ISSN:0952-7907    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The use of regional anesthesia techniques is increasing in popularity because they reduce the incidence of postoperative complications, including nausea, vomiting, and pain, and decrease the recovery time and hospital stay. This article reviews the recent developments in regional anesthesia techniques and the modifications necessary to adapt them for ambulatory surgery.

ISSN:0952-7907    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Recent introduction of new fast-onset short-duration anaesthetic drugs and the use of regional anaesthesia techniques in children have resulted in good control of anaesthesia and perioperative pain with few adverse effects. Ambulatory surgery has gained popularity in paediatric practice, particularly as children are often otherwise healthy and usually undergo minor surgery.

ISSN:0952-7907    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Worldwide, approximately 80-100 million surgical procedures are performed under general anaesthesia each year. Despite major advances in surgical techniques and the introduction of new anaesthetic agents with reduced emetogenicity, the incidence of postoperative nausea and vomiting (20-30%) has remained largely unchanged over the past few decades. Postoperative nausea and vomiting are of greatest concern after ambulatory surgical procedures because they may delay discharge and result in unanticipated hospital admission, thus increasing the cost of the procedure by a large margin. This review discusses the current status of the antiemetic therapy of postoperative nausea and vomiting.

ISSN:0952-7907    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Ambulatory or day-case surgery is being employed to an ever-increasing extent. Although it has many advantages, it is not suited to the needs of every patient. For example, patients who live alone, particularly the elderly, might well not be able to care for themselves adequately after such surgery and are probably at a higher risk of developing complications, including infections. Furthermore, pain treatment may be insufficient, as a consequence of which recovery can be prolonged and the resumption of normal daily activities might be delayed. Nausea, dizziness and vomiting can also prolong recovery and need to be adequately treated after ambulatory surgery. Therefore, the often cited cost effectiveness of ambulatory surgery is questionable if complications cannot be prevented or treated effectively.

ISSN:0952-7907    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The last decade of the millennium has witnessed the introduction of new extratracheal airway devices for use in fasted patients undergoing ambulatory anaesthesia. A growing awareness of the potential of such devices in the difficult airway has contributed to their increasing use.

ISSN:0952-7907    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0952-7907    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Despite endless efforts in the quest for credible methods for evaluating clinical competence, the objective remains elusive. The components of competence include both clinical (interview skills, physical examination, differential diagnosis and therapeutic modalities) and technical skills. Written and oral examinations and, more recently, objective structured clinical examinations have been used as instruments for assessing the progress of trainees as well as for college or board certification and licensure to practice medicine. The American Board of Anesthesiology has adopted a more rigorous process for evaluating residents in training (Certificates of Clinical Competence). Newer methods have attempted to measure the competence of practicing physicians, including the analysis of data from physician-submitted ‘report cards’, ‘re-certification’ examinations, and patient outcome studies. Whole-body computerized patient simulators have become a major area of research for teaching clinical skills and assessing behavior as well as patient management during critical incidents. This review examines the significant literature in each of the areas cited.

ISSN:0952-7907    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

As the action around a patient with failing vital functions is getting more multidisciplinary, there seems to be a developing consensus that intensive care medicine is not going to be regarded as a speciality in its own right. Before becoming board certified in intensive care medicine a board certification in a primary speciality will be required. Anaesthesiological expertise and skills will continue to be important, even in intensive care medicine of the future. It is the level of broad medical knowledge, clinical capability and scientific competence that will decide the future leadership of this multidiscipline.

ISSN:0952-7907    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Anaesthesia, as well as the whole of medicine, is involved in a revolution not only technical but also economic, because of the need for cost-containment in healthcare delivery. Continuing medical education, primarily devoted to updating knowledge and skills, is moving rapidly towards continuous professional development. A permanent evolution of practitioners is mandatory in order that they are able to adapt their practice to technical, ethical and economic changes, integrated in a team-working and multidisciplinary approach to patient care.

ISSN:0952-7907    

出版商:OVID    

年代:1999

数据来源: OVID