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Anesthesiology, anaesthesiology, anaesthesia or anaesthetics is the medical speciality concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine.

301 Results for the subject "Anesthesiology":

Special articleCharacteristics of anesthesiology residency program directors☆

AbstractThe roles and responsibilities of anesthesiology core program directors have evolved, in part because the Anesthesiology Residency Review Committee of the Accreditation Council for Graduate Medical Education no longer requires that the department chair also serve in this role. We reviewed several core anesthesiology program director academic and demographic characteristics including age, academic rank, gender, duration of service, board certification and re-certification status, and whether the program director also serves as department chair. Anesthesiology core residency program directors range in age from 33 to 74 years, with a median of 52 years. Thirty-seven (28%) program directors are women. The majority (67%) have senior academic rank (professor or associate professor). The median appointment duration is 3.7 years. The core residency program director currently also serves as department chair in 24 of the 131 (18.3%) programs.

Timothy R. Long Publication date: 2010/12/01
Special articleA strategy to prevent substance abuse in an academic anesthesiology department

AbstractSubstance abuse is the most serious occupational safety issue associated with the practice of anesthesiology, with an incidence as high as 1% per year of training. The Cleveland Clinic's Anesthesiology Institute approached the process from the perspective of active prevention, including specific mandatory education programs for all department personnel on a recurring basis, strengthened procedures for the detection and prevention of diversion of controlled substances, enhanced skill building for detection of impairment, and implemented a multi-faceted drug testing program, including random and “for cause” urine screens, for prevention and early detection of abused anesthetic drugs and other substances of abuse. After 18 months of preparation, a Substance Abuse Prevention Protocol was created, which has been fully implemented as of September 1, 2007.

John Tetzlaff Publication date: 2010/03/01
Chapter 23 - The Role of Medical Societies and Their Foundations in Supporting Entrepreneurs: A View From Anesthesiology

AbstractThere is a need for better education and better networking opportunities for innovative entrepreneurs in the specialty of anesthesiology as in all of medicine. Who best provides these depends on the structures and missions of national societies and foundations. In the case of the Foundation for Anesthesiology Education and Research, our mission to develop the next generation of physician-scientists in the specialty does not align with this, although we have sponsored some education and networking programs for entrepreneurs.

James C. Eisenach Publication date: 2018/01/01
The role of the anesthesiologist in the care of the parturient with cardiac disease

AbstractWomen with cardiac disease constitute a growing percentage of parturients, and in many series cardiac disease is the leading cause of maternal mortality. Involvement of anesthesiologists in the planning for and management of delivery in these women can improve the experience and potentially the outcome of these patients. Communication with the anesthesiology team about particularly complex cases is essential to avoid both medical complications and inter-disciplinary disagreements. The specific role and contributions of the anesthesiology team will depend significantly on the nature of the institution and the organization of the (obstetric) anesthesiology service.

Adam Sachs Publication date: 2014/08/01
Short communicationDetrimental effects detected in exfoliated buccal cells from anesthesiology medical residents occupationally exposed to inhalation anesthetics: An observational study

Highlights•Buccal MN test was applied to medical residents exposed to anesthetics.•Anesthesiology residents showed higher frequencies of micronuclei and cell death.•Anesthesiology residents showed lower frequency of basal cells than unexposed group.

Mariana G. Braz Publication date: 2018/08/01
Special ArticlePreparing for a Fellowship in Adult Cardiothoracic Anesthesiology: Resources and Approaches for the Anesthesiology Trainee

Adult cardiothoracic anesthesiology (ACTA) is a competitive fellowship. Despite increases in both the number of programs offering cardiothoracic fellowships and the number of residents applying each year, there is little direction or advice for prospective candidates. This review aims to educate anesthesiology residents who are hoping to pursue cardiothoracic anesthesiology, by examining a brief history of the advanced perioperative echocardiography qualification, the credentialing goals of ACTA fellowships, and the current status of ACTA fellowships. The second part of the review covers the ACTA fellowship application and aims to assist the candidate in navigating this process. The review examines the qualifications that fellowship programs look for in a candidate, including a discussion on professional behavior, and what an applicant can look for in a program. Finally, there is a brief discussion on post-match preparation.

Kiri Mackersey Publication date: 2019/03/01
The American Dental Society of Anesthesiology—a heritage continues

A review of the history of the American Dentar Society of Anesthesiology includes contributions in education and research and in the dissemination of scientific information.The history of the American Dental Society of Anesthesiology, which celebrated its 25th anniversary, is briefly reviewed. The group has contributed to anesthesia practice in dentistry through education and research and in the dissemination of scientific information.

Morgan L. Allison Publication date: 1979/03/01
The Genesis of Pain Medicine as a Subspecialty in Anesthesiology

AbstractCertification in pain medicine as a subspecialty in Anesthesiology was conceived in 1989 and first discussed by the American Board of Anesthesiology in 1990. Shortly thereafter, the ABA submitted an application to the American Board of Medical Specialties for recognition to certify in pain management. That was approved in 1991. The Accreditation Council of Graduate Medical Education approved an application from the Anesthesiology Residency Review Committee to accredit programs in pain management education and training in 1992.The first examination for Pain Management certification was given in 1993. The certificate was modified in 2002 to Pain Medicine rather than Pain Management. Five member boards of ABMS are now approved for certification in pain medicine and all use the ABA Pain Medicine examination.

William D. Owens Publication date: 2019/03/01
Special articleSimulation-based Maintenance of Certification in Anesthesiology (MOCA) course optimization: use of multi-modality educational activities☆☆☆

AbstractIn 2010, the American Board of Anesthesiology instituted a new Maintenance of Certification in Anesthesiology (MOCA) Part IV activity requiring diplomates to attend and self-reflect on a simulation-based course in an American Society of Anesthesiologists-endorsed program. Although there are certain course requirements, much of the curriculum and structure of these MOCA activities is left to the discretion of the participating endorsed program. The ideal course would emphasize multimodality simulation-based activities that optimize diplomate education and satisfaction, while economizing faculty requirements. We describe of our course structure and content as a potentially useful template.

Adam I. Levine Publication date: 2012/02/01
Anesthesiology National CME Program and ASA Activities in Simulation

This article traces the history of anesthesiology's role in simulation from Resusci Anne and Sim One to the use of simulation today for introducing new products and techniques to otherwise fully trained, practicing physicians. The article also describes the latest efforts of the American Society of Anesthesiologists (ASA) to promote simulation-based instruction. The article focuses in particular on the activities of the ASA Committee on Simulation Education. Many predict that simulation-based teaching will generate the next revolution in health care education. The ASA is hoping to capitalize on anesthesiology's long involvement and leadership in simulation-based health care education to help bring about this revolution.

Elizabeth H. Sinz Publication date: 2007/06/01
Original articleThe Script Concordance Test in anesthesiology: Validation of a new tool for assessing clinical reasoning

AbstractObjectiveTo evaluate whether the Script Concordance Test (SCT) can discriminate between levels of experience among anesthesiology residents and attending physicians.Study typeMulticenter (Toulouse, Nantes, Bordeaux and Limoges), prospective, observational study.Patients and methodsA SCT made of 60 items was used to evaluate “junior residents” (n = 60), “senior residents” (n = 47) and expert anesthesiologists (n = 10).ResultsThere were no missing data in our study. Mean scores (±SD) were 69.9 (±6.1), 73.1 (±6.5) and 82.0 (±3.5) out of a potential score of 100 for “junior residents”, “senior residents” and expert anesthesiologists, respectively. Results were statistically different between the 3 groups (P = 0.001) using the Kruskall-Wallis test. The Cronbach's α score was 0.63.ConclusionsThe SCT is a valid and useful tool for discriminating between anesthesia providers with varying levels of experience in anesthesiology. It may be a useful tool for do Read more...

Guillaume Ducos Publication date: 2015/02/01
Survey of observer variation in transesophageal echocardiography: comparison of anesthesiology and cardiology literature

AbstractObjective: Transesophageal echocardiographic examination tends to be somewhat observer and experience dependent, and observer bias can arise easily when data are calculated and interpreted by unskilled, nonblinded, or single observers. The study plan was to see whether authors have adequately described how observer bias is minimized in their studies. Thus, a study was conducted systematically reviewing methods reported in transesophageal echocardio graphy articles in peer-reviewed anesthesiology journals versus those reported in peer-reviewed cardiology journals.Interventions: After MEDLINE searches of the literature published from 1997 through 1999, the authors investigated 56 anesthesiology reports and 56 randomly selected, year-matched cardiology reports. An 8-item questionnaire was developed that examined several factors: the number of observers and their experience levels, whether observers were blind to clinical data, whether low-quality images were excluded, the use of o Read more...

Toshiya Shiga Publication date: 2003/08/01
Special articleAnesthesiology in the Belgian health care environment

AbstractThis article focuses on anesthesiology practice in the context of Belgian health care. The first part describes the organization of Belgian health care, the role of private and public initiatives, the division of responsibilities between the different health authorities, the financing mechanisms, and the central role of the compulsory social health care insurance. Quantitative information on the evolution of expenditures, services, providers, and facilities is presented.The second part of the article deals more specifically with anesthesiology and contains information on current practice. The emphasis, however, concerns recent developments in training and accreditation.

Arthur M.F. Vleugels Publication date: 1994/07/01
Original ArticlesRegional anesthesia and pain medicine: Residency training[mdash ]the year 2000☆

AbstractBackground and Objectives: A survey of anesthesiology training programs in 1980 reported the use of a regional anesthetic technique in 21.3% of cases. A similar survey of anesthesiology training programs in 1990 reported that the use of regional anesthetic techniques had increased to 29.8%. Over the ensuing 10 years, additional changes have occurred in the field of anesthesiology and its United States residency training programs. This manuscript reports the impact these changes have had on the use of regional anesthesia techniques in residency training programs in the year 2000. Methods: Blinded cumulative data about regional anesthetic techniques performed by anesthesiology residents were obtained from all annual training report forms submitted to the Residency Review Committee for Anesthesiology. Exposure to obstetric (OB) anesthesia, pain management, and a resident's year-in-training were analyzed as independent factors expected to influence the use of regional anesthesia. R Read more...

Dan J. Kopacz Publication date: 2002/01/01
EssayThe importance of infection control and prevention in anesthesiologyLa importancia del control y prevención de enfermedades infecciosas en anestesiología☆

AbstractThe key role of the field of infectious diseases in other medical specialties, including anesthesiology, is currently well known. The anesthesiologist faces a potential risk of contributing to the development of healthcare associated infections in the operating rooms; however, the infectious complications derived from anesthesia have been underestimated. It is important to acknowledge that there are some deficiencies in research, notification, and publication of reports on anesthesia-associated infectious events in developing countries, particularly in Colombia, which is the focus of our attention in this article. As far as we know, only five countries – most of them developed – have carried out studies on the practices and knowledge of the anesthesiology personnel with regards to universal recommendations for the prevention and control of anesthesia-associated infections. This document discusses the importance of infections in the area of anesthesiology and at present in C Read more...

Andrés Zorrilla-Vaca Publication date: 2017/12/01
An Evolution of Suffering: Anesthesiology's Contribution to Pain Management

Highlights•Pain medicine has evolved over 150 years of modernization, though suffering persists•Despite heterogeneous study methods, 15-25% of adults suffer from pain•Modern anesthetists employ intersectional and multimodal techniques to combat pain•Acute Pain Service (APS) is the cornerstone of pain management for inpatients•The migration of anesthesiologists into ambulatory clinics revolutionized practice

Kevin Gorsky Publication date: 2018/11/01
The History of Japanese Anesthesiology☆

Highlights•Seishū Hanaoka successfully removed a breast tumor under general anesthesia in 1804.•Seishū Hanaoka spawned a generation of Japanese anesthetists.•In 1954, the forerunner to Japanese Society of Anesthesiologists was established.•The Japanese Museum of Anesthesiology opened in Kobe in 2011.•Kobe is surrounded by historical spots attracting tourists with medical profession.

Shigeru Saito Publication date: 2017/07/01
EssayISO standards and the quality concept applied to anesthesia servicesLas normas ISO y el concepto de calidad aplicado a los servicios médicos en anestesiología

ABSTRACTIntroduction: The quality concept originated and was coined in industry; however, it has been applied to medicine and has constantly evolved in the last few years. In anesthesiology, continuous quality improvement is a must, and some areas should be enhanced through the implementation and development of plans and outcomes assessments.Objectives: This article discusses in a simple manner the evolution of the quality concept in the area of anesthesia.Discussion: The quality concept was adopted in health care in the 1900s; however, its application in Anesthesia came about several years later.Conclusion: Although the Quality Management concept in Anesthesiology came to life a few years ago, it is rapidly developing and gaining acceptance.© 2012 Sociedad Colombiana de Anestesiología y Reanimación. Published by Elsevier. All rights reserved.

Ana Sofía Del Castillo Publication date: 2012/02/01
Research PaperTrend of academic publication activity in anesthesiology: A 2-decade bibliographic perspective

AbstractObjectivesThe publication of anesthesiology papers presents the importance of understanding the corresponding research activity. This research used the bibliographic method to investigate the publication trend in anesthesiology using Science Citation Index Expanded over the period 1995–2014.MethodsThe journals listed in the subject category of anesthesiology in the 2014 Journal Citation Reports were selected, and bibliographic information was collected from Science Citation Index Expanded, with 128,003 papers published from 1995 to 2014. Only the document type “article” was analyzed. The productivity and impact of various journals, countries, and institutions are discussed.ResultsA total of 64,199 articles published from 1995 to 2014, with 1,084,491 cited times, were examined. The total number of articles published by journals showed a slight increase in the 2nd decade. More than 45% of these articles were published by the top five journals, which have maintained their ra Read more...

Sy-Yuan Chen Publication date: 2017/03/01
The Evolution of the Anesthesiologist: Novel Perioperative Roles and Beyond

Delivery of the spectrum of anesthesia from sedation to general anesthesia for patients undergoing procedures outside of the operating room (OR) poses several problems not encountered in the OR. These include limited time to assess the patient and often no time to obtain consultations for medical conditions that may be outside of the usual purview of an anesthesiologist, such as initial management of infections, diabetic ketoacidosis or hyperosmotic hyperglycemic state, inadequately managed cardiovascular disease, and toxic ingestions. Anesthesiologists trained in critical care usually have more experience with the initial assessment and management of patients with such conditions. It can be argued that because procedures performed outside of the OR are becoming more common, the curriculum for anesthesia residencies should be modified to provide more training in conditions typically assessed and managed by internists or medical subspecialists.

Richard Teplick Publication date: 2009/03/01
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