was significantly reduced as a result of giving diazepam, and that, in general, the conditions of anaesthesia were more acceptable with diazepam. The diazepam g... |
Tracking the early acquisition of skills by trainees | A form of sequential analysis has been developed to track performance of tracheal intubation by novice intubators. One hundred and nineteen trainees completed logbooks during their attachment to the Departments of Anaesthesia and these data were used to produce rates of success for sequential attempts at the procedure.... |
Pre‐registration house surgeons: A questionnaire study of anaesthesia–related knowledge and approach to pre‐operative investigations | A group of newly qualified preregistration House Officers completed a questionnaire relating to their knowledge of anaesthetic drugs and to their appreciation of complications which may, in whole or in part, have required some knowledge of anaesthesia. Considerable gaps in knowledge were demonstrable, not only in matte... |
Nikolay Ivanovich Pirogov: A surgeon's contribution to military and civilian anaesthesia | A key figure in the development of anaesthesia in Russia was the surgeon Nikolay Ivanovich Pirogov (1810-1881). He experimented with ether and chloroform and organised the general introduction of anaesthesia in Russia for patients undergoing surgery. He was the first to perform systematic research into anaesthesia-rela... |
Assessment of a hygroscopic heat and moisture exchanger for paediatric use | A laboratory study of a widely available heat and moisture exchanger marketed for paediatric use was undertaken. The deadspace, measured by volume displacement, was 12 ml, similar to that of a standard catheter mount for paediatric use. Pressure drop across the device was measured at several different flows in five sam... |
Measurement of low concentrations of halothane in the atmosphere using a portable detector | A Leakmeter, available from Analytical Instruments Limited, designed for detection of low concentrations of volatile halogenated hydrocarbons in industrial situations, proved suitable for measurements of halothane in the atmosphere. The Leakmeter consists of three components, an electron capture detector housed within ... |
Closed circuit anaesthesia: A new approach | A logical development of the closed circuit is described, from a basic resuscitation device, through various modifications, to a circle system incorporating an oxygen demand valve, adsorbers for both carbon dioxide and halothane, and some specific safety features. The behaviour of the circuits has been investigated in ... |
The gas chromatographic estimation of halothane en blood using electron capture detector unit | A method for quantitative estimation of low concentrations of halothane in blood by gas chromatography and electron capture detection has been described. The mean recovery of halothane from blood in the range of 7.10-26.12 mg/100 ml was 96.98% (SD 227). The mean of the standard deviations of duplicate extractions was 0... |
A modified Dawkins epidural indicator: A useful teaching aid | A modified Dawkins epidural indicator may be assembled with inexpensive, disposable, sterile components found in any American hospital. It consists of the barrel of a standard tuberculin or 1-cc (long) insulin syringe which is attached to a 3-way plastic stopcock, which in turn is attached to the hub of the epidural ne... |
Hydrodynamic evaluation of a new anaesthetic gas scavenging system | A new anaesthetic gas scavenging system is described. The resistence of the system appears to below. When input gas flow rate in the system was zero or 150 litre min-1, misuse of the system produced pressure changes at its collecting points of 26 Pa subatmospheric and 630 Pa above atmospheric pressure, respectively. Su... |
Vitrectomy: a new challenge for the anesthesiologist | A new surgical procedure, vitrectomy, for the alleviation of blindness caused by previously intractable vitreous disease, is described. Special demands of vitrectomy upon the anesthesiologist are enumerated. Problems presented by a patient population, 83% of whom suffered from severe diabetes mellitus and/or hypertensi... |
Special Article: Howard Dittrick: curator to the McMechans' legacy journal. | A noted medical historian and museum curator, Canadian American Howard Dittrick was a Cleveland gynecologist who served as Directing Editor of Current Researches in Anesthesia and Analgesia (1940-1954). In the aftermath of World War II, even after Congresses of Anesthetists had resumed, Dittrick and his editorial board... |
Statistical Process Control: No Hits, No Runs, No Errors? | A novel intervention or new clinical program must achieve and sustain its operational and clinical goals. To demonstrate successfully optimizing health care value, providers and other stakeholders must longitudinally measure and report these tracked relevant associated outcomes. This includes clinicians and perioperati... |
Comparison of four different display designs of a novel anaesthetic monitoring system, the 'integrated monitor of anaesthesia (IMA)'. | A novel monitoring system (integrated monitor of anaesthesia, IMA) which integrates three components of general anaesthesia on one single display was developed. The focus of this study was to evaluate the performance and user-friendliness of four different display designs. Four interface displays of the IMA were develo... |
Consensus statement on perioperative use of neuromuscular monitoring | A panel of clinician scientists with expertise in neuromuscular blockade (NMB) monitoring was convened with a charge to prepare a consensus statement on indications for and proper use of such monitors. The aims of this article are to: (a) provide the rationale and scientific basis for the use of quantitative NMB monito... |
Evaluation of a computer simulation program for teaching halothane uptake and distribution | A pilot evaluation of a simulation program used during a tutorial for the teaching of uptake and distribution of the inhalational anaesthetic halothane shows a highly significant improvement in the students' answers after the tutorial using a ‘before and after’ questionnaire. The students showed an understanding of the... |
A constant current peripheral nerve stimulator (neurostim t4): Description, and evaluation in volunteers | A pocket-size, battery-powered peripheral nerve stimulator featuring a calibrated constant current floating output (max. 80 mA) was evaluated in unanaesthetized volunteers. Modes of stimulation included continuous 1 Hz, continuous train-of-four every 15 s, and on-demand tetanus (50 Hz per 5 s). Within the limits of 0-2... |
Continuing medical education by anaesthetists in Scotland: Activities, motivation and barriers | A postal questionnaire survey was carried out to determine the activities, motivation and barriers to continuing medical education amongst career grade anaesthetists in Scotland. Four hundred and ten consultants and 49 non-consultant career grade anaesthetists were surveyed with a response rate of 84.5%. All respondent... |
The current practice of tracheostomy in the United Kingdom: A postal survey | A postal questionnaire was sent to 228 intensive care units throughout the United Kingdom to determine aspects of current tracheostomy practice. From the number of units responding (n = 178, 78%), the majority (n = 173, 97%) practised percutaneous tracheostomy as opposed to open surgical tracheostomy. The Blue Rhino si... |
A survey of paediatric dental anaesthesia in Scotland | A postal survey of NHS hospital-based anaesthetists providing out-patient anaesthesia for dental procedures in children under 10 years of age was conducted in February 1999. Information was sought about quality of care and common practice in Scotland. The experience of the anaesthetists involved in such work was substa... |
The use of anaesthetic rooms for induction of anaesthesia: A postal survey of current practice and attitudes in Great Britain and Northern Ireland | A postal survey was sent to all anaesthetic departments in the UK to identify current practice and gain insight into anaesthetists' attitudes regarding the use of anaesthetic rooms for induction of general anaesthesia. Replies were received from 247 (88%) departments. Of these, 10 (4%) departments routinely anaesthetis... |
Job satisfaction, stress and burnout in Australian specialist anaesthetists | A postal survey was sent to specialist anaesthetists in Australia looking at aspects of job satisfaction, dissatisfaction and stress. Burnout was measured using the Maslach Burnout Inventory. The response rate was 60% (422/700) with the majority of respondents being male (83%). Stressful aspects of anaesthesia included... |
A postoperative analysis of the patient's view of anaesthesia in a Netherlands’ teaching hospital | A postoperative questionnaire was used in 129 patients who had undergone a wide range of surgical procedures in order to investigate their personal experience of anaesthesia. The most frequent complaints were of feeling cold on waking up, sore throat, vomiting and muscle pains, all of which are capable of reduction by ... |
Unexpected, difficult laryngoscopy: A prospective survey in routine general surgery | A prospective study of unexpected, difficult laryngoscopy was carried out. During a 7-month period, all general surgery patients in whom the trachea was intubated were assessed; only those with obvious neck pathology were excluded. Ease or difficulty of laryngoscopy was graded by a standard method. There were no grade ... |
An analysis of critical incidents in a teaching department for quality assurance A survey of mishaps during anaesthesia | A prospective survey was conducted from April 1984–January 1985 and April 1985–January 1986 to study the frequency of critical incidents and factors associated with them. Eighty‐six mishaps were reported in the first period, the majority of which were because of human error (80.3%);the must common were the transmission... |
A combined oxygen concentrator and compressed air unit: Assessment of a prototype and discussion of its potential applications | A prototype combined oxygen concentrator and air compressor is described. Laboratory assessment demonstrated satisfactory oxygen concentrations, flows, pressures and reliability. Its various modes of use in clinical practice are described. It is likely to be a valuable method to provide oxygen for anaesthesia both in r... |
Experiences and attitudes of consultant and nontraining grade anaesthetists to continuing medical education (CME) | A questionaire survey was sent to 164 consultant anaesthetists with the aim of investigating their experiences and attitudes to continuing medical education. The response rate was 79%. Most anaesthetists were motivated to achieve the required number of credits and for the majority of anaesthetists, regional, national a... |
Intensive care in England and Wales: A survey of current practice, training and attitudes | A questionnaire circulated to members of the Intensive Care Society in England and Wales brought 101 replies, representing 74 hospitals, including 16 teaching hospitals. Anaesthesia is the dominant specialty in this field and the majority of general units included in this survey are staffed and directed by consultants ... |
The role of anaesthetists as seen by nurses in training | A questionnaire designed to assess knowledge and altitudes towards the anaesthetist and his work was distributed to 320 nurses in training. The results of the survey are presented and discussed. Copyright © 1983, Wiley Blackwell. All rights reserved |
Use of adrenaline in obstetric analgesia | A questionnaire on the use of adrenaline in obstetric analgesia was completed by 87 obstetric anaesthetists: 71% of consultants in teaching hospitals were prepared to use adrenaline mixed with local anaesthetics compared with 33% of consultants in district hospitals; they had a similar duration of obstetric anaesthetic... |
Are you getting the message? A look at the communication between the Department of Health, manufacturers and anaesthetists | A questionnaire sent to 109 anaesthetists in the South West Region has revealed that there is a problem with dissemination of information relating to hazards with equipment. Thirty‐four per cent of consultants, and 67% of junior anaesthetists were only slightly or not at all confident that they see the Hazard Notices a... |
Anaesthetists' attitudes to teamwork and safety | A questionnaire survey was conducted with 222 anaesthetists from 11 Scottish hospitals to measure their attitudes towards human and organisational factors that can have an impact on effective team performance and consequently on patient safety. A customised version of the Operating Room Management Attitude Questionnair... |
Dissemination of fibreoptic airway endoscopy skills by means of a workshop utilizing models | A questionnaire was mailed to 182 attendees of four practical workshops on fibreoptic endoscopy. After the workshops, 35% of the attendees were able to introduce fibreoptic intubation into their clinical practice or improve their success rate. This suggests that a new psychomotor skill can be disseminated effectively t... |
A national survey of ICU consultant working practices at weekends | A questionnaire was sent to all Intensive Care Society linkmen to investigate weekend working arrangements on Intensive Care Units (ICU) in the United Kingdom. In all, 87 responses revealed that the average consultant covering ICU at weekends works a 1 in 6 rota, is responsible for 10 beds, works 8-9 h a day and receiv... |
Training in intensive care: A questionnaire to trainees | A questionnaire was sent to senior registrars in General Medicine and Anaesthesia enquiring into the amount of training they received in Intensive Therapy and their attitudes to this in the light of their expectations for a consultant post. The results suggest that training is inadequate and that trainees are dissatisf... |
Optimal shape of the laryngeal mask cuff: The influence of three deflation techniques | A randomised, single-blinded, controlled trial was conducted to determine if a new laryngeal mask deflation tool offered any advantages over manual or free deflation. Ten laryngeal mask airways were tested and the deflation tool provided a significantly superior and more consistent shape than either hand manipulation o... |
Obstetric anaesthetic services in Scotland in 1982 | A recent survey of Scottish obstetric anaesthesia practice revealed that the majority of deliveries take place in the larger hospitals; these also have the highest epidural rates, both for relief of pain in labour and for Caesarean section. However, as epidural blockade is an essential part of modern obstetric practice... |
Rheology and anesthesiology | A review of blood rheology with special emphasis on its applications in anesthesiology is presented. The rheological behavior of blood is determined by 2 variables, non-Newtonian viscosity and yield stress. The physical significance of these quantities is discussed. Blood viscosity directly affects total peripheral res... |
Revised checklist for anaesthetic machines | A revised edition of the guidelines of the Association of Anaesthetists of Great Britain and Ireland, for the pre-operative check of anaesthetic machines, was published in March 1997. A checklist based on the revised guidelines was used for the routine pre-operative checks of anaesthetic machines over a 6-week period i... |
A training programme for fibreoptic nasotracheal intubation. Use of model and live patients. | A scheme for teaching nasotracheal intubation with the aid of fibreoptic instruments on models and live patients is described and evaluated. Twelve trainees completed 74 out of 75 intubations successfully on sedated patients to the satisfaction of themselves, their patients and their instructors. Copyright © 1983, Wile... |
The microcomputer in self‐assessment for examinations in anaesthesia | A series of 30 multiple choice questions were modified for presentation on a microcomputer which was programmed to present them to the user and mark them. In a preliminary study, 15 trainee anaesthetists all agreed the system was satisfactory as an aid to preparation for the FFARCS. Copyright © 1981, Wiley Blackwell. A... |
Clinical automatic control of neuromuscular blockade | A simple feedback control technique has been used to automatically deliver pancuronium to anaesthetised surgical patients. The dosage rate is automatically adjusted at 10‐second intervals, according to the measured evoked, rectified, integrated electromyogram. When set to demand 80 percent blockade, in 40 patients. the... |
The application of cricoid pressure: An assessment and a survey of its practice | A simple test rig was developed to assess the force applied during the application of cricoid pressure. Anaesthetists and paramedical personnel familiar with Sellick's manoeuvre were tested yielding results which indicate an unacceptably wide variation in performance in each group. The mean force was 46.4 N but 47% fai... |
A simple air sampling technique for monitoring nitrous oxide pollution | A simple, inexpensive device for the continuous low-flow sampling of air was devised to permit monitoring of pollution by gaseous anaesthetics. The device consisted of a water-filled Perspex cylinder in which a double-walled flexible-film gas sample collection bag was suspended. Air samples could be aspirated into the ... |
The effect of education, assessment and a standardised prescription on postoperative pain management | A study involving 2738 patients in 15 hospitals in the United Kingdom was undertaken to evaluate the effect of simple methods of pain assessment and management on postoperative pain. The study consisted of four parts: a survey of current practice in each hospital; a programme of education for staff and patients regardi... |
The determination of an effective cricoid pressure | A study of cricoid pressure was undertaken to relate the applied cricoid force with the resulting intraluminal cricopharyngeal (or oesophageal) pressure. The results indicate that whilst there was a wide range in normal adults a cricoid force of 44 N was judged to be effective in protecting the majority of adult patien... |
The anaesthetic machine-a study of function and design | A study of the time and motion of the anaesthetists' routine activities was made using conventional equipment. Films of manual and visual movements were studied in detail and the expectations of certain consultant anaesthetists regarding apparatus were recorded. Models of apparatus were used to test their acceptability... |
Provision of training in chronic pain management for specialst registrars in the United Kingdom | A study published in 1992 highlighted wide variations in the provision of training in pain management. In this survey, data were collected from both pain clinicians and Programme Directors of the Schools of Anaesthesia to see if there had been any changes in training patterns since the introduction of the Calman traini... |
Costs of replacement of anaesthetic equipment. Projected expenditure for clinical anaesthetic equipment in a teaching health district | A study was made of all the anaesthetic equipment in clinical use to substantiate estimates of the cost of its replacement on four hospital sites. The years during which replacement was likely to become necessary were estimated from the list compiled and an existing full inventory, together with costs at 1986 prices. T... |
The selection of a residency program: Prospective anesthesiologists compared to others | A study was undertaken to investigate factors important to senior medical students, particularly prospective anesthesiology residents, in selecting a residency program. A previously published questionnaire was used to determine whether previous findings could be replicated. One hundred ninety-seven senior medical stude... |
Practice patterns of anesthesiologists regarding situations in obstetric anesthesia where clinical management is controversial | A survey consisting of 47 questions, 40 regarding clinical practice and 7 regarding demographics, was mailed to 153 directors of obstetric anesthesia in academic practice and to 153 anesthesiologists in private practice. Questions relating to the following areas of practice were asked: 1) preoperative laboratory testin... |
Syringe labels in anaesthetic induction rooms | A survey of 35 hospitals in the United Kingdom has uncovered a wide variety of syringe drug labels. Use of different systems in different hospitals may result in wrong drug administrations, particularly when trainees move from one hospital to another. There is an urgent need to standardise the colour coding of syringe ... |
Survey of laryngeal mask airway usage in 11,910 patients: Safety and efficacy for conventional and nonconventional usage | A survey of laryngeal mask airway (LMA) usage was conducted to provide general information about safety and efficacy with special emphasis on controversial issues such as positive pressure ventilation (PPV), prolonged anesthesia, and laparoscopic and nonlaparoscopic intraabdominal surgery. During the 2-yr study period,... |
Needlestick injuries in anaesthetists | A survey of needlestick injuries among 42 anaesthetists at this university hospital was carried out over a 3‐month period to ascertain the rate of occurrence and the extent to which a revised protocol for the management of such injuries was followed. There were nine reported incidents, of which six were with contaminat... |
Drug recognition by nurses and anaesthetists | A survey of nurses and anaesthetists in a 500‐bed teaching hospital set out to discover how they located a drug container in order to read its label and verify its contents. Members of each group assessed the value of seven factors thought to help in this location and answered questions on personal errors in drug admin... |
Postoperative pain control: A survey of current practice | A survey of postoperative analgesia in 195 anaesthetic departments in England and Wales was undertaken. The results showed that 64% of respondents were dissatisfied or very dissatisfied with the present situation. Large differences were demonstrated between what was regarded as the safest technique and what would form ... |
The neuroanaesthesia workforce in Great Britain and Ireland | A survey of the 36 units that provide a neuroanaesthesia service in Great Britain and Ireland was conducted. It shows the variation in the type of hospital, the number of whole-time equivalent neuroanaesthetists, the number of operating sessions and the number of neurosurgical beds per million of the catchment populati... |
Neuroanaesthetists' experience of workload-related issues and long-duration cases | A survey of the members of the Neuroanaesthesia Society of Great Britain and Ireland was conducted to examine issues arising from the management of long cases. Replies were received from 47% of neuroanaesthetists. The survey highlights that consultants are working for prolonged periods without adequate rest. This may c... |
Who uses transesophageal echocardiography in the operating room? | A survey was made of 155 anesthesiology residency programs in the United States to determine the patterns of use, responsibility for interpretation, and training of those responsible for intraoperative transesophageal echocardiography (TEE). Survey questions included numbers and types of cases for which TEE is used, wh... |
The attitudes of junior anaesthetists to research A survey | A survey was undertaken to investigate aspects of research work undertaken by junior anaesthetists. Two hundred and ninety‐five junior anaesthetists were surveyed. Forty‐seven percent of respondents were involved actively in research activities at the time of the survey, although 57% of senior house officers and regist... |
Teaching fibreoptic intubation: Effect of alfentanil on the haemodynamic response | A technique for teaching fibreoptic orotracheal intubation in patients under general anaesthesia is described and evaluated. A standard general anaesthetic was administered to 60 patients presenting for elective gynaecological surgery. Patients were randomly assigned to receive either alfentanil 10 μg. Kg−1 or a placeb... |
On line computer scheduling of anesthesiologists | A teleprocessed computer generated scheduling system is now in use in a large department of anesthesiology. Information typed into a cathode ray tube (CRT) terminal in the operating suite is processed and the activity schedule of all residents and attending anesthesiologists for the current day or any number of succeed... |
A time and motion study of the anaesthetist's intraoperative time | A time and motion study was made of anaesthetists during 32 surgical procedures. Thirteen activities performed by the anaesthetist were defined for the study. Time and event data were recorded electronically and analysed by digital computer. Activity and link analysis techniques were used to analyse the data. Only 25% ... |
The prevalence of serological markers for hepatitis B virus infection amongst anaesthetists in the Oxford region | A total of 125 anaesthetists from nine hospitals within the Oxford region were surveyed to study the prevalence of serological markers for hepatitis B virus (HBV) infection. No anaesthetists were positive for Hepatitis B Surface Antigen (HBsAg) and only four (3.2%) were positive for HBsAg antibody (anti‐HBsAg). This re... |
Diabetes mellitus and anaesthesia: A survey of the peri‐operative management of the patient with diabetes mellitus | A variety of methods are currently available for the management of the diabetic patient in the peri‐operative period. A questionnaire about current clinical practice was sent to all anaesthetists in the Oxford region. The majority reported that minor surgery in both insulin treated and noninsulin treated diabetic patie... |
Prevention and management of intra-operative pain during caesarean section under neuraxial anaesthesia: a technical and interpersonal approach | A woman who experiences pain during caesarean section under neuraxial anaesthesia is at risk of adverse psychological sequelae. Litigation arising from pain during caesarean section under neuraxial anaesthesia has replaced accidental awareness under general anaesthesia as the most common successful medicolegal claim ag... |
The contributions of A. W. Hofmann | A. W. Hofmann broadly influenced anesthesiology through his seminal work on amine structures and synthetic amine drugs. Many drugs in addition to atracurium should invoke his memory. |
Challenging lung isolation secondary to aberrant tracheobronchial anatomy | Aberrant tracheobronchial anatomy is reported at an incidence of approximately 10% and most frequently involves the segmental and subsegmental bronchi. The most relevant abnormality to the practice of anesthesiology is the presence of a tracheal bronchus. Although typically an asymptomatic finding during bronchoscopy, ... |
Peer review interrater concordance of scientific abstracts: A study of anesthesiology subspecialty and component societies | Abstracts presented at anesthesiology subspeciality and component society meetings are chosen by peer review. We assessed this process by examining selection criteria and determining interrater concordance. For the societies studied, the level of reviewer agreement ranged from poor to moderate, i.e., slightly better th... |
The impact of longer-than-average anesthesia times on the billing of academic anesthesiology departments | Academic anesthesiology departments provide clinical services for surgical procedures that have longer-than-average surgical times and correspondingly increased anesthesia times. We examined the financial impact of these longer times in three ways: 1) the estimated loss in revenue if billing were done on a flat-fee sys... |
Variability in determination of point of needle insertion in peripheral nerve blocks: A comparison of experienced and inexperienced anaesthetists | Accurate identification of surface landmarks is essential for the successful performance of peripheral nerve blocks. The variability between experienced and inexperienced practitioners in identifying anatomical landmarks has not been studied previously. Anaesthetists were asked to identify the point of needle insertion... |
The perioperative management of ascending aortic dissection | Acute aortic syndromes are a distinct group of pathologies involving the wall of the aorta that present acutely and can be potentially fatal unless treated in a timely fashion. The syndrome is dominated by aortic dissections, which comprise ≥95% of all such presentations. Those involving the ascending aorta are particu... |
Keeping an Open Mind about Open Notes: Sharing Anesthesia Records with Patients | ADDENDUM: Please note that in the interim since this paper was accepted for publication, new governmental regulations, pertinent to the topic, have been approved for implementation. The reader is thus directed to this online addendum for additional relevant information: http://links.lww.com/AA/E44. © 2022 Lippincott Wi... |
Book review | Adverse Reactions to Anaesthetic Drugs. Volume 8. Monographs in Anaesthesiology Edited by J.A. Thornton. Copyright © 1982, Wiley Blackwell. All rights reserved |
Timing of reversal with respect to three nerve stimulator end-points from cisatracurium-induced neuromuscular block | After elective ear surgery with cisatracurium neuromuscular blockade, 48 adults were randomly assigned to receive neostigmine: (a) at appearance of the fourth twitch of a 'train-of-four'; (b) at loss of fade to train-of-four; or (c) at loss of fade to double-burst stimulation, all monitored using a TOF-Watch SX® on one... |
Adverse events and risk factors associated with the sedation of children by nonanesthesiologists | After implementation of hospital-wide monitoring standards, a quality assurance (QA) tool was prospectively completed for 1140 children (aged 2.96 ± 3.7 yr) sedated for procedures by nonanesthesiologists. The tool captured data regarding demographics, medications used, adequacy of sedation, monitoring, adverse events, ... |
Artifactual increase in journal self-citation | After submission of a manuscript to a peer-reviewed anesthesia journal, several authors were asked to cite additional references from the journal to which they submitted. We hypothesized that there were differences among the anesthesiology journals in both the total number of self-citations and the proportion of self-c... |
Estimating the time needed for induction of anaesthesia and its importance in balancing anaesthetists' and surgeons' waiting times around the start of surgery | After the anaesthetist has induced anaesthesia, it is desirable that the surgeon is present and ready to start surgery, otherwise the team needs to wait for the surgeon. From another perspective, however, the surgeon does not necessarily wish to be present from the start of induction, since that process can take a vari... |
Airway challenges in critical care | Airway management in the intensive care unit is more problematic than during anaesthesia. In general, critically ill patients have less physiological reserve and complications are more common, both during the initial airway intervention (which includes risks associated with induction of anaesthesia), and later once the... |
Non-operating room emergency airway management and endotracheal intubation practices: A survey of anesthesiology program directors | Airway management in the operating room is the responsibility of anesthesiologists, although a variety of personnel may be responsible for airway management outside the operating room. We conducted a survey of anesthesia program directors regarding emergency airway management practices at their institutions. A question... |
Evaluation of four airway training manikins as simulators for inserting the LMA Classic™ | Airway manikins have traditionally been used for teaching mask ventilation and tracheal intubation. There is an increasing need to use manikins for training in procedures such as insertion of the laryngeal mask airway. We have assessed four new airway training manikins (latest versions of the Airway Trainer™ (Laerdal, ... |
The effect of audible alarms on anaesthesiologists' response times to adverse events in a simulated anaesthesia environment: A randomised trial | Alarms are ubiquitous in anaesthetic practice, but their net effect on anaesthesiologists' performance and patient safety is debated. In this study, 27 anaesthesiologists performed two simulation sessions in random order; one session was programmed to include an alarm condition, with a standard, frequent, clearly audib... |
The anaesthetic logbook - A survey | All anaesthetic trainees must maintain a logbook. The recent extension of Specialist Registrar training from 4 to 5 years, granted by the Specialist Training Authority, is conditional upon a change to competency-based training. The Royal College of Anaesthetists defines competency as possession of the 'trinity' of know... |
Francis Percival de Caux (1892–1965): An anaesthetist at odds with social convention and the law | All doctors practice medicine within the confines of what is termed ‘acceptable practice’. This acceptable practice is delineated by medical ethics, the actions of one's colleagues, social custom, and the laws of the country. Failure to conform to any or all of these constraints may result in professional ostracism or ... |
Hospitalization for miscarriage and delivery outcome among Swedish nurses working in operating rooms 1973-1978 | All infants born in 1973-1978 to nurses working in anesthesiology or as operating room nurses were identified from a nationwide registry of all births in Sweden, a registry of hospitalized spontaneous and legally induced abortions that covers 70% of Sweden, and a nurse registry (n = 1323). For comparison, a group was f... |
SHO training in anaesthetics. How good is it? | All senior house officer posts in the Yorkshire Deanery have been assessed against five parameters. Posts in anaesthesia were among the best with excellent consultant support, good exposure to clinical practice and well-structured education and training. Anaesthetic poses were almost unique in satisfying the 'New Deal'... |
Beyond Ether Day: Betsey Magoun, the Forgotten Patient | Although the analgesic effects of ether were conclusively established during a series of public demonstrations of anesthesia at Massachusetts General Hospital in 1846, ether anesthesia was neither immediately nor universally introduced into practice. Betsey Magoun, the fourth patient undergoing surgery under anesthesia... |
CS gas—implications for the anaesthetist | Although the use of CS gas is illegal in the UK, an occasional patient exposed to its effects may be seen. We report the problems experienced with the anaesthetic management of such a patient. Copyright © 1993, Wiley Blackwell. All rights reserved |
End of preview. Expand in Data Studio
README.md exists but content is empty.
- Downloads last month
- 6