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Brazilian Journal of Anesthesiology... 2015Anesthesia is still a major concern for patients, although the anesthetic complications have decreased significantly. Additionally, the role assigned to the...
BACKGROUND AND OBJECTIVES
Anesthesia is still a major concern for patients, although the anesthetic complications have decreased significantly. Additionally, the role assigned to the anesthesiologist remains inaccurate. The aim of this study was to evaluate the concerns with anesthesia and assess the patient's knowledge about the anesthesiologist's duties.
METHODS
Prospective study conducted over three months with patients in the preoperative anesthetic visit in a university hospital. Demographic information about the level of education and prior anesthesia was obtained. The knowledge of patients regarding the anesthesiologists' education was evaluated. Patients' concerns and anesthesiologist and surgeon responsibilities were classified with a 5-point scale. The analysis was performed with SPSS 21, and p<0.05 was considered statistically significant.
RESULTS
We included 204 patients, and 135 (66.2%) recognized the anesthesiologist as a specialist physician. Not waking up after surgery and postoperative infection were the main concerns compared to all others (p<0.05). Women expressed more concern than men about not waking up after surgery, nausea and postoperative vomiting, medical problems, and waking up during surgery (p<0.05). Ensure that patients do not wake up during surgery was the anesthesiologist task most recognized, compared to all other (p<0.05). The surgeon was more recognized (p<0.05) than the anesthesiologist in post-operative, antibiotics administration, and blood transfusions pain management.
CONCLUSIONS
Patients need to be informed about the current safety of anesthesia and the anesthesiologist's functions. The patient involvement will demystify some fears and reassure the confidence in the health system.
Topics: Anesthesia; Anesthesiologists; Female; Humans; Male; Middle Aged; Patient Safety; Perception; Physician-Patient Relations; Prospective Studies
PubMed: 26614148
DOI: 10.1016/j.bjane.2014.05.014 -
Journal of Cardiothoracic and Vascular... Jun 2023
Topics: Humans; Anesthesiologists; Heart; Heart Failure
PubMed: 36842940
DOI: 10.1053/j.jvca.2023.01.024 -
Brazilian Journal of Anesthesiology... 2021
Topics: Anesthesiologists; Humans; Medical Marijuana
PubMed: 33930337
DOI: 10.1016/j.bjane.2021.02.056 -
Annals of Surgery Apr 2024To examine the association of anesthesiologist sex on postoperative outcomes.
OBJECTIVE
To examine the association of anesthesiologist sex on postoperative outcomes.
BACKGROUND
Differences in patient postoperative outcomes exist, depending on whether the primary surgeon is male or female, with better outcomes seen among patients treated by female surgeons. Whether the intraoperative anesthesiologist's sex is associated with differential postoperative patient outcomes is unknown.
METHODS
We performed a population-based, retrospective cohort study among adult patients undergoing one of 25 common elective or emergent surgical procedures from 2007 to 2019 in Ontario, Canada. We assessed the association between the sex of the intraoperative anesthesiologist and the primary end point of the adverse postoperative outcome, defined as death, readmission, or complication within 30 days after surgery, using generalized estimating equations.
RESULTS
Among 1,165,711 patients treated by 3006 surgeons and 1477 anesthesiologists, 311,822 (26.7%) received care from a female anesthesiologist and 853,889 (73.3%) from a male anesthesiologist. Overall, 10.8% of patients experienced one or more adverse postoperative outcomes, of whom 1.1% died. Multivariable adjusted rates of the composite primary end point were higher among patients treated by male anesthesiologists (10.6%) compared with female anesthesiologists (10.4%; adjusted odds ratio 1.02, 95% CI: 1.00-1.05, P =0.048).
CONCLUSIONS
We demonstrated a significant association between sex of the intraoperative anesthesiologist and patient short-term outcomes after surgery in a large cohort study. This study supports the growing literature of improved patient outcomes among female practitioners. The underlying mechanisms of why outcomes differ between male and female physicians remain elusive and require further in-depth study.
Topics: Adult; Humans; Male; Female; Anesthesiologists; Cohort Studies; Retrospective Studies; Postoperative Complications; Ontario
PubMed: 38264927
DOI: 10.1097/SLA.0000000000006217 -
Anesthesia and Analgesia May 2017
Topics: Amish; Anesthesiologists; Humans
PubMed: 28426579
DOI: 10.1213/ANE.0000000000001849 -
Journal of Cardiothoracic and Vascular... Jul 2021
Topics: Amyloidosis; Anesthesiologists; Diagnostic Imaging; Humans
PubMed: 33736913
DOI: 10.1053/j.jvca.2021.02.040 -
International Journal of Obstetric... May 2022
Topics: Anesthesiologists; Echocardiography; Female; Humans; Obstetrics; Pregnancy; Ultrasonography
PubMed: 35381420
DOI: 10.1016/j.ijoa.2022.103545 -
Anesthesia and Analgesia May 2024
Topics: Humans; Anesthesiologists; Anesthesiology; Surgeons
PubMed: 38381670
DOI: 10.1213/ANE.0000000000006655 -
Journal of Clinical Anesthesia Dec 2020
Topics: Adult; Age Factors; Aged; Anesthesiologists; COVID-19; Female; Geography; Humans; Male; Middle Aged; Pandemics; United States; Workforce
PubMed: 32949917
DOI: 10.1016/j.jclinane.2020.110043 -
International Anesthesiology Clinics 2017
Topics: Anesthesiologists; Consultants; Humans; Physician's Role; Resuscitation
PubMed: 28598876
DOI: 10.1097/AIA.0000000000000152