Revista española de anestesiología y reanimación
-
Rev Esp Anestesiol Reanim · Mar 2012
Letter Multicenter Study Comparative Study Clinical Trial[Postoperative assessment of cognitive state: a preliminary comparative study of lumbar plexus or epidural analgesia in patients subjected to hip-replacement surgery].
-
Rev Esp Anestesiol Reanim · Mar 2012
[Analysis of the training and teaching situation of anaesthesiology and resuscitation tutors in Spain: a proposal for improvement].
To determine the current situation of the tutors in our specialty as regards resident/tutor ratios, times they have available to develop their work, the training that they have received to perform their function, and whether this is recognised by official bodies, other than by their own hospital. Furthermore, to determine the teaching and research work taught to the residents through the sessions, as well as their participation in publications per year. To find out their opinion of the tutors as regards unifying training contents, whether or not they have objective tests on finishing their residency, and their willingness to take part in the project promoted by the Teaching Section of SEDAR to carry out a common minimum theoretical-practical programme throughout the whole of Spain. ⋯ The tutor/resident ratio should according to that stipulated. Time needs to be set aside for teaching, separate from care work, and our tutors, in general, lack specific training courses, and these are very disparate. There is a general demand to have a training programme of common minimum theoretical-practical skills. It is considered that the current evaluation system is inadequate, but there is no unanimity in whether or not to have an exam at the end of the residency, although the European Examination could be the model to consider in this regard.
-
Rev Esp Anestesiol Reanim · Mar 2012
Review[Indications and use of prothrombin complex in cardiac surgery].
On of the most common, and serious, complications in cardiac surgery is postoperative bleeding. According to the majority of studies, between 10% and 92% of patients subjected to elective surgery require transfusions of blood products and blood derivatives. ⋯ There have been some important changes in the treatment of changes in haemostasis and post-surgical bleeding in the last few years, particularly with the introduction into clinical practice of working procedures backed up by clinical guidelines, as well as the appearance of new drugs. The aim of this work is to describe the main characteristics and update the use of prothrombin complexes that are currently available in Spain, with special emphasis on their use in cardiac surgery.