-
Anesthesiology Dec 2021
Topics: Anesthesiologists; Burnout, Professional; Burnout, Psychological; Humans
PubMed: 34402857
DOI: 10.1097/ALN.0000000000003930 -
Anesthesiology Nov 2021
Topics: Anesthesiologists; Anesthesiology; Humans
PubMed: 34520524
DOI: 10.1097/ALN.0000000000003956 -
Anesthesiology Nov 2021
Topics: Anesthesiologists; Anesthesiology; Humans
PubMed: 34520531
DOI: 10.1097/ALN.0000000000003955 -
Canadian Journal of Anaesthesia =... May 2022Numerous guideline recommendations for airway and perioperative management during the COVID-19 pandemic have been published. We identified, synthesized, and compared... (Review)
Review
PURPOSE
Numerous guideline recommendations for airway and perioperative management during the COVID-19 pandemic have been published. We identified, synthesized, and compared guidelines intended for anesthesiologists.
SOURCE
Member society websites of the World Federation of Societies of Anesthesiologists and the European Society of Anesthesiologists were searched. Recommendations that focused on perioperative airway management of patients with proven or potential COVID-19 were included. Accelerated screening was used; data were extracted by one reviewer and verified by a second. Data were organized into themes based on perioperative phase of care.
PRINCIPAL FINDINGS
Thirty unique sets of recommendations were identified. None reported methods for systematically searching or selecting evidence to be included. Four were updated following initial publication. For induction and airway management, most recommended minimizing personnel and having the most experienced anesthesiologist perform tracheal intubation. Significant congruence was observed among recommendations that discussed personal protective equipment. Of those that discussed tracheal intubation methods, most (96%) recommended videolaryngoscopy, while discordance existed regarding use of flexible bronchoscopy. Intraoperatively, 23% suggested specific anesthesia techniques and most (63%) recommended a specific operating room for patients with COVID-19. Postoperatively, a minority discussed extubation procedures (33%), or care in the recovery room (40%). Non-technical considerations were discussed in 27% and psychological support for healthcare providers in 10%.
CONCLUSION
Recommendations for perioperative airway management of patients with COVID-19 overlap to a large extent but also show significant differences. Given the paucity of data early in the pandemic, it is not surprising that identified publications largely reflected expert opinion rather than empirical evidence. We suggest future efforts should promote coordinated responses and provide suggestions for studying and establishing best practices in perioperative patients.
STUDY REGISTRATION
Open Science Framework ( https://osf.io/a2k4u/ ); date created, 26 March 2020.
Topics: Airway Management; Anesthesiologists; COVID-19; Humans; Pandemics; Personal Protective Equipment
PubMed: 35112304
DOI: 10.1007/s12630-022-02199-z -
Brazilian Journal of Anesthesiology... 2023
Topics: Humans; Anesthesiologists; Dexmedetomidine
PubMed: 36690207
DOI: 10.1016/j.bjane.2023.01.001 -
British Journal of Anaesthesia Oct 2021
Topics: Anesthesia; Anesthesiologists; Anesthetists; Humans; Nurse Anesthetists; Terminology as Topic
PubMed: 34548151
DOI: 10.1016/j.bja.2021.04.025 -
BMC Medical Education Aug 2023Training anesthesiologists poses challenges and complexities, particularly in defining and teaching excellence in anesthesia. Existing anesthesia curricula primarily...
BACKGROUND
Training anesthesiologists poses challenges and complexities, particularly in defining and teaching excellence in anesthesia. Existing anesthesia curricula primarily emphasize the acquisition of knowledge, practical skills, and professional competencies, often neglecting the development of intangible skills like tacit knowledge. Despite efforts to establish learning goals through carefully describing competencies, there is a risk of oversimplifying the intricate aspects of professional anesthesia practice. Therefore, the objective of this study is to gain a deeper understanding of the genuine curriculum of a specialty training program in anesthesia. This will be achieved by exploring the perceptions of learners with different levels of experience within the program.
METHODS
This study employs a phenomenographic research approach to explore the conceptions of anesthesiology trainees and specialists, specifically from a student's perspective, regarding what constitutes an excellent anesthesiologist i.e., what to learn, and the learning process associated with it.
RESULTS
This study identified three different conceptions of learning anesthesia within the context of a specialty training program: "Learning Competencies of Anesthesia," "Learning Work as an Anesthesiologist" and "Learning Being an Anesthesiology Professional." These conceptions ranged from a relatively instrumental view of education and self-responsibility for learning to a perspective of continuous personal reflection and development integrated with professional interaction. The three conceptions can be described in six dimensions describing the variation in approach to learning and the conceptualization of an anesthesiologist. Relationships between the conceptions and the dimensions were represented in a descriptive framework, showing the hierarchy of increasing understanding.
CONCLUSION
This study has uncovered diverse learner perspectives among anesthesiologists at various experience levels concerning their understanding of the role of an anesthesiologist and the associated learning process. These distinct understandings can be categorized into different groups and presented in a descriptive framework that encapsulates the fundamental elements and important educational aspects of an anesthesiologist's progression through a specialty training program in anesthesia. By recognizing and integrating these diverse perspectives, anesthesia education can be enhanced, ultimately resulting in improved preparation of future anesthesia curriculum, teaching and assessments.
Topics: Humans; Anesthesiology; Anesthesiologists; Learning; Anesthesia; Curriculum
PubMed: 37605231
DOI: 10.1186/s12909-023-04573-x -
Anesthesiology Clinics Mar 2023Strategies for the intraoperative ventilator management of the critically ill patient focus on parameters used for lung protective ventilation with acute respiratory... (Review)
Review
Strategies for the intraoperative ventilator management of the critically ill patient focus on parameters used for lung protective ventilation with acute respiratory distress syndrome, preventing or limiting the deleterious effects of mechanical ventilation, and optimizing anesthetic and surgical conditions to limit postoperative pulmonary complications for patients at risk. Patient conditions such as obesity, sepsis, the need for laparoscopic surgery, or one-lung ventilation may benefit from intraoperative lung protective ventilation strategies. Anesthesiologists can use risk evaluation and prediction tools, monitor advanced physiologic targets, and incorporate new innovative monitoring techniques to develop an individualized approach for patients.
Topics: Humans; Critical Illness; Ventilators, Mechanical; Respiration, Artificial; Anesthesiologists; Obesity; Postoperative Complications
PubMed: 36871995
DOI: 10.1016/j.anclin.2022.11.004 -
Medical Gas Research 2022
Topics: Anesthesiologists; Burnout, Professional; Burnout, Psychological; Humans
PubMed: 34854423
DOI: 10.4103/2045-9912.330696 -
British Journal of Anaesthesia Oct 2020
Topics: Anesthesiologists; COVID-19; Contact Tracing; Coronavirus Infections; History, 19th Century; History, 20th Century; Humans; Infection Control; Operating Rooms; Pandemics; Pneumonia, Viral; Professional Role
PubMed: 32593456
DOI: 10.1016/j.bja.2020.06.005