Anesteziologiia i reanimatologiia
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A structured and well-organized postgraduate professional education in medical doctors is an important and necessary component in health care these days. It is the foundation for a high quality and safety of physicians' daily work. The article describes the anesthesiological educational program, which is required to finish anesthesia residency in Germany successfully.
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Anesteziol Reanimatol · Mar 2009
[Professional selection and successful residency training in anesthesiology-resuscitation].
The professional carrier of 356 residents, the 1960-2007 graduates of the Saint Petersburg Medical Academy of Postgraduate Education, was studied to specify approaches to professional selection of anesthesiologists. Thirty (8.4%) graduates did not work as anesthesiologists at all. It should be noted that most (n = 24) of the 30 graduates had successfully completed the residency. ⋯ However, it is impossible to consider each residency graduate to be a well-trained anesthesiologist. An intermediate decision to solve this problem is to establish the new nationally accepted order: a graduate may start his/her professional career only at a university clinic or other large hospital especially licensed for this purpose, by being supervised by senior colleagues. Permission for fully independent practice should be given not earlier than after 2-3-year work at the above mentioned clinics.
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Anesteziol Reanimatol · Mar 2009
[Potentialities of non-invasive hemodynamic monitoring in patients with acute destructive pancreatitis].
The potentialities of non-invasive hemodynamic monitoring were estimated in 49 patients with acute destructive pancreatitis in the postoperative period. Cardiac performance monitoring according to the results of which the patients were divided into 2 groups was analyzed. The low cardiac output values persisting within 10-12 days following the first operation were indicative of the severity of destruction processes and the high risk of complications. The simplicity, comparative low prices, initial computerization and non-invasive pattern make remonitoring an optimal source of information on hemodynamics in this cohort of patients.
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Anesteziol Reanimatol · Mar 2009
[Analysis of the clinical features and outcome of ventilator-associated Pseudomonas aeruginosa-related pneumonia in an intensive care unit].
The occurrence, the course, and outcome of ventilator-associated pneumonia (VAP) related to Pseudomonas aeruginosa were prospectively followed up in 51 patients treated at an intensive care unit. The characteristic feature of P. aeruginosa-induced VAP was its severe course and poor prognosis (mortality was 38%). ⋯ Lung tissue destruction and edema were rather frequent complications. The predictors of death in VAP caused by P. aeruginosa are admission to an intensive care unit, septic shock, and infection.