Masui. The Japanese journal of anesthesiology
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Antidepressants are used for treatment of not only major depression but also for treatment of neuropathic pain. In guidelines for pharmacological treatment of neuropathic pain, tricyclic antidepressants and sero- tonin noradrenaline reuptake inhibitors are listed as the first line choice and second line choice, respectively. However, antidepressants act on several kinds of neu- ronal receptors, resulting in various adverse effects. In this article, we review common adverse effects of anti- depressant drugs and the prevention and treatments of these adverse effects.
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We reviewed the anesthesiology training in the United States from the viewpoint of Japanese Anes- thesiologists. The Accreditation Council for Graduate Medical Education (ACGME) strictly supervises anes- thesiology residency programs in the U. S. ⋯ Continuing medical education should be mandatory for each re- newal with recertification examination. Second, the number of residents and the quality of each program should be strictly supervised by a third party. Lastly, we should encourage residents to seek subspecialty training and more research experience to become bet- ter anesthesiologists.