Are You Emotionally Intelligent? Improving Patient Safety and Quality Through Better Communication

An incredible fund of literature related to human factors has evolved in the last several decades, with many of the lessons learned having been extrapolated from the aviation industry and subsequently applied to medicine. We have come to understand that “to err is human,” and a majority of serious human errors in medicine are rooted in ineffective communication.1-3 Medical errors have consequences for many victims, including not just patients and their families, but also the healthcare providers who make them, contributing to poor work performa nce, burnout, depression, and even suicidality.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Editorial Source Type: research

Related Links:

Ketamine is a non-competitive N-Methyl-D-aspartate receptor (NMDAR) antagonist used in the clinic to initiate and maintain anaesthesia; it induces dissociative states and has emerged as a breakthrough therapy for major depressive disorder. Using local field potential recordings in freely moving rats, we studied resting state EEG profiles induced by co-administering ketamine with either: clozapine, a highly efficacious antipsychotic; or naltrexone, an opioid receptor antagonist reported to block the acute antidepressant effects of ketamine. As human electroencephalography (EEG) is predominantly recorded in a passive state, ...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Acute pain in neurosurgical patients is an important issue. Opioids are the most used for pain treatment in the neurosurgical ICU. Potential side effects of opioid use such as oversedation, respiratory depression, hypercapnia, worsening intracranial pressure, nausea, and vomiting may be problems and could interfere with neurologic assessment. Consequently, reducing opioids and use of non-opioid analgesics and adjuvants (N-methyl-D-aspartate antagonists, α2 -adrenergic agonists, anticonvulsants, corticosteroids), as well as non-pharmacological therapies were introduced as a part of a multimodal regimen. Local and regi...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
This study was to evaluate the sedative effect of remimazolam-propofol-sufentanil in sedative gastroscopy.METHODS: Patients who were going to have gastroscopy examination were randomly divided into two groups: Group RM (remimazolam-propofol-sufentanil group) and group PR (propofol-sufentanil group). Patients of each group were anesthetized according to the corresponding anesthesia procedure, and all observation indices were recorded.RESULTS: In the RM group, there were only small and unsignificant changes in the values of SBP, HR, RR and SpO2 after anesthesia(P>0.05), while the values of SBP, HR, RR and SpO2 in the PR g...
Source: Minerva Anestesiologica - Category: Anesthesiology Authors: Source Type: research
ConclusionCSD induced propagating activation of the ipsilateral VPM in awake mice. The response might correlate to the cortical location where CSD was induced and might be affected by anaesthetics. No significant VPM activation was detected in saline and mk801 experiment results indicated that this VPM activation is due to CSD rather than mouse motion or direct effect of the KCl applying to the intact dura. This finding suggests the potential involvement of thalamus in the migraine auras.
Source: The Journal of Headache and Pain - Category: Neurology Source Type: research
ConclusionOf the eight studies analyzed, six reached the conclusion that infertility is related to higher rates of sexual dysfunction. Seven studies also concluded that anxiety and depression are more prevalent in infertile patients. The treatment of sexual dysfunction is multidisciplinary, with the team being a general practitioner, gynecologist, psychologist and specialized nurse. If an organic disorder is detected, there may be a need to include specialists such as urology, gastroenterology and anesthesia. Psychological approaches often include some combination of sex education, identification of emotional and cultural ...
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
The monoaminergic theory of depression/anxiety disorders cannot fully explain the behavioral and neuroplastic changes observed after ADs chronic treatment. Endocannabinoid system, which comprises CB2 receptors, has been associated with the chronic effects of these drugs, especially in stressed mice. CB2-KO mice display more vulnerability to stressful stimuli. In the present study, we hypothesized that the behavioral and neuroplastic effects observed after repeated treatment with the AD escitalopram (Esc) in chronically stressed mice depend on CB2 receptor signaling. Male mice submitted to chronic unpredictable stress (CUS)...
Source: Frontiers in Pharmacology - Category: Drugs & Pharmacology Source Type: research
CONCLUSION: CSB seems to be an effective treatment for PTSD symptoms irrespective of gender, trauma type, PTSD-related drug use, suicide attempt, or age.PMID:35051147
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research
ConclusionAnalyses of our cohort’s data suggest that planned awake surgery might not have a negative impact on patients concerning the prevalence and severity of manifestation of distress, anxiety, or depression in psychooncological screening. Patients undergoing recurrent surgery tend to demonstrate increased distress, although results were not significant.
Source: Frontiers in Oncology - Category: Cancer & Oncology Source Type: research
So I am half way through my CA-1 year and I am miserable. I am unhappy with anesthesia for many of the standard reasons mentioned on this forum, ie. lack of respect, being beholden to someone else's schedule, difficult surgeons, call etc, but the thing that keeps me up most is the stress of taking care of critically ill people. I really do not think I am cut out to handle life or death situations and the stress of that grates on me daily. I feel very depressed and have a baseline anxiety... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Anesth Analg. 2022 Feb 1;134(2):440. doi: 10.1213/ANE.0000000000005808.NO ABSTRACTPMID:35030126 | DOI:10.1213/ANE.0000000000005808
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Source Type: research
More News: Anesthesia | Anesthesiology | Cardiology | Depression | Heart | Lessons