Current opinion in anaesthesiology
-
Curr Opin Anaesthesiol · Dec 2012
ReviewInnovative transesophageal echocardiography training and competency assessment for Chinese anesthesiologists: role of transesophageal echocardiography simulation training.
Transesophageal echocardiography (TEE) is playing an invaluable role in diagnosing and monitoring the patient's hemodynamics in both cardiac and noncardiac surgery. There have been many obstacles in TEE training. ⋯ The TEE simulator provides an easy comprehensive learning interface and a friendly environment without the psychological pressure and time limitation frequently experienced in the operation room. The simulator can also be used to assess and evaluate the trainees' manipulation skills, space thinking, and clinical judgment ability. TEE simulation-based training and testing can be an important part in TEE training curriculum before the trainees start their clinical training in the operation room.
-
Curr Opin Anaesthesiol · Dec 2012
ReviewDilemmas in biomedical research publication: are we losing the plot?
Some recent and very controversial developments in the sphere of scientific publication, with significant implications for biomedical research, are posing a significant threat to traditional publication models. Many of these developments appear to be the result of a vicious circle that has developed from publication pressure on researchers, corporate financial exploitation of those pressures, and an apparent perception that individual and institutional reputations are to be promoted at all cost. ⋯ In many different respects, biomedical research publication is now in an unprecedented state of flux. Traditional models are being strongly challenged, probably with good reason, and alternative models of both funding and delivery need to be settled upon with some urgency. While individuals, institutions and corporate bodies who resist the current evolution may find themselves in line for extinction, at the same time it is important for the entire 'industry' to revert to some more traditional values and not allow self-interest to prevail.
-
Curr Opin Anaesthesiol · Dec 2012
ReviewNausea and vomiting after surgery: it is not just postoperative.
The purpose of this review is to highlight postoperative nausea and vomiting (PONV), to discuss why it occurs, how it might be prevented and then how it can be treated. ⋯ It is easy to turn the vapourizer dial, but that is a part of the problem. Not everyone reacts the same to drugs. Although PDNV is not as well characterized as PONV, at the very least, avoid an anaesthetic that may make PONV/PDNV worse and be aggressive in treating the problem.