This is what to remember in health reform: We are all one patient
As a physician, I am often discouraged when I turn on the news and read about the state of health care in our country. I can see all 397 sides of the debate and some truth in all sides. The enormous cost of medicine is overwhelming to comprehend for patients and families and even to those of us in medicine. I think it is important to know all that goes into the complex care of one patient. I am an anesthesiologist, but there is no way I could do my job without a large team. Each of us plays a role in the care of one patient. I am part of a team of people whose sole job every day is to care for you, our patient. In surgery, we start preparing well in advance, from the people who prepare the proper instruments and stock the drawers so in a second’s notice I have what I need to save your life, to the schedulers who triage add-on cases and bump elective cases to take care of life-threatening events. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
CONCLUSION: Since cardiac tamponade is generally not suspected as a cause of hemodynamic instability after a lung lobectomy, as it was in this case, a misdiagnosis of the patient's condition may have led to improper management resulting in death. As anesthesiologists are often involved in the initial resuscitation of morbid patients in Post-Anesthesia Care Units, their acquaintance with various postoperative complications and competence in echocardiography for assessing cardiac problems may contribute to patient survival. PMID: 29776668 [PubMed - as supplied by publisher]
How do practicing anesthesiologists feel regarding the use of depth of hypnosis monitors in children? Are they reliable, and when and why should they be used?BMC Anesthesiology
Publication date: Available online 19 May 2018 Source:European Journal of Obstetrics & Gynecology and Reproductive Biology Author(s): Solène Duros, Krystel Nyangoh Timoh
This study allows us to assess selection criteria used in our hospital to determine which patients can undergo cataract surgery under topical anesthesia without the anesthesia team. This procedure lowers organizational constraints while still insuring patient safety. Some patients still probably need an anesthesiologist present, such as those with an unstable disease or risk of agitation, in order to optimize the medications administered during surgery. PMID: 29776768 [PubMed - as supplied by publisher]
CONCLUSIONS: We found that high BIS values were correlated with low levels of anesthetic concentration and high eye position, suggesting that BIS monitoring may be useful for predicting eye position during anesthesia. Particular attention must be given to eye position during ophthalmic surgery. Anesthesia depth can be maintained by assuring that the BIS value remains below 65. PMID: 29770643 [PubMed - as supplied by publisher]
CONCLUSION: Inserting a smaller sized peripheral intravenous catheter did not result in a lower pain sensation. Moreover, to prevent pain upon inserting a peripheral intravenous catheter, an unsuccessful attempt must be avoided. PMID: 29772984 [PubMed - in process]
Authors: Lee DK, In J Abstract Length of time is a variable often encountered during data analysis. Survival analysis provides simple, intuitive results concerning time-to-event for events of interest, which are not confined to death. This review introduces methods of analyzing time-to-event. The Kaplan-Meier survival analysis, log-rank test, and Cox proportional hazards regression modeling method are described with examples of hypothetical data. PMID: 29768911 [PubMed - as supplied by publisher]
ConclusionThis study demonstrated that intravenous dexmedetomidine during hernia repair with local anesthesia is safe and the results were satisfactory to both operators and patients.
ConclusionThe presented missions contribute significantly to an improvement in local healthcare and decrease the burden of disease. We were able to show the sustainable character of these surgical missions. As a next step, we will analyse the cost-effectiveness of MSTs.
Authors: Graham M, Owen AM, Weijer C, Naci L Abstract We cast a novel perspective on two distinct populations: patients who become accidentally intraoperatively aware after receiving general anesthesia and severely brain-injured patients who are diagnosed as being in a vegetative state. In both cases, patients are behaviorally non-responsive -and on this basis presumed to lack consciousness- yet, retain covert awareness. In both contexts, detecting consciousness is highly challenging, yet highly important for ensuring adequate patient care. Although great strides have been made in the development of depth-of-anesth...