Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Sep 2007
[Training of anesthesiology-resuscitations physicians in clinical residency: resident's experience].
An educational process in clinical residency is discussed in terms of the results of anonymous questionnaire survey: the respondents were 77 residents in anesthesiology. A significant proportion (28%) of the trainees felt knowledge shortage and even more (47%) were diffirent in their own professional future. There were serious problems regarding practical training organization. ⋯ In the residents' opinion, the best clinical teacher is a staff anesthetist (42%) or assistant professor (39%). The vast majority (84%) of the trainees believe that one tutor should teach more than two trainees. The ways of solving these or those problems in clinical residency training and the prospects for primary postgraduate education in anesthesiology are discussed.
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Anesteziol Reanimatol · Sep 2007
[Does nitroglycerin show the properties of a selective venodilator?].
The central hemodynamic effect of continuous intravenous nitroglycerin infusion at an increasing rate (0.01-0.1 microg x kg(-1) x min(-1)) was evaluated by noninvasive (tetrapolar rheography) and invasive (pulmonary arterial catheterization) techniques. The study included 10 healthy volunteers and 30 patients having usual indications for nitroglycerin infusion. The findings suggest that when even infused at low rates, nitroglycerin canses mainly arteriolar vasodilatation, which appears as increased stroke volume due to the predominance of diminished postload over lowered preload. It is obvious that the notion of nitroglycerin as a selective venodilator should be revised.
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Anesteziol Reanimatol · Sep 2007
[Quality assurance of the therapy of patients in the department of anesthesiology and intensive care].
Emphasis is laid on the fact that the normative legal basis of an anesthesiological-resuscitative service is contrary to the real conditions of its operation at the present stage. Data on the age-sex and nosological structures of patients treated at an intensive care unit of a large multidisciplinary hospital, the scope of their examination and treatment, and the results of work time-keeping in the employees of the unit are given. The authors' proposals to improve the organization of service work and to upgrade its quality are presented in conclusion.
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Anesteziol Reanimatol · Sep 2007
[European Foundation for Education in Anesthesiology (FEEA): the first steps in Russia].
The mission, structure, and working schedule of the Foundation for European Education in Anesthesiology (FEEA), an international non-profitable organization with 70 centers being located in Europe, Central and South Americas, Africa, and Asia, are described in the article. The first FEEA seminars in Russia were organized in St. Petersburg in 2006-2007 by the Association and Society of Anesthesiologists and by all the anesthesiology departments of the city. Today's geography of FEEA seminars dedicated to European Society of Anesthesiology diploma exam training is expanding in Russia.
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Anesteziol Reanimatol · Sep 2007
[Informational needs of anesthesiologists and their address satisfaction in the postgraduate training system].
Large-scale questionnaire survey of anesthesiologists, the attendees of advanced training courses, showed the rating of the most important applied topics. Of paramount value appeared to be issues devoted to respiratory support and monitoring. ⋯ Among these topics, these included applied intensive care, the legal aspects of the specialty, etc. Knowledge of the current informational needs of attendees is required for the effective operation of postgraduate education.