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TheScientificWorldJournal Nov 2013Ultrasound is a safe, portable, relatively inexpensive, and easily accessible imaging modality, making it a useful diagnostic and monitoring tool in medicine.... (Review)
Review
Ultrasound is a safe, portable, relatively inexpensive, and easily accessible imaging modality, making it a useful diagnostic and monitoring tool in medicine. Anesthesiologists encounter a variety of emergent situations and may benefit from the application of such a rapid and accurate diagnostic tool in their routine practice. This paper reviews current and potential applications of ultrasound in anesthesiology in order to encourage anesthesiologists to learn and use this useful tool as an adjunct to physical examination. Ultrasound-guided peripheral nerve blockade and vascular access represent the most popular ultrasound applications in anesthesiology. Ultrasound has recently started to substitute for CT scans and fluoroscopy in many pain treatment procedures. Although the application of airway ultrasound is still limited, it has a promising future. Lung ultrasound is a well-established field in point-of-care medicine, and it could have a great impact if utilized in our ORs, as it may help in rapid and accurate diagnosis in many emergent situations. Optic nerve sheath diameter (ONSD) measurement and transcranial color coded duplex (TCCD) are relatively new neuroimaging modalities, which assess intracranial pressure and cerebral blood flow. Gastric ultrasound can be used for assessment of gastric content and diagnosis of full stomach. Focused transthoracic (TTE) and transesophageal (TEE) echocardiography facilitate the assessment of left and right ventricular function, cardiac valve abnormalities, and volume status as well as guiding cardiac resuscitation. Thus, there are multiple potential areas where ultrasound can play a significant role in guiding otherwise blind and invasive interventions, diagnosing critical conditions, and assessing for possible anatomic variations that may lead to plan modification. We suggest that ultrasound training should be part of any anesthesiology training program curriculum.
Topics: Anesthesiology; Education, Medical, Continuing; Humans; Physicians; Ultrasonography
PubMed: 24348179
DOI: 10.1155/2013/683685 -
Brazilian Journal of Anesthesiology... 2023
Topics: Humans; Anesthesia; Anesthesiology
PubMed: 37062412
DOI: 10.1016/j.bjane.2023.04.001 -
Anaesthesia Oct 2017
Topics: Anesthesiology; Biomedical Research; Data Interpretation, Statistical; Humans; Periodicals as Topic
PubMed: 28805242
DOI: 10.1111/anae.14030 -
Anesthesiology Nov 2019
Topics: Anesthesiology; Animal Experimentation; Animals; Biomedical Research; Humans; Sex Characteristics
PubMed: 31453813
DOI: 10.1097/ALN.0000000000002945 -
Anesthesiology Jul 2023
Topics: Brain; Anesthesia; Anesthesiology
PubMed: 37279104
DOI: 10.1097/ALN.0000000000004571 -
Current Opinion in Anaesthesiology Aug 2019Nonoperating room anesthesia (NORA) is the fastest growing segment of anesthetic practice. This review provides an overview of knowledge and trends that will need to be... (Review)
Review
PURPOSE OF REVIEW
Nonoperating room anesthesia (NORA) is the fastest growing segment of anesthetic practice. This review provides an overview of knowledge and trends that will need to be introduced to residents as part of their education.
RECENT FINDINGS
Topics for the future include, but are not limited to, new medications, artificial intelligence and big data, monitoring depth of hypnosis, translational innovation and collaboration, demographic changes, financial driving forces, destination hubs, medical tourism, and new approaches to education training and self-management.
SUMMARY
Implementing new medical technologies for anesthesia outside the operating room will help to successfully master this ever evolving subspecialty. Anesthesiologists require specific preparation for the diverse settings that they will encounter during their training. In this rapidly changing field, cognitive fitness must be factored into teaching and evaluation of residents. We describe the most important topics to consider when educating anesthesiology residents, and highlight research that addresses upcoming challenges.
Topics: Anesthesia; Anesthesiologists; Anesthesiology; Anesthetics; Biomedical Technology; Diffusion of Innovation; Forecasting; Humans; Internship and Residency
PubMed: 31021895
DOI: 10.1097/ACO.0000000000000743 -
British Journal of Anaesthesia Jul 2010This review presents the background to the development of the anaesthetists' non-technical skills (ANTS) taxonomy and behaviour rating tool, which is the first... (Review)
Review
This review presents the background to the development of the anaesthetists' non-technical skills (ANTS) taxonomy and behaviour rating tool, which is the first non-technical skills framework specifically designed for anaesthetists. We share the experience of the anaesthetists who designed ANTS in relation to applying it in a department of anaesthesia, using it in a simulation centre, and the process of introducing it to the profession on a national basis. We also consider how ANTS is being applied in relation to training and research in other countries and finally, we discuss emerging issues in relation to the introduction of a non-technical skills approach in anaesthesia.
Topics: Anesthesiology; Attitude of Health Personnel; Clinical Competence; Education, Medical, Graduate; Educational Measurement; Humans; Interprofessional Relations; Psychometrics
PubMed: 20522911
DOI: 10.1093/bja/aeq134 -
Anesthesiology Dec 2010
Topics: Academies and Institutes; Anesthesiology; Critical Care; History, 20th Century; History, 21st Century; Sweden
PubMed: 21042199
DOI: 10.1097/ALN.0b013e3181fc57a3 -
Anesthesiology Clinics Jun 2021It is difficult to predict the future course and length of the ongoing COVID-19 pandemic, which has devastated health care systems in low- and middle-income countries.... (Review)
Review
It is difficult to predict the future course and length of the ongoing COVID-19 pandemic, which has devastated health care systems in low- and middle-income countries. Anesthesiology and critical care services are hard hit because many hospitals have stopped performing elective surgeries, staff and scarce hospital resources have been diverted to manage COVID-19 patients, and several makeshift COVID-19 units had to be set up. Intensive care units are overwhelmed with critically ill patients. In these difficult times, low- and middle-income countries need to improvise, perform indigenous research, adapt international guidelines to suit local needs, and target attainable clinical goals.
Topics: Anesthesiology; COVID-19; Critical Care; Developing Countries; Health Resources; Humans; Intensive Care Units; Nepal; Pandemics
PubMed: 34024431
DOI: 10.1016/j.anclin.2021.02.004 -
Annals of Cardiac Anaesthesia 2022
Topics: Anesthesiology; Cardiology; Heart; Humans
PubMed: 35799550
DOI: 10.4103/aca.aca_103_22