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Guideline anesthesiology

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https://www.readbyqxmd.com/read/27846126/implementation-of-the-american-society-of-anesthesiology-s-guidelines-to-reduce-prolonged-fasting-times-in-pediatric-preoperative-patients-a-best-practice-implementation-project
#1
Carol M Costello
BACKGROUND: The American Society of Anesthesiology (ASA) guidelines for pediatric preoperative fasting have been a standard for well over a decade. However, use of protocols involving an excessive fasting duration exposes patients to the physiological impacts of fluid volume loss. OBJECTIVES: The current project aimed to improve fluid supplementation during presurgical fasting in pediatric patients at an academic medical center. Specific objectives were to increase clinical staff knowledge regarding ASA fasting standards and implement them in specific pediatric patient populations...
October 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27787571/-anesthesia-for-medical-students-a-brief-guide-to-practical-anesthesia-in-adults-with-a-web-based-video-illustration
#2
S Mathis, O Schlafer, J Abram, J Kreutziger, P Paal, V Wenzel
In Germany, Austria and Switzerland, anesthesiologists are the second largest group of physicians in hospitals, but this does not correspond to the amount of anesthesiology teaching that medical students receive in medical schools. Accordingly, the chances of medical students recognizing anesthesiology as a promising personal professional career are smaller than in other disciplines with large teaching components. Subsequent difficulties to recruit anesthesiology residents are likely, although many reasons support anesthesiology as a professional career...
October 27, 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/27769172/randomized-controlled-trials-vs-observational-studies-why-not-just-live-together
#3
David Faraoni, Simon Thomas Schaefer
Randomized controlled trials (RCTs) are considered the gold standard for clinical research, thus having a high impact on clinical guidelines and our daily patients' care. However, various treatment strategies which we consider "evidence based" have never been subject to a prospective RCT, as we would rate it unethical to withheld an established treatment to individuals in an placebo controlled trial.In a recent BMC Anesthesiology publication, Trentino et al. analyzed the usefulness of observational studies in assessing benefit and risk of different transfusion strategies...
October 21, 2016: BMC Anesthesiology
https://www.readbyqxmd.com/read/27638297/simulation-based-assessment-of-anesthesiology-residents-competence-development-and-implementation-of-the-canadian-national-anesthesiology-simulation-curriculum-cannasc
#4
Michelle Chiu, Jordan Tarshis, Andreas Antoniou, T Laine Bosma, Jessica E Burjorjee, Neil Cowie, Simone Crooks, Kate Doyle, David Dubois, Tobias Everett, Rachel Fisher, Megan Hayter, Genevieve McKinnon, Diana Noseworthy, Noel O'Regan, Greg Peachey, Arnaud Robitaille, Michael Sullivan, Marshall Tenenbein, Marie-Helene Tremblay
The specialty of anesthesiology will soon adopt the Competence By Design (CBD) approach to residency education developed by the Royal College of Physicians and Surgeons of Canada (RCPSC). A foundational component of CBD is frequent and contextualized assessment of trainees. In 2013, the RCPSC Anesthesiology Specialty Committee assembled a group of simulation educators, representing each of the 17 Canadian anesthesiology residency programs, to form the Canadian National Anesthesiology Simulation Curriculum (CanNASC) Task Force...
September 16, 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27581549/a-retrospective-observational-study-of-anesthetic-induction-dosing-practices-in-female-elderly-surgical-patients-are-we-overdosing-older-patients
#5
Shamsuddin Akhtar, Joseph Heng, Feng Dai, Robert B Schonberger, Mathew M Burg
BACKGROUND/OBJECTIVES: Despite guidelines suggesting a 25-50 % reduction in induction doses of intravenous anesthetic agents in the elderly (≥65 years), we hypothesized that practitioners were not sufficiently correcting drug administration for age, contributing to an increased incidence of hypotension in older patients undergoing general anesthesia. STUDY DESIGN: We conducted a retrospective, observational study in a tertiary-care academic hospital. The study included 768 female patients undergoing gynecologic surgeries who received propofol-based induction of general anesthesia...
August 31, 2016: Drugs & Aging
https://www.readbyqxmd.com/read/27537925/publication-bias-and-nonreporting-found-in-majority-of-systematic-reviews-and-meta-analyses-in-anesthesiology-journals
#6
Riley J Hedin, Blake A Umberham, Byron N Detweiler, Lauren Kollmorgen, Matt Vassar
BACKGROUND: Systematic reviews and meta-analyses are used by clinicians to derive treatment guidelines and make resource allocation decisions in anesthesiology. One cause for concern with such reviews is the possibility that results from unpublished trials are not represented in the review findings or data synthesis. This problem, known as publication bias, results when studies reporting statistically nonsignificant findings are left unpublished and, therefore, not included in meta-analyses when estimating a pooled treatment effect...
October 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27533913/pain-management-for-blunt-thoracic-trauma-a-joint-practice-management-guideline-from-the-eastern-association-for-the-surgery-of-trauma-and-trauma-anesthesiology-society
#7
Samuel Michael Galvagno, Charles E Smith, Albert J Varon, Erik A Hasenboehler, Shahnaz Sultan, Gregory Shaefer, Kathleen B To, Adam D Fox, Darrell E R Alley, Michael Ditillo, Bellal A Joseph, Bryce R H Robinson, Elliot R Haut
INTRODUCTION: Thoracic trauma is the second most prevalent nonintentional injury in the United States and is associated with significant morbidity. Analgesia for blunt thoracic trauma was first addressed by the Eastern Association for the Surgery of Trauma (EAST) with a practice management guideline published in 2005. Since that time, it was hypothesized that there have been advances in the analgesic management for blunt thoracic trauma. As a result, updated guidelines for this topic using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) framework recently adopted by EAST are presented...
November 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27522950/adverse-event-reporting-in-clinical-trials-of-intravenous-and-invasive-pain-treatments-an-acttion-systematic-review
#8
Mark R Williams, Andrew McKeown, Zachary Pressman, Matthew Hunsinger, Kendrick Lee, Paul Coplan, Ian Gilron, Nathaniel P Katz, Michael P McDermott, Srinivasa N Raja, Bob A Rappaport, Michael C Rowbotham, Dennis C Turk, Robert H Dworkin, Shannon M Smith
: Thorough assessment and reporting of adverse events (AEs) facilitates a detailed understanding of a treatment's risk-benefit profile. Although the Consolidated Standards of Reporting Trials (CONSORT) 2004 statement provides recommendations regarding AE reporting, adherence to these standards is often inadequate. We investigated AE reporting in clinical trials of intravenous and invasive pain treatments published in 6 major anesthesiology and pain journals between 2000-2003 and 2006-2012...
August 11, 2016: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/27479264/-graduate-medical-education-structured-competency-based-training-in-anesthesiology
#9
Klaus Hahnenkamp, Markus Wenning
The "Joint Commission of BDA and DGAI for Graduate Medical Education and Further Education" presents a concept for postgraduate training in anesthesiology. Aiming at a different and demanding generation of young physicians it proposes a new approach to an attractive training in anesthesiology e. g. by simulation as one key concept. It is also intended to meet the guidelines of the German Medical Association of competency based rather than time based or procedure based graduate medical education. A clear structure and the competency based approach shall facilitate a process of professional teaching...
July 2016: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/27479258/-cardiac-evaluation-before-non-cardiac-surgery
#10
Jan Menzenbach, Olaf Boehm
Before non-cardiac surgery, evaluation of cardiac function is no frequent part of surgical treatment. European societies of anesthesiology and cardiology published consensus-guidelines in 2014 to present a reasonable approach for preoperative evaluation. This paper intends to differentiate the composite of perioperative risk and to display the guidelines methodical approach to handle it. Features to identify patients at risk from an ageing population with comorbidities, are the classification of surgical risk, functional capacity and risk indices...
July 2016: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/27461766/current-practice-of-acute-pain-management-in-children-a-national-follow-up-survey-in-germany
#11
Miriam I Emons, Frank Petzke, Ulrike M Stamer, Winfried Meißner, Regina Koschwitz, Joachim Erlenwein
OBJECTIVES: This study aimed to summarize the current standard practices for acute pain management in children in Germany and the implementation of these procedures. The last survey on acute pain management in children was performed in 1999, highlighting the need for an up to date review. METHODS: A questionnaire was mailed to German departments of anesthesiology (n = 885), asking for structures and processes of acute pain management in children. Results were compared between hospitals with and without an acute pain service and with and without a pediatric department...
September 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/27434480/management-of-obstructive-sleep-apnea-in-children-a-practical-approach
#12
Kevin D Pereira, Cindy K Jon, Peter Szmuk, Rande H Lazar, Ron B Mitchell
The management of sleep disordered breathing (SDB) in children differs between institutions, and there is a need for an updated review of current practice. Literature was reviewed using the PubMed database from 1995 to 2015 by four tertiary care providers experienced in the management of children with SDB. Articles were selected for clinical applicability, strength of evidence, and practicality for practicing clinicians. Fifty-five articles were identified by tertiary care providers in pediatric anesthesiology, pediatric pulmonology, sleep medicine, and pediatric otolaryngology...
July 2016: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/27379593/the-association-of-shelter-veterinarians-2016-veterinary-medical-care-guidelines-for-spay-neuter-programs
#13
Brenda Griffin, Philip A Bushby, Emily McCobb, Sara C White, Y Karla Rigdon-Brestle, Leslie D Appel, Kathleen V Makolinski, Christine L Wilford, Mark W Bohling, Susan M Eddlestone, Kelly A Farrell, Nancy Ferguson, Kelly Harrison, Lisa M Howe, Natalie M Isaza, Julie K Levy, Andrea Looney, Michael R Moyer, Sheilah Ann Robertson, Kathy Tyson
As community efforts to reduce the overpopulation and euthanasia of unwanted and unowned cats and dogs have increased, many veterinarians have increasingly focused their clinical efforts on the provision of spay-neuter services. Because of the wide range of geographic and demographic needs, a wide variety of spay-neuter programs have been developed to increase delivery of services to targeted populations of animals, including stationary and mobile clinics, MASH-style operations, shelter services, community cat programs, and services provided through private practitioners...
July 15, 2016: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/27357590/sudden-death-after-major-head-and-neck-cancer-surgery-due-to-undetected-arrhythmogenic-right-ventricle-cardiomyopathy-arvc
#14
Ákos Bicsák, Alice Jellen, Herwig Tuppy, Wolfgang Paul Poeschl
BACKGROUND: Oral squamous cell carcinoma is the sixth most frequent malignancy in Austria. The incidence of arrhythmogenic right ventricle dysplasia (ARVC), an important cause of sudden cardiac death, is estimated at 1:5000 to 1:1000. CASE REPORT: We present a case of a 75-year-old woman who underwent major oncologic surgery for T4aN0M0 maxillary squamous cell carcinoma and reconstruction with a scapular-latissimus dorsi microvascular flap. The patient died suddenly during her postoperative care...
June 29, 2016: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27346584/metamizole-dipyrone-as-an-alternative-agent-in-postoperative-analgesia-in-patients-with-contraindications-for-nonsteroidal-anti-inflammatory-drugs
#15
Jorieke Konijnenbelt-Peters, Charlotte van der Heijden, Corine Ekhart, Jacqueline Bos, Jörgen Bruhn, Cornelis Kramers
PURPOSE: Nonsteroidal anti-inflammatory drugs (NSAIDs) play an important role in multimodal pain management. In patients with a contraindication for NSAIDs, pain management is challenging. A recent Dutch anesthesiology guideline propagates the use of metamizole (dipyrone) in these patients. Metamizole is a controversial drug, its use being previously discouraged because of the risk for agranulocytosis. We discuss whether metamizole could be an alternative to classical NSAIDs and opioids in postoperative pain management despite this drawback...
June 27, 2016: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/27310553/agreement-between-three-perioperative-risk-scores
#16
Gilson Soares Feitosa-Filho, Bruna Melo Coelho Loureiro, Jedson Dos Santos Nascimento
OBJECTIVE: To evaluate the agreement between the three scores proposed by the II Guideline for Perioperative Evaluation of the Brazilian Society of Cardiology (SBC): the American College of Physicians algorithm (ACP), the Multicenter Study of Perioperative Evaluation (EMAPO) and Lee's Revised Cardiac Risk Index (RCRI). METHOD: Patients evaluated preoperatively for non-cardiac surgery by the anesthesiology service were classified as low, moderate or high-risk according to the 3 algorithms suggested by the II Guideline...
May 2016: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/27280143/interprofessional-learning-development-and-implementation-of-joint-medical-emergency-team-trainings-for-medical-and-nursing-students-at-universit%C3%A3-tsmedizin-greifswald
#17
Maud Partecke, Claudius Balzer, Ingmar Finkenzeller, Christiane Reppenhagen, Ulrike Hess, Klaus Hahnenkamp, Konrad Meissner
INTRODUCTION: Interprofessional collaboration is of great importance in clinical practice, particularly in the field of emergency medicine. The professions involved in providing emergency care must work hand in hand, and tasks and routines must be coordinated effectively. However, medical and nursing students have only few opportunities to experience interprofessional cooperation during their formal training. Addressing this situation, the Department of Anesthesiology and the Vocational School of Greifswald University Medical School initiated a project to increase patient safety by integrating interprofessional human factor training into the curriculum of both health professions...
2016: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/27185046/-intraoperative-echocardiography-guidelines-in-brazil-is-it-time-for-a-task-force
#18
Marcello Fonseca Salgado Filho
BACKGROUND AND OBJECTIVES: The Brazilian Society of Anesthesiology (SBA) has been promoting continuing education in intraoperative echocardiography in Brazil since 2011, with the implementation of an Intraoperative Echocardiography Course (ETI/SBA). Although echocardiography is a reality of anesthesiology practice in Brazil, we still do not have an established policy on the area of expertise, job training, and recognition by the other societies, such as the Brazilian Society of Cardiology (SBC)...
May 13, 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/27122974/canadian-recommendations-for-the-management-of-breakthrough-cancer-pain
#19
P Daeninck, B Gagnon, R Gallagher, J D Henderson, Y Shir, C Zimmermann, B Lapointe
Breakthrough cancer pain (btcp) represents an important element in the spectrum of cancer pain management. Because most btcp episodes peak in intensity within a few minutes, speed of medication onset is crucial for proper control. In Canada, several current provincial guidelines for the management of cancer pain include a brief discussion about the treatment of btcp; however, there are no uniform national recommendations for the management of btcp. That lack, accompanied by unequal access to pain medication across the country, contributes to both regional and provincial variability in the management of btcp...
April 2016: Current Oncology
https://www.readbyqxmd.com/read/27106621/dutch-pain-specialists-adherence-to-the-multidisciplinary-guideline-on-treating-pain-in-patients-with-cancer-a-case-vignette-study
#20
Kees Besse, Monique Steegers, Myrra Vernooij-Dassen, Kris Vissers, Yvonne Engels
BACKGROUND: Many patients with cancer suffer from pain, which is often not optimally treated. In 2008, the evidence-based, multidisciplinary Dutch guideline on the diagnosis and treatment of pain in this patient group was published. We assessed knowledge about and adherence to the guideline by pain specialists. METHODS: A cross-sectional case vignette survey describing a palliative patient with intractable pancreatic cancer and pain was sent to all 350 Dutch anesthesiologists registered as pain specialists at the Netherlands Association of Anesthesiology...
April 23, 2016: Pain Practice: the Official Journal of World Institute of Pain
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