SEARCH · PubMed Health

Results for “ANESTHESIOLOGY”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 109 records · Page 6Linked to original sources

PubMed1997

Reinventing a medical specialty. Using anesthesiology as a model for change.

In only a decade, anesthesiology has reversed its fortunes from an underrepresented specialty in the 1980 Graduate Medical Education National Advisory Committee report to "a specialty in trouble" featured in The Wall Street Journal. This article focuses on anesthesiology and its work force dilemma as an evolving specialist model for change. What is happening to anesthesiology will not be unique--managed care competition will affect all physicians. Most specialties will have to reshape curricula and redesign education programs and academic delivery systems concentrating on fewer trainees. What are the options for coping with physicians grieving over lost dreams, such as autonomy and solo practice, while redesigning a medical specialty? The authors untangle fact from fear, mission from myth, and offer strategic thinking and solutions.

Anesthesiology↗

PubMed2002

[Problems and prospects anesthesiology].

Anesthesiology is one of the most progressive medical science. Today's anesthesiologist is not only specialist in anesthetic management, he is also involved in pre- and postoperative treatment. The majority of urgent situations in hospital requires anesthesiologic assistance. But absence of prestige and low salary lead to low receipt of new specialists. The article also reviews the problems of training specialists, management, future prospects of modern anesthesiology.

Anesthesiology↗

PubMed2002

[Spanish doctoral dissertations on anesthesiology and the scientific publications of their authors].

OBJECTIVES: To determine whether obtaining a doctorate is a factor that promotes the research careers of the authors. To analyze the dissemination of Spanish doctoral theses in anesthesiology by looking at the publications they generate. MATERIAL AND METHODS: The TESEO data base was searched for theses on anesthesiology written between 1976 and June 2001. The Medline database was then searched for publications related to each author's thesis. The search identified papers related to each thesis as well as those in which the thesis director was a coauthor. RESULTS: Two hundred twenty-eight theses (9.12 theses/year) were found. Twenty-four authors were not anesthesiologists. The universities of Barcelona (28), Valencia (24), Navarra (23), Autónoma de Barcelona (21), Complutense de Madrid (18) and Cádiz (18) accounted for most of the theses read. The doctoral degree recipients also co-authored 1,833 publications, as the first authors of 649 articles, of which 216 (33.3%) were published before the corresponding thesis was read. Only 127 articles were related to theses. Ninety-seven authors (42.5%) published no article as first author and 22 (9.6%) accomplished no publication as co-author. The thesis director was listed in 154 of the 228 theses in the TESEO database. In this subgroup, 39 doctoral thesis authors published 58 related articles, with the director included among the co-authors in 41 of them. CONCLUSION: Spain produces few doctoral theses on anesthesiology. Most writers of doctoral theses do not publish the results in journals with international readerships. These findings call into question the efficacy of the doctoral thesis as a factor that promotes research.

Academic Dissertations as Topic↗

PubMed2003

[Ralph Milton Waters and 75 years of professionalism in anesthesiology].

This short biography introduces Ralph Waters to Japanese speaking people. Meeting in Madison in June 2002, "Ralph Waters and Professionalism in Anesthesiology A Celebration of 75 Years", is also reported briefly. Ralph Waters is relatively unknown in Japan probably because during his professional life, Japan looked to the continental Europe to learn medicine and sent students chiefly to this area. After the end of the World War II, however, Japan sent a number of students to the United States including many who received the training in anesthesiology in the departments headed by the disciples of Waters or in the departments under the strong influence of Waters' philosophy. Therefore, it is probably true to say that Japanese anesthesiology today owes much to Waters' teaching.

Anesthesiology↗

PubMed2003

[Spanish scientific production in anesthesiology and resuscitation 1983-1995].

OBJECTIVE: To quantify and analyze the information available internationally on Spanish scientific productivity in anesthesiology from 1983 through 1995. MATERIAL: Publications by Spanish authors indexed in three electronic databases: the Spanish Indice Médico (SIM), MedLine, and Embase (belonging to Excerpta Médica). METHOD: A bibliometric study of productivity as reflected by entries in the 3 databases, quantifying documents in circulation, change over time in circulating documents, overlap, and article's characteristics. RESULTS: During the period studied, a total of 2608 papers by Spanish anesthesiologists were indexed in the 3 databases (SIM 79%, Medline 54%, Excerpta Médica 29.5%). Annual growth was 16.7%, with a period of 10.2 years until duplication. CONCLUSION: Growth is exponential in anesthesiology, as in other disciplines, and the distribution satisfies Price's law. The 3 databases are the major collectors of the papers of Spanish anesthesiologists. The SIM and MedLine are the main indexers of Spanish-authored articles in the literature. Excerpta presents the largest growth on the compilation of articles. The inclusion of the three databases is essential in bibliographic searches and bibliometric studies on Spanish anesthesiology.

Anesthesia Recovery Period↗

PubMed1992

Surgical satellite pharmacies in institutions with anesthesiology training programs for physicians.

The results of a survey on the use of surgical satellite pharmacies in hospitals with anesthesiology training programs are reported. In June 1990 a questionnaire was mailed to 158 directors of anesthesiology training programs for physicians. The questionnaire solicited information on the presence of surgical satellite pharmacies in the training hospitals and the nature of the services provided, including accounting for controlled substances. Responses were received from 102 program directors and their designees, for a 65% response rate. Some respondents returned questionnaires completed by affiliated hospitals; a total of 137 responses were accumulated. Surgical satellite pharmacies were present in 46 (34%) of the 137 hospitals. Of those 46 satellite pharmacies, only 14 dispensed all controlled substances to anesthetic-administration areas. Most of the satellite pharmacies provided services at least eight hours per day. All 46 pharmacies dispensed controlled substances, 31 provided i.v. admixtures, and 12 dispensed all i.v. solutions. Accountability for controlled drugs was provided through a daily inventory count (45 satellite pharmacies), daily comparison of agents received and returned (36), review of the anesthesia record (31), random audits of individual providers (18), or quantitative or qualitative analysis of residual drugs (16). Accountability was considerably better in hospitals with surgical satellite pharmacies than in hospitals without them. Surgical satellite pharmacies provided increased accountability for controlled substances in institutions with anesthesiology training programs but did not use all the available methods for preventing drug diversion.

Anesthesiology↗

PubMed2004

[Assessment of the quality of information on departments/divisions of anesthesiology available on the World Wide Web].

BACKGROUND: The quality of health information available in the World Wide Web is an important issue, but no review of the quality of such information has been performed. METHODS: We investigated the quality of information available on the World Wide Web regarding departments/divisions of anesthesiology in 82 specific functioned hospitals in Japan. RESULTS: Eighty-eight percent of the hospitals have their own web site for anesthesiology. Although only general clinical information was available on 64-71% of the web sites, detailed information on clinical results and members having diploma of the board was available on 11-26% of the sites. Regarding education, only 4% of the sites provided information on contents of lectures, whereas 75% of the sites have pages for medical students. CONCLUSIONS: Departments/divisions of anesthesiology, especially in specific functioned hospitals, should recognize an important role of web pages for medical consumers (= e-patient) and renew their web sites appropriately and opportunely.

Advertising↗

PubMed2005

[A trial of introduction of portfolio to elective clinical clerkship in anesthesiology].

BACKGROUND: Portfolio as one of the educational techniques was introduced to elective clinical clerkship (CC) of Anesthesiology in Sapporo Medical University School of Medicine in the 2003 fiscal year. METHODS: Fourteen medical students who elected Anesthesiology CC for 3 weeks had a duty to study and feed back their CC everyday by writing portfolio, and the attending checked and fed back their portfolio every week. At the end of the CC, questionnaire surveys by 5 step Likert measure and group discussion were conducted to determine the evaluation by students of the portfolio in Anesthesiology CC. RESULTS: The average score of the questionnaire surveys was high(4.78). However, the scores of usefulness of the portfolio for feedback to student's attitude and to good relationship among medical staff were relatively low (4.6 and 4.4, respectively). CONCLUSIONS: The use of a portfolio as a educational technique in elective CC seems to be useful, and further education to chief/senior medical staff for feedback to student's attitude and other kinds of educational techniques for feedback to good relationship among medical staff are needed.

Anesthesiology↗

PubMedDate not supplied

[Theoretical and methodological aspects of anesthesiology].

In the author's opinion, the uncertainty and incompleteness of the phenomenological concept of general anesthesia negatively affect researches. The basis of the vast majority of dissertations on anesthesiology and resuscitation is a comparison of 2-3 procedures of anesthesiological provision. The author considers the surgical stage of anesthesia as a type of the body's genetically determined passive defensive reaction. The neurophysiological basis of this reaction is a temporarily dominant reflex system (a dominant) that has its own intrinsic adequacy criteria controlled by an acceptor of the result of action. Parallels are drawn with the naturally occurring states of biological objects, which are reminiscent of those of the surgical stage of anesthesia. The similarity of lethargy, catatonic stupor, and absence with the surgical stage of anesthesia is discussed. The author considers that anesthesiological supply adequate to the conditions of a surgical operation ensures the turning on and most complete realization of the body's natural compensatory capacities as an intricate self-regulating system.

Adaptation, Physiological↗

PubMedDate not supplied

[Anesthesiological systems "Polinarkon-Vita" with microprocessor for artificial lung ventilation apparatuses and monitoring].

The anesthesiological systems Polinarkon-Vita for adults and children are described. These systems were developed at VNIIMP-VITA, Ltd. on the basis of basic model of the anesthesiological system Polinarkon-E-Vita. The following new important units of the fifth generation apparatuses for inhalation anesthesia (IA) are described: Anestezist-4 monocomponent evaporator for liquid anesthetics (enfluran and isofluran); Diana, Diana-Det, and Elan-NR apparatuses for mechanical lung ventilation (MLV); dosimeters of medical gases, etc. These systems implement monitoring of vitally important functions of patient and parameters of IN and MLV. The anesthesiological systems Polinarkon-Vita are recommended for medical practice and commercially available from VNIIMP-VITA, Ltd. as small lots.

Adult↗

PubMed2006

[Yale anesthesiology: a reflection on Professor Kitahata's days].

Professor Luke Masahiko Kitahata was a professor of anesthesiology, Yale University in the United States of America. He had been employed in Yale University for 33 years, from 1964 to 1997, and acted as the chairman of the department of anesthesiology from 1973 to 1982. He endeavored not only to achieve his academic career but also to educate his juniors. The number of Japanese fellows who were trained by Professor Kitahata is more than sixty. He rendered many services for the development of anesthesiology in Japan.

Anesthesiology↗

PubMed2006

The validation process of incorporating simulation-based accreditation into the anesthesiology Israeli national board exams.

BACKGROUND: The Israeli Board of Anesthesiology Examination Committee added a simulation-based Objective Structured Clinical Evaluation component to the board examination process. This addition was made in order to evaluate medical competence and considers certain domains that contribute to professionalism. This unique and new process needed to be validated. OBJECTIVES: To validate and evaluate the reliability and realism of incorporating simulation-based OSCE into the Israeli Board Examination in Anesthesia. METHODS: Validation was performed before the exam regarding Content Validity using the modified Delphi technique by members of the Task Force of the Israeli Board Examination Committee in Anesthesiology. RESULTS: The examination has been administered six times in the past 3 years to a total of 145 examinees. The pass rate ranged from 62% (trauma) to 91% (regional anesthesia). The mean inter-rater correlations for the total score (all items), for the Critical checklist items score, and for the Global (General) rating were 0.89, 0.86 and 0.76, respectively. The inter-correlations between the five OSCE stations scores were significant (P< 0.01) only between Trauma & Ventilation for the Total score (r = 0.32, n=63), and between Resuscitation & Regional and OR-crisis for the Global score (r = 0.42 and 0.27, n=64 and 104, respectively). The correlation between the OSCE examination score and the success rate at each of the eight different clinical domains of the oral board examination did not reach statistical significance. Most participants (70-90%) found the difficulty level of the examination stations reasonable to very easy. All major errors, which were identified in the initial two exam periods, disappeared later in the next two exam periods. CONCLUSIONS: The exam has gradually progressed from being an optional part of the oral board examination to a prerequisite component of this test. Other anesthesiology programs or medical professions can adopt the model described here.

Accreditation↗

PubMedDate not supplied

[Scientific communication in Spanish anesthesiology: medical congresses (1864-1936)].

This historical-medical study proposed to determine the evolution of knowledge in Spanish anesthesiology by examining conferences and presentations at medical congresses on record for the period between the first Spanish medical congress (1864) and the start of the Spanish Civil War (1936). We have found reports of 34 scientific meetings held during this period. All but two included news on anesthesiology or related matters. Ten were international meetings, while 25 were nation-wide conferences. We have been able to arrive at a good understanding of Spanish anesthesiology's evolution as a scientific discipline during this period.

Anesthesiology↗

PubMedDate not supplied

[The contribution of "La España Médica" (1856-1866) to the introduction of anesthesiology in Spain].

The aim of this study was to analyse the contribution of "La España Médica " (1856-1866) to the introduction of anesthesiology in Spain. Thirty-seven articles on anesthesiology were published, with 19 articles (51.35%) being originals from spanish authors and 18 (48.64%) from abroad. By means of this medical newspaper from Madrid, Spanish physicians received information concerning the latest changes in anesthesiology with special emphasis on the introduction of amylene.

Anesthesiology↗

PubMed1995

[Analysis of knowledge about the anesthesiology specialty among a population of medical students].

OBJECTIVES: To analyze the knowledge of anesthesiology possessed by a group of medical students representative of medically trained individuals who have not yet worked in a hospital. MATERIAL AND METHOD: Students in their fifth year of medical studies at the University of Valencia were invited to voluntarily and anonymously answer a questionnaire with dichotomous and multiple choice responses covering general and specific aspects of anesthesiology. The survey also collected personal and epidemiological data. One hundred eighty-five questionnaires were returned. RESULTS: The results obtained were analyzed for correlations with epidemiological and personal data (sex, information received, prior anesthesia); no significant correlations were found between these data and correct response. It was believed by 78.4% that the anesthesiologist's function during surgery does not go beyond warning the surgeon of changes in vital signs. Nevertheless, 76.2% asserted that the anesthesiologist's function is to protect the patient during the perioperative period. CONCLUSION: In comparison with the general population, medical students' training has left them with inadequate understanding of anesthesiology.

Adult↗

PubMed1998

[Books on anesthesiology and resuscitation published in Spain. An approach to their study].

INTRODUCTION: Few authors have examined the publication of medical books. Our aim was to analyze the nature of books published in Spain on anesthesiology and recovery. MATERIAL AND METHODS: Books listed by the Spanish ISBN agency were selected if they included anestesi* or reanima* in any field. Duplicates were removed. Multiple editions or references were considered single books, with data for the oldest edition entered into analysis. Multiple volume collections were grouped as complete works. Data analyzed for each book were year of publication, language (of publication and the original), subject (according to ISBN classification) and place of publication. Nine subject classifications were applied: general, recovery, anesthetic techniques, pharmacology, obstetrics/gynecology, pediatrics, veterinary anesthesia, dental anesthesia and miscellaneous. RESULTS: We analyzed 216 books. Years that saw publication of the greatest number of books were 1988 (17), 1993 (16) and 1979 (15), and the five-year period in which the most books were published was 1985 to 1989 (48 books, 22.2%). Most books (114, 52.8%) were originally written in English, Spanish being the second most common original language (58, 26.8%). All books were published in Spanish. The Spanish ISBN classification system identified 11 categories: general diseases/clinical medicine/therapy (161, 74.5%); drugs/pharmacology/physical therapy/toxicology (20, 9.3%); gynecology/obstetrics (9, 4.2%), veterinary medicine (9, 4.2%) and medicine (8, 3.7%). Classification by specific subjects showed a predominance of monographs or treatises on general aspects (42, 19.4%) followed by books on recovery (37, 17.1%), anesthetic techniques (25, 11.6%) and pharmacology (17, 7.9%). Most books were published in Barcelona (142, 65.7%), Madrid (36, 16.7%) or Saragossa (10, 4.6%). CONCLUSIONS: Spanish publication of books on anesthesiology and recovery has increased in recent years. Most books are translations usually from English. Spanish ISBN agency data, although it has limitations, can be useful for locating books published in Spain on anesthesiology and recovery. It would be useful to introduce keywords into the ISBN data base so that books on specific subjects could be classified and retrieved.

Anesthesiology↗

PubMed2005

[Clinical pathway "laparoscopic prostatectomy". Analysis of anesthesiological procedures in a randomized study].

METHODS: In this study we investigated the anesthesiological module of a clinical pathway. We chose the pathway of "laparoscopic prostatectomy" as an example for time-consuming minimally invasive surgery and 40 patients were randomly assigned to 2 groups receiving either total intravenous anesthesia (TIVA) using propofol/ remifentanil or balanced minimal flow anesthesia using desflurane/ remifentanil. During this module the indicators of quality such as vigilance, pain, postoperative nausea and vomiting (PONV) and mobilization were measured. Costs were evaluated and analyzed by a bottom-up procedure. RESULTS: There were no anesthesia-related deviations from clinical pathways and both forms of anesthesia management were equally well tolerated by the patients. No significant difference was observed regarding hemodynamic measurements or PONV. The patients in the desflurane/ remifentanil group recovered more rapidly (p=0.037) and had more pain. The amount of analgesic agents given immediately following anesthesia was significantly higher than in the TIVA group (p=0.017). The median anesthesia costs per minute for laparoscopic prostatectomy in the propofol group were 2.79 EUR (minimum cost 2.41 EUR, maximum cost 3.21 EUR) and in the desflurane group 2.68 EUR (minimum cost 2.45 EUR, maximum cost 3.39 EUR). The total anesthesia costs for both groups were within the proceeds matrix range for diagnosis-related groups (DRG). However, the cost analysis for medication was slightly higher than the proceeds matrix range for DRGs. CONCLUSION: Both forms of anesthesia can be implemented for time-consuming surgical procedures and allow a cost-effective anesthesia management. Anesthesiological procedures must go hand-in-hand with the type of anesthesia selected. The prophylactic use of analgetics for desflurane/ remifentanil anesthesia should be given earlier and in higher doses than in propofol/ remifentanil anesthesia. The prophylactic use of antiemetics following laparoscopic procedures of long duration is indicated. Optimizing anesthesiological procedures could lead to a continuous improvement in the quality of therapeutic pathways.

Aged↗

PubMed2003

[Anesthesiological management of pancreatectomy with curative intention in pancreatic carcinoma].

Pancreatectomy for pancreatic carcinoma makes high demands on the perioperative anesthesiologic management of these patients. This survey is centered on pathophysiological reflections related to the choice of the anesthesia and accompanying therapy, concerning the pathological mechanisms of intra- and postoperative complications. The influences of the surgical as well as the anesthesiological procedure on the autonomous nervous system and splanchnic blood flow, the organo-specific consequences of the resection and the possible influences on the immune system are discussed. Recommendations for perioperative medical care of these patients are derived from it. Central points are an anesthesiologic management adapted to the patient with regard to pathophysiological changes caused by surgery, monitoring and therapy of the disturbed fluid balance, postoperative intensive care as well as an optimal pain treatment.

Anesthesia↗