Current opinion in anaesthesiology
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To present the evidence available for the management of pain, for the prevention of nausea and vomiting, and for the best anaesthetic technique during ambulatory surgery. ⋯ Pain should be prevented adequately and treated vigorously. Postoperative nausea and vomiting is common and should be prevented in the at-risk patient. The choice of inhalation agents during ambulatory surgery is of minor importance in recovery from anaesthesia.
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Curr Opin Anaesthesiol · Dec 2007
ReviewBariatric procedures as day/short stay surgery: is it possible and reasonable?
There is an increasing tendency to extend the repertoire of procedures suitable for ambulatory care. The purpose of this review is to present recent information on progress in bariatric surgery and anaesthesia for morbidly obese patients, specifically looking for clinical reports on the success and/or problems related to an ambulatory or short-stay setting. ⋯ Despite proper safety and feasibility, it may still be a question of patient quality and acceptance for increasing the number of bariatric procedures performed as true ambulatory care. There is definitely potential for doing most of these procedures on a short-stay basis, however, allowing for a low threshold for individual management of those patients who require more extensive care.
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The number of alarms in the anaesthesia environment has gone from none to many dozens during the past 50 years. Until recently, each equipment manufacturer designed their own alarm set, resulting overall in a chaotic acoustic environment. Anaesthesiologists tend to have an uneasy relationship with monitoring alarms. On one hand they warn of mishaps, but on the other the many unnecessary alarms can be irritating and actually impede clinical care. There is evidence that these factors prevent alarms from realizing their full potential to enhance patient safety. This review explores current developments in clinical alarm design and technology. ⋯ The disadvantages of current clinical alarms have been identified and are in the process of being addressed.
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There has been an explosion of medical information in the past decade. Current clinical practice demands that anesthesiologists be aware of current treatments and procedures, along with the latest practice standards and guidelines. The need to be able to rapidly retrieve relevant, accurate clinical information at the point of care is now felt more than ever. This review explores the impact of clinical medical librarians, with particular emphasis on their application in the perioperative setting. ⋯ Anesthesiologists have particular information needs for which the physical library is no longer sufficient. New outcome measures to define the 'success' of clinical medical librarian programs need to be formulated, and economic considerations need to be factored into these programs.