Current opinion in anaesthesiology
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Curr Opin Anaesthesiol · Dec 2012
ReviewDilemmas in biomedical research publication: are we losing the plot?
Some recent and very controversial developments in the sphere of scientific publication, with significant implications for biomedical research, are posing a significant threat to traditional publication models. Many of these developments appear to be the result of a vicious circle that has developed from publication pressure on researchers, corporate financial exploitation of those pressures, and an apparent perception that individual and institutional reputations are to be promoted at all cost. ⋯ In many different respects, biomedical research publication is now in an unprecedented state of flux. Traditional models are being strongly challenged, probably with good reason, and alternative models of both funding and delivery need to be settled upon with some urgency. While individuals, institutions and corporate bodies who resist the current evolution may find themselves in line for extinction, at the same time it is important for the entire 'industry' to revert to some more traditional values and not allow self-interest to prevail.
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Curr Opin Anaesthesiol · Dec 2012
ReviewRecovery after orthopedic surgery: techniques to increase duration of pain control.
Ambulatory surgery continues to expand in scope and volume. Part of this development is supported by improvements in anesthesia care, especially in the realm of postoperative analgesia, which is often outlasted by the pain. The purpose of this review is to outline methods of increasing the duration of postoperative pain control. ⋯ The ideas and findings described in this review are taken from the most recent literature and show promise of aiding in the continued improvement of patient care through their dissemination and refinement by further research. Of the modalities reviewed in current use, the continuous perineural catheter combined with systemic multimodal analgesics represents the best combination of safety and efficacy to provide prolonged postoperative analgesia.
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Curr Opin Anaesthesiol · Dec 2012
ReviewRobotic anesthesia: not the realm of science fiction any more.
Robots are present in surgery, to a much lesser extent in the field of anesthesia. The purpose of this review is to show the latest and most important findings in robotic anesthesia. Moreover, this review argues the importance and utility of robots in anesthesia. ⋯ Robots can improve performance in anesthesia and healthcare. Closed-loop systems are the basis for pharmacological robots. Safe anesthetic care might be delivered through teleanesthesia whenever qualified personnel are not available or need support. Mechanical robots are being developed for anesthesia care.
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To summarize the currently available data on malpractice claims related to ambulatory anesthesia and provide an insight into the emerging patterns of anesthesia liability in this practice setting. ⋯ With steady increase in outpatient surgery, anesthesiologists are confronted with new areas of liability. More data are needed to identify these risks and reduce exposure to malpractice claims.