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Cleveland Clinic Journal of Medicine 1993Internists are commonly consulted to "clear" patients for anesthesia and surgery. Newer anesthetic agents and techniques now extend limits and possibilities beyond what... (Review)
Review
BACKGROUND
Internists are commonly consulted to "clear" patients for anesthesia and surgery. Newer anesthetic agents and techniques now extend limits and possibilities beyond what many internists were taught.
OBJECTIVE
To update internists on recent changes in anesthetic management and how they affect the preoperative evaluation.
SUMMARY
Recent advances in anesthetic management include new monitoring standards, balanced anesthetic technique, new agents, equipment changes, better understanding of human factors, and expanded pain management techniques.
CONCLUSIONS
Postoperative care will likely assume increasing importance in determining anesthesia-related morbidity and mortality. For this reason, increased interaction and cooperation between surgeons, internists, and anesthesiologists are needed.
Topics: Anesthesiology; Anesthetics; Forecasting; Humans; Internal Medicine; Monitoring, Intraoperative
PubMed: 8513544
DOI: 10.3949/ccjm.60.3.219 -
British Journal of Anaesthesia Sep 2017
Topics: Anesthesiology; Anesthetics; Animals; Humans; Neuronal Plasticity; Neurotoxicity Syndromes; United Kingdom
PubMed: 28969326
DOI: 10.1093/bja/aex238 -
Anesthesiology Aug 2018
Topics: Anesthesiology; Anesthetics; Animals; Consciousness; Mice; Olive Oil; Xenon Isotopes
PubMed: 29794803
DOI: 10.1097/ALN.0000000000002273 -
Anesthesiology Nov 2003
Review
Topics: Anesthesiology; Anesthetics, Inhalation; Anesthetics, Intravenous; Automation; Drug Delivery Systems; Humans; Infusions, Intravenous; Terminology as Topic
PubMed: 14576561
DOI: 10.1097/00000542-200311000-00031 -
Drug Design, Development and Therapy 2015The aim of this study was to assess progress in the field of anesthesia monitoring over the past 40 years using scientometric analysis. The following scientometric... (Meta-Analysis)
Meta-Analysis Review
The aim of this study was to assess progress in the field of anesthesia monitoring over the past 40 years using scientometric analysis. The following scientometric indexes were used: popularity indexes (general and specific), representing the proportion of articles on either a topic relative to all articles in the field of anesthetics (general popularity index, GPI) or the subfield of anesthesia monitoring (specific popularity index, SPI); index of change (IC), representing the degree of growth in publications on a topic from one period to the next; and index of expectations (IE), representing the ratio of the number of articles on a topic in the top 20 journals relative to the number of articles in all (>5,000) biomedical journals covered by PubMed. Publications on 33 anesthesia-monitoring topics were assessed. Our analysis showed that over the past 40 years, the rate of rise in the number of articles on anesthesia monitoring was exponential, with an increase of more than eleven-fold, from 296 articles over the 5-year period 1974-1978 to 3,394 articles for 2009-2013. This rise profoundly exceeded the rate of rise of the number of articles on general anesthetics. The difference was especially evident with the comparison of the related GPIs: stable growth of the GPI for anesthesia monitoring vs constant decline in the GPI for general anesthetics. By the 2009-2013 period, among specific monitoring topics introduced after 1980, the SPI index had a meaningful magnitude (≥1.5) in 9 of 24 topics: Bispectral Index (7.8), Transesophageal Echocardiography (4.2), Electromyography (2.8), Pulse Oximetry (2.4), Entropy (2.3), Train-of-four (2.3), Capnography (1.9), Pulse Contour (1.9), and Electrical Nerve Stimulation for neuromuscular monitoring (1.6). Only one of these topics (Pulse Contour) demonstrated (in 2009-2013) high values for both IC and IE indexes (76 and 16.9, respectively), indicating significant recent progress. We suggest that rapid growth in the field of anesthetic monitoring was one of the most important developments to compensate for the intrinsically low margins of safety of anesthetic agents.
Topics: Anesthesia; Anesthesiology; Anesthetics; Humans; Monitoring, Intraoperative; Safety
PubMed: 26005336
DOI: 10.2147/DDDT.S81013 -
British Journal of Anaesthesia Jul 1978
Review
Topics: Abortion, Spontaneous; Air Pollutants, Occupational; Anesthesiology; Anesthetics; Animals; Female; Fetal Diseases; Fetal Resorption; Humans; Male; Mortality; Neoplasms; Occupational Diseases; Operating Rooms; Pregnancy; Reproduction; Surveys and Questionnaires
PubMed: 354667
DOI: 10.1093/bja/50.7.713 -
Anaesthesia Jun 2023
More anaesthetists; fewer operations? Difficult questions for the specialty and stark planning implications of the 7th National Audit Project's anaesthetic activity survey.
Topics: Humans; Anesthetics; Anesthesiology; Anesthetists
PubMed: 36991476
DOI: 10.1111/anae.16010 -
Anesthesiology Clinics Sep 2011Adoption of information systems throughout the hospital environment has enabled the development of real-time physiologic alerts and clinician reminder systems. These... (Review)
Review
Adoption of information systems throughout the hospital environment has enabled the development of real-time physiologic alerts and clinician reminder systems. These clinical tools can be made available through the deployment of anesthesia information management systems (AIMS). Creating usable alert systems requires understanding of technical considerations. Various successful implementations are reviewed, encompassing cost reduction, improved revenue capture, timely antibiotic administration, and postoperative nausea and vomiting prophylaxis. Challenges to the widespread use of real-time alerts and reminders include AIMS adoption rates and the difficulty in choosing appropriate areas and approaches for information systems support.
Topics: Anesthesiology; Anesthetics; Cardiopulmonary Bypass; Clinical Alarms; Computer Systems; Decision Support Systems, Clinical; Humans; Information Systems; Postoperative Nausea and Vomiting; Reference Standards; Reminder Systems
PubMed: 21871401
DOI: 10.1016/j.anclin.2011.05.003 -
British Journal of Anaesthesia Jul 2018
Topics: Anesthesia; Anesthesiology; Anesthetics; Arousal; Electroencephalography
PubMed: 29935588
DOI: 10.1016/j.bja.2018.04.003 -
Anaesthesia Jun 2018
Topics: Anesthesia; Anesthesiology; Anesthetics; Gas Scavengers; Occupational Exposure
PubMed: 29747231
DOI: 10.1111/anae.14308