Current opinion in anaesthesiology
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Curr Opin Anaesthesiol · Jun 2018
ReviewNeuraxial labor analgesia: a focused narrative review of the 2017 literature.
Neuraxial labor analgesia remains the most effective and one of the most commonly utilized methods for pain relief during labor. This narrative review article is a summary of the literature published in 2017 on neuraxial analgesia for labor. ⋯ Recent advances, as well as refinements, of current neuraxial analgesia techniques could improve women's experience of labor.
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Curr Opin Anaesthesiol · Jun 2018
ReviewPerioperative considerations for airway management and drug dosing in obese children.
Childhood obesity, a phenomenon that is increasing globally, holds substantial relevance for pediatric anesthesia. In particular, understanding the nuances of airway management and drug dosing in obese children can be daunting. ⋯ Theoretical knowledge, practical skills, meticulous risk stratification and optimal drug regimens are crucial to ensure the safe conduct of anesthesia for obese children.
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Curr Opin Anaesthesiol · Jun 2018
ReviewTechnology as friend or foe? Do electronic health records increase burnout?
To summarize recent relevant studies regarding the use of electronic health records and physician burnout. ⋯ Adoption of electronic health records has increased across the United States and worldwide. Although electronic health records have many benefits, there is growing concern about the adverse consequences of their use on physician satisfaction and burnout. Poor usability, incongruent workflows, and the addition of clerical tasks to physician documentation requirements have been previously highlighted as ongoing concerns with electronic health record adoption. In multiple recent studies, electronic health records have been shown to decrease professional satisfaction, increase burnout, and the likelihood that a physician will reduce or leave clinical practice. One interventional study demonstrated a positive effect of a dedicated electronic health record entry clerk on physicians working in an outpatient practice.
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Curr Opin Anaesthesiol · Jun 2018
ReviewPreoperative fasting guidelines in pediatric anesthesia: are we ready for a change?
Study after study shows that prolonged fasting before anesthesia is common in children. Pediatric anesthesiologists around the world are concerned that the current guidelines may be part of the problem. This review focuses on what can be done about it. ⋯ Accumulating evidence indicates that changes of the current guidelines for preoperative fasting should be considered for children undergoing elective procedures. VIDEO ABSTRACT.
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Curr Opin Anaesthesiol · Jun 2018
ReviewDrug error in paediatric anaesthesia: current status and where to go now.
Medication errors in paediatric anaesthesia and the perioperative setting continue to occur despite widespread recognition of the problem and published advice for reduction of this predicament at international, national, local and individual levels. Current literature was reviewed to ascertain drug error rates and to appraise causes and proposed solutions to reduce these errors. ⋯ Medication errors in paediatric anaesthesia represent an important risk to children and most are avoidable. There is now an understanding of the genesis of adverse drug events and this understanding should facilitate the implementation of known effective countermeasures. An institution-wide commitment and strategy are the basis for a worthwhile and sustained improvement in medication safety.