British journal of hospital medicine
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The most important epidemiological, aetiological and diagnostic problems related to nosocomial pneumonia in the intensive care unit and its significance are reviewed. Areas of uncertainty are identified, as are methods for improving our understanding of this complex condition.
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This review discusses the inadequacies of postoperative pain management in the UK and recommendations to improve its quality. Advanced pain-relieving techniques are available; in this article we discuss the practical considerations of delivering these successfully to patients through the introduction of acute pain teams, and especially through extension of the nurses' role.
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The widespread increase in adult cardiac surgery over the last decade has meant that many more junior anaesthetists have become involved in the management of anaesthesia for cardiac surgery before they have taken the final part of the FRCA examination. Although cardiac anaesthesia is still a specialized area, FRCA candidates are expected to have a working knowledge of the principles involved.
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A structured, modular management training programme has been developed to introduce junior doctors to basic management skills and concepts, successfully improving the efficiency of the organization.