Anesthesia and analgesia
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Anesthesia and analgesia · Aug 2020
Multicenter StudyAssessment Scores of a Mock Objective Structured Clinical Examination Administered to 99 Anesthesiology Residents at 8 Institutions.
Objective Structured Clinical Examinations (OSCEs) are used in a variety of high-stakes examinations. The primary goal of this study was to examine factors influencing the variability of assessment scores for mock OSCEs administered to senior anesthesiology residents. ⋯ Since many residency programs aim to develop their own mock OSCEs, this study provides evidence that it is possible for programs to create a meaningful mock OSCE experience that is statistically reliable for separating resident performance.
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Anesthesia and analgesia · Aug 2020
Multicenter StudyIncidence, Prediction, and Causes of Unplanned 30-Day Hospital Admission After Ambulatory Procedures.
Unanticipated hospital admission is regarded as a measure of adverse perioperative patient care. However, previously published studies for risk prediction after ambulatory procedures are sparse compared to those examining readmission after inpatient surgery. We aimed to evaluate the incidence and reasons for unplanned admission after ambulatory surgery and develop a prediction tool for preoperative risk assessment. ⋯ We present an instrument for prediction of unplanned 30-day admission after ambulatory procedures under anesthesia care validated in a statewide cohort comprising academic and nonacademic hospitals as well as ambulatory surgery centers. The instrument may be useful in identifying patients at high risk for 30-day unplanned hospital admission and may be used for benchmarking hospitals, ambulatory surgery centers, and practitioners.
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Anesthesia and analgesia · Jul 2020
Multicenter Study Comparative StudyProspective Comparison of Preoperative Predictive Performance Between 3 Leading Frailty Instruments.
The Clinical Frailty Scale provides meaningful additional outcome prediction to traditional preoperative risk factors among non-cardiac surgery patients.
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Anesthesia and analgesia · Jun 2020
Randomized Controlled Trial Multicenter StudyEffect of Oral Carbohydrate Intake During Labor on the Rate of Instrumental Vaginal Delivery: A Multicenter, Randomized Controlled Trial.
Oral carbohydrate consumption during labour did not alter the rate of instrumental delivery or cesarean section, vomiting incidence, nor self-reported hunger, thirst, fatigue, stress or overall well-being.
pearl -
Anesthesia and analgesia · Jun 2020
Randomized Controlled Trial Multicenter StudyQuality of Recovery After Breast Surgery: A Multicenter Randomized Clinical Trial Comparing Pectoral Nerves Interfascial Plane (Pectoral Nerves II) Block With Surgical Infiltration.
For non-mastectomy breast surgery the PECS II block is no better than surgical local infiltration.
pearl