Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial
Perioperative multi-system optimization protocol in elderly hip fracture patients: a randomized-controlled trial.
Hip fractures in elderly patients are associated with increased postoperative morbidity and mortality. We evaluated whether a perioperative multi-system optimization protocol can reduce postoperative complications in these patients. ⋯ The implementation of a perioperative multi-system optimization protocol algorithm did not significantly reduce the risk of postoperative complications. Nevertheless, we likely over-estimated the potential treatment effect in our study design and thus were under-powered to show an effect.
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Multicenter Study
Simulation-based assessment in anesthesia: an international multicentre validation study.
Simulated clinical events provide a means to evaluate a practitioner's performance in a standardized manner for all candidates that are tested. We sought to provide evidence for the validity of simulation-based assessment tools in simulated pediatric anesthesia emergencies. ⋯ This study supports the validity of our simulation-based anesthesiologist assessment tools in several domains of validity. We also describe some residual challenges regarding the validity of our tools, some notes of caution in terms of the intended consequences of their use, and identify opportunities for further research.
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Editorial Comment
High-stakes assessment in anesthesia via simulation: Are we there yet?