Anesthesiology review
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Anesthesiology review · Nov 1994
A study of the responsibilities of chief residents in anesthesiology with a suggested job description.
We requested information concerning the job description for the chief resident in anesthesiology from 50 different programs. Thirty-two responses were returned, with 9 responses that no such job description existed at their institutions. ⋯ Differences were found in the selection process, administrative duties, number of committee memberships, and educational responsibilities. We present a suggested description of the responsibilities for a chief resident in anesthesiology.
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Anesthesiology review · Jul 1994
Comparative StudyPropofol reduces prolonged outpatient PACU stay. An analysis according to surgical procedure.
This study compared the effects of propofol anesthesia and nonpropofol general anesthetics on duration of stay in the postanesthesia care unit (PACU) for prolonged drowsiness or nausea and vomiting following various surgical procedures. A group of 512 patients undergoing general anesthesia for a variety of outpatient surgical procedures over a 6-month period received general anesthesia with nitrous oxide, with or without propofol. Data collected from PACU records included type of surgical procedure and duration in the PACU of more than 2 hours owing to drowsiness or nausea and vomiting. ⋯ Similar results occurred for orthopedic surgery (15% vs 35%); for ear, nose, or throat procedures (30% vs 75%); and for ophthalmic surgery (18% vs 71%), but not for oral surgery (44% vs 64%). Most same-day surgery patients benefit from administration of propofol for induction and maintenance of anesthesia. Advantages include a decreased likelihood of a prolonged stay in the PACU as a result of drowsiness or nausea and vomiting.
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Anesthesiology review · Mar 1994
An update on pulse oximetry. Part II: limitations and future applications.
The pulse oximeter can be used in all clinical situations in which the patient is at risk for hypoxemia. Now standard in the operating room, pulse oximetry is beginning to be used in prehospital transport, emergency department, postanesthesia recovery room, intensive care unit, endoscopy and catheterization suites, and delivery room, as well as for ambulatory monitoring and preoperative screening. The pulse oximeter is an invaluable monitor for the anesthesiologist and may allow better health care delivery to the patient, especially when combined with capnography and mixed venous oximetry. This article presents an update on its limitations and future applications.
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Anesthesiology review · Sep 1993
Comparative StudyA comparison of the incidence of nausea after laparoscopic cholecystectomy and diagnostic laparoscopy.
Thirty-four patients undergoing gynecologic diagnostic laparoscopy and 30 patients undergoing laparoscopic cholecystectomies were followed prospectively for nausea and vomiting 24 hours postoperatively. Diagnostic laparoscopy patients had a significantly higher incidence of nausea and vomiting than laparoscopic cholecystectomy patients with similar anesthetic techniques, duration of surgery, and population parameters. ⋯ While both procedures involve bowel manipulation, patient position and organ manipulation differ: diagnostic laparoscopy involves the Trendelenburg position and laparoscopic cholecystectomy involves the reverse Trendelenburg; diagnostic laparoscopy involves the uterus, ovaries, and fallopian tubes while laparoscopic cholecystectomy involves mainly the gall-bladder and its appendages. These factors may contribute to the differences found in this study.