{"title":"A study of the responsibilities of chief residents in anesthesiology with a suggested job description.","authors":"C S Nelson, I E Brown, T K Rao","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We requested information concerning the job description for the chief resident in anesthesiology from 50 different programs. Thirty-two responses were returned, with 9 responses that no such job description existed at their institutions. Eighteen of the remaining 23 respondents had a written job description for the position. Considerable variation existed in the various aspects of the position among institutions. Differences were found in the selection process, administrative duties, number of committee memberships, and educational responsibilities. We present a suggested description of the responsibilities for a chief resident in anesthesiology.</p>","PeriodicalId":79787,"journal":{"name":"Anesthesiology review","volume":"21 6","pages":"199-202"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21022289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Latex allergy. Prevention and treatment.","authors":"D L Hancock","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Latex allergy is a significant, life-threatening problem for some patients and health care workers. This article identifies those individuals at greatest risk for latex allergy and describes measures that can be implemented in order to provide a latex-free environment. Currently accepted pretreatment protocols are presented and guidelines for the treatment of anaphylaxis, should it occur, are reviewed.</p>","PeriodicalId":79787,"journal":{"name":"Anesthesiology review","volume":"21 5","pages":"153-63"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21021764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Propofol reduces prolonged outpatient PACU stay. An analysis according to surgical procedure.","authors":"J N Siler, J C Horrow, H Rosenberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study compared the effects of propofol anesthesia and nonpropofol general anesthetics on duration of stay in the postanesthesia care unit (PACU) for prolonged drowsiness or nausea and vomiting following various surgical procedures. A group of 512 patients undergoing general anesthesia for a variety of outpatient surgical procedures over a 6-month period received general anesthesia with nitrous oxide, with or without propofol. Data collected from PACU records included type of surgical procedure and duration in the PACU of more than 2 hours owing to drowsiness or nausea and vomiting. Overall, patients who received propofol with nitrous oxide experienced less frequent drowsiness, nausea, or vomiting compared with patients who received nonpropofol anesthetic agents (drowsiness 12% vs 31%; nausea/vomiting 3% vs 25%). For patients undergoing gynecologic surgery, propofol anesthesia yielded an 8% incidence of prolonged PACU stay, compared with 41% for nonpropofol techniques. Similar results occurred for orthopedic surgery (15% vs 35%); for ear, nose, or throat procedures (30% vs 75%); and for ophthalmic surgery (18% vs 71%), but not for oral surgery (44% vs 64%). Most same-day surgery patients benefit from administration of propofol for induction and maintenance of anesthesia. Advantages include a decreased likelihood of a prolonged stay in the PACU as a result of drowsiness or nausea and vomiting.</p>","PeriodicalId":79787,"journal":{"name":"Anesthesiology review","volume":"21 4","pages":"129-32"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21044030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiovascular monitoring: clinical applications of technologic advancements.","authors":"U Jain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Increasing senescence is leading to increased incidence of cardiovascular disease in the surgical population. Because of advances in technology, extensive cardiovascular monitoring is increasingly available, and guidelines for monitoring are being developed. An understanding of the cardiac risk of the patient allows proper choice of monitors. Several advances have been made in the monitoring of blood pressure, myocardial ischemia, infarction, arrhythmias, and various systemic parameters. The large-scale studies necessary to elucidate the impact of monitoring on clinical outcome have yet to be conducted.</p>","PeriodicalId":79787,"journal":{"name":"Anesthesiology review","volume":"21 3","pages":"80-90"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21019607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An update on pulse oximetry. Part II: limitations and future applications.","authors":"K A Carlson, J S Jahr","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The pulse oximeter can be used in all clinical situations in which the patient is at risk for hypoxemia. Now standard in the operating room, pulse oximetry is beginning to be used in prehospital transport, emergency department, postanesthesia recovery room, intensive care unit, endoscopy and catheterization suites, and delivery room, as well as for ambulatory monitoring and preoperative screening. The pulse oximeter is an invaluable monitor for the anesthesiologist and may allow better health care delivery to the patient, especially when combined with capnography and mixed venous oximetry. This article presents an update on its limitations and future applications.</p>","PeriodicalId":79787,"journal":{"name":"Anesthesiology review","volume":"21 2","pages":"41-6"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21018401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical use of the Relaxograph NMT-100.","authors":"R W Lekowski, J F Johnston","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79787,"journal":{"name":"Anesthesiology review","volume":"21 1","pages":"22-6"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21043252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A historical overview and update on pulse oximetry.","authors":"K A Carlson, J S Jahr","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pulse oximetry has revolutionized the way in which blood oxygenation is measured. It provides an accurate and relatively reliable noninvasive means for the continuous measurement of peripheral oxygen saturation in a variety of patients. The pulse oximeter has detected many clinical situations in which arterial hypoxemia (SaO 2 less than 90%) was not previously known to occur. The accuracy of this instrument depends on many factors, particularly the clinical scenario and the machine itself. The pulse oximeter is accurate under the following conditions: SaO 2 is greater than 22% in hemodynamically stable patients and greater than 35% in hemodynamically unstable patients; core body temperature is greater than 32 degrees C; cardiac index is greater than 1.5 L/min per m 2; pulse pressure is > 20 mm Hg; hematocrit is greater than 10%; hyperbilirubinemia is corrected for carboxyhemoglobin; fetal hemoglobin is at any level. Pulse oximeter readings have limited accuracy in the presence of methemoglobin, carboxyhemoglobin, nail polish, fluorescent light, and motion. This article presents a historical overview of pulse oximetry and an update on its current uses.</p>","PeriodicalId":79787,"journal":{"name":"Anesthesiology review","volume":"20 5","pages":"173-81"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21018312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comparison of the incidence of nausea after laparoscopic cholecystectomy and diagnostic laparoscopy.","authors":"N Patel, C P Strogen, B Patel, T Baker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thirty-four patients undergoing gynecologic diagnostic laparoscopy and 30 patients undergoing laparoscopic cholecystectomies were followed prospectively for nausea and vomiting 24 hours postoperatively. Diagnostic laparoscopy patients had a significantly higher incidence of nausea and vomiting than laparoscopic cholecystectomy patients with similar anesthetic techniques, duration of surgery, and population parameters. All patients had their stomach contents suctioned after induction. While both procedures involve bowel manipulation, patient position and organ manipulation differ: diagnostic laparoscopy involves the Trendelenburg position and laparoscopic cholecystectomy involves the reverse Trendelenburg; diagnostic laparoscopy involves the uterus, ovaries, and fallopian tubes while laparoscopic cholecystectomy involves mainly the gall-bladder and its appendages. These factors may contribute to the differences found in this study.</p>","PeriodicalId":79787,"journal":{"name":"Anesthesiology review","volume":"20 5","pages":"182-4"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21018313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Should transesophageal echocardiography routinely be used during coronary artery bypass surgery?","authors":"S N Konstadt, J R Cooper","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79787,"journal":{"name":"Anesthesiology review","volume":"20 5","pages":"196-200"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21018320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Anesthesia Simulator Consultant: simulation plus expert system.","authors":"H A Schwid, D O'Donnell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Anesthesia Simulator Consultant was designed to provide anesthesiologists the opportunity to practice the management of anesthesia-critical incidents. The program simulates the operating room environment in a graphic display on the screen of a personal computer. Physiologic models predict the patient responses and an automated record-keeping system produces a detailed summary of the case. An expert system provides interpretations of patient information, differential diagnosis, and treatment for abnormal patient conditions. The coupling of the simulator, recorder, and expert system creates a unique self-study and evaluation environment.</p>","PeriodicalId":79787,"journal":{"name":"Anesthesiology review","volume":"20 5","pages":"185-9"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21018314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}