Articles: general-anesthesia.
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A consultant anaesthetist gave a diclofenac suppository for postoperative pain to a patient having four teeth extracted under general anaesthesia in the dental surgery. He did not seek the patient's specific consent preoperatively for use of the suppository but told her afterwards what he had done. Charged before the professional conduct committee of the General Medical Council with failure to obtain informed consent and assault, the anaesthetist was found guilty of serious professional misconduct and admonished. This decision has far reaching implications and has caused great concern.
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Complications related to wrong or improper perioperative positioning are preventable events. Nevertheless patients may suffer from these complications much more than from the original pathology. In a short review a focus is set on the prone and supine position. Finally remarks for prevention are added.
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The Swiss Society of Anaesthesia and Resuscitation describes anesthesia as an activity of physicians, and a continuous presence of a medical anaesthesist is required. In small regional hospitals in the alpine region it is impossible to compete with big hospitals in the central area of Switzerland and there is no possibility to afford an anaesthesist for 365 days a year and 24 hours a day. ⋯ The education and the control of this person has to be performed by a medical anaesthesist. This is the only way in keeping the high quality of medical support in the peripheral region specially in the alpine part of our country.