Journal of clinical anesthesia
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It is estimated that $200 million worth of prepared materials are discarded unused in operating rooms in the United States each year. Although some of these materials have been successfully recovered for overseas donation, they nevertheless constitute an undesirable burden on health care efficiency. ⋯ A database, which was initially developed to track the overseas donation of recovered supplies from Yale-New Haven Hospital, is now being applied to measure approaches to waste reduction. This report summarizes the application of this database to an integrated program designed to modify nursing procedures and physician prespecified supply lists.
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Randomized Controlled Trial Comparative Study Clinical Trial
Bair hugger forced-air warming maintains normothermia more effectively than thermo-lite insulation.
To compare the ability of forced-air warming and reflective insulation to maintain intraoperative normothermia. ⋯ Reflective insulation was unable to maintain intraoperative normothermia during total hip arthroplasty. Active warming, such as that provided by forced air, was required to prevent hypothermia.
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Historical Article
The role of anesthesiology in the health care system of The Netherlands.
With the initiation of regular anesthesia services in the Netherlands in 1947, anesthesiology has grown to a large and influential profession, including intensive care, resuscitation, pain therapy, and emergency medical care. Pre- and postgraduate training programs are formalized and compete with some of the best in the world. ⋯ Anesthesia is restricted to medical specialists, but with the permanent support of fully trained and qualified nurses. Anesthesia in the Netherlands is a "two person" job.