Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Jun 2007
Case Reports[Delayed perforation of the cecum and sigmoid colon after blunt abdominal trauma in a patient with multiple injuries].
Blunt abdominal trauma can damage the intestinal vasculature and may occasionally lead to delayed intestinal perforation, associated with a combined rate of morbidity and mortality of 25%. The diagnosis of such complications is hindered by sedation in critical patients, however, and morbimortality in this population is therefore higher. We report the case of a man with multiple injuries admitted to the intensive care unit, where delayed perforations of the sigmoid colon and cecum were diagnosed. The management of blunt abdominal trauma is reviewed and the possible causes, diagnostic approaches, and treatment options for colon injuries are discussed.
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Rev Esp Anestesiol Reanim · Jun 2007
[Perceived quality of resident training in anesthesiology and postoperative recovery care].
To carry out an opinion survey on the quality of residency training in the specialty of anesthesiology and postoperative recovery care. To propose improvements to be made based on the results. ⋯ Despite a poor rate of return, the results can help indicate directions to take in making improvements at different levels of the specialty's organization.
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Rev Esp Anestesiol Reanim · Jun 2007
[Orotracheal intubation training: assessment with the cumulative sum method].
Orotracheal intubation is one of the first techniques a new resident learns. The cumulative sum (cusum) method has been shown to be a useful tool for the assessment of learning, as it provides qualitative and quantitative information that allows technical competence to be certified. The aim of this study was to use the cusum method to assess the learning of orotracheal intubation by a group of first year residents. ⋯ The cusum method proved a useful tool for training residents to perform tracheal intubation. It afforded objective information on performance and facilitated evaluation while learning was taking place.