European journal of anaesthesiology
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Randomized Controlled Trial
Background noise lowers the performance of anaesthesiology residents' clinical reasoning when measured by script concordance: A prospective randomised crossover volunteer study.
Noise, which is omnipresent in operating rooms and ICUs, may have a negative impact not only patients but also on the concentration of and communication between clinical staff. ⋯ Our study suggests that noise affects clinical reasoning of anaesthesiology residents especially junior residents when measured by SCT. This observation supports the hypothesis that noise should be prevented in operating rooms especially when junior residents are providing care.
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No currently used tracheal tube offers full protection against aspiration of oropharyngeal secretions into the lower airways. ⋯ A 'pressure seal' incorporated in a double-cuffed tracheal tube prevented fluid passage into the lower airways. Clinically, this may translate into absence of inflow of bacteriologically contaminated secretions into the lungs and thus a lower incidence of ventilator-associated infection.
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Letter Observational Study
Better safe than sorry: An observational study of #ESALondon tweets.