Journal of clinical anesthesia
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To provide a review of evaluation, feedback, and remediation methods in United States residency programs during 1995 to 1996. The information gathered is to serve as a framework for discussions within and among programs regarding ways to enhance their current processes of evaluation, feedback, and remediation, and to serve as a baseline for future assessments. ⋯ There is a tremendous variety of techniques and methodologies employed among anesthesiology residency programs with regard to evaluation, feedback, and remediation, within the framework of the ACGME guidelines. Faculty training in the assessment of and feedback to residents is one area in which many programs can begin to strengthen their current procedures.
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Case Reports
Use of laryngeal mask airway in a patient requiring continuous positive airway pressure: a case report.
The successful use of a laryngeal mask airway over a 48-hour period is reported in a patient with partial upper airway obstruction who required continuous positive airway pressure.
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To assess the alignment of the tube-guide and visual-guide channels of the UpsherScope and to evaluate methods to improve the success of tracheal intubation. ⋯ There is a functional misalignment between the long axes of the tube-guide and visual-guide channels of the UpsherScope. Use of a bougie will minimize this potential problem.
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Clinical Trial
Tracheal extubation of adult surgical patients while deeply anesthetized: a survey of United States anesthesiologists.
To examine current practice regarding the performance of tracheal extubation of adult surgical patients while deeply anesthetized (deep extubation). ⋯ Most anesthesiologists in this survey perform deep extubations in adult surgical patients. Lack of necessity and potential respiratory complications were the main reasons cited by those who do not use the technique. Future investigations are necessary to examine the risk-to-benefit ratio of the technique in adults. Our results may be used to determine which potential indications should be examined in such studies and to help delineate the standard of care followed in this country.
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Letter Case Reports
Behavior disturbances with repeated propofol sedation in a child.