Anesthesia and analgesia
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Anesthesia and analgesia · Feb 2016
Anesthesiologist- and System-Related Risk Factors for Risk-Adjusted Pediatric Anesthesia-Related Cardiac Arrest.
Pediatric anesthesia-related cardiac arrest (ARCA) is an uncommon but potentially preventable adverse event. Infants and children with more severe underlying disease are at highest risk. We aimed to identify system- and anesthesiologist-related risk factors for ARCA. ⋯ Case-mix explained most associations between higher risk of pediatric ARCA and anesthesiologist-related variables at our institution, but the association with fewer annual days delivering anesthetics remained. Our findings highlight the need for rigorous adjustment for patient risk factors in anesthesia patient safety studies.
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Anesthesia and analgesia · Feb 2016
Postoperative Pain Management in Children of Hispanic Origin: A Descriptive Cohort Study.
It has been established that pain is frequently undertreated in children following outpatient surgery. Very few studies, however, have investigated this phenomenon in ethnically diverse populations. ⋯ Despite experiencing significant postoperative pain, Hispanic children assessed in this study received suboptimal analgesic therapy at home.
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Anesthesia and analgesia · Feb 2016
Biography Historical ArticleMerel Harmel: Portrait of an Anesthesiology Pioneer.
Merel Harmel, MD, was the first anesthesiologist to give anesthesia for a palliative congenital heart operation performed by Alfred Blalock, MD. He was the first resident in anesthesiology at Johns Hopkins and was the first academic department chairman at 3 different universities during his long career. He was successful because of his steadfast belief that academic anesthesia could and must flourish and his incessant optimism no matter how daunting the many obstacles in his professional life.