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Anesthesiologist

Anesthesioligists are medical professionals who administer anesthesia to patients during surgical, obstetric, and other medical procedures.
They are responsible for monitoring patients' vital signs, adjusting anesthesia levels, and ensuring patient safety throughout the procedure.
Anesthesiologists work closely with surgeons, dentists, and other healthcare providers to provide comprehensive care.
They must have a thorough understanding of human anatomy, physiology, and pharmacology to effectively manage anesthesia and monitor patient responses.
Anesthesiologists play a crucial role in minimizing pain, promoting healing, and improving patient outcomes.

Most cited protocols related to «Anesthesiologist»

The Safety Attitudes Questionnaire (SAQ) is a refinement of the Intensive Care Unit Management Attitudes Questionnaire, [14 (link),15 ] which was derived from a questionnaire widely used in commercial aviation, the Flight Management Attitudes Questionnaire (FMAQ). [16 ,17 ] The FMAQ was created after researchers found that most airline accidents were due to breakdowns in interpersonal aspects of crew performance such as teamwork, speaking up, leadership, communication, and collaborative decision making. The FMAQ measures crew member attitudes about these topics.
Because 25% of the FMAQ items demonstrated utility in medical settings in terms of the subject covered and factor loadings, they were retained on the SAQ, The new SAQ items were generated by discussions with healthcare providers and subject matter experts. In addition, we relied upon two conceptual models to decide which items to include: Vincent's framework for analyzing risk and safety [8 (link)] and Donabedian's conceptual model for assessing quality [18 (link)] This generated a pool of over 100 new items covering four themes: safety climate, teamwork climate, stress recognition, and organizational climate. Items were evaluated through pilot testing and exploratory factor analyses. This phase of survey development consistently yielded 6 factor-analytically derived attitudinal domains containing 40 items from the survey (two, three, four, and five factor structures were less robust). Three of the targeted themes, safety climate, teamwork climate, and stress recognition, emerged as factors. In particular, safety climate and stress recognition are conceptually quite similar to their counterparts in aviation. [19 ] The fourth targeted theme, organizational climate, consistently emerged as three distinct but related factors, perceptions of management, working conditions, and job satisfaction. Organizational climate plays a decisive role in setting the preconditions for success or failure in managing risks [3 ,4 (link),20 (link)] , and we therefore retained these three factors as part of safety attitude assessment. An additional 20 items were retained because they were deemed interesting and valuable to the unit managers and senior hospital leadership to whom we reported the results of our pilot studies.
The SAQ has been adapted for use in intensive care units (ICU) [15 ,21 ] , operating rooms (OR), general inpatient settings (medical ward, surgical ward, etc.), and ambulatory clinics. For each version of the SAQ, item content is the same, with minor modifications to reflect the clinical area. For example, "In this ICU, it is difficult to discuss mistakes," vs. "In the ORs here, it is difficult to discuss mistakes." The SAQ elicits caregiver attitudes through the 6 factor analytically derived climate scales: teamwork climate; safety climate; job satisfaction; perceptions of management; working conditions; and stress recognition (Figure 1).
The SAQ is a single page (double sided) questionnaire with 60 items and demographics information (age, sex, experience, and nationality). The questionnaire takes approximately 10 to 15 minutes to complete. Each of the 60 items is answered using a five-point Likert scale (Disagree Strongly, Disagree Slightly, Neutral, Agree Slightly, Agree Strongly). Some items are negatively worded. There is also an open-ended section for comments: "What are your top three recommendations for improving patient safety in this clinical area?" Each version of the SAQ in the current study includes a "Collaboration and Communication" section, where respondents are asked to indicate the quality of collaboration and communication they have experienced with each of the types of providers in their clinical area (e.g., Staff Surgeons, Surgical Residents, Staff Anesthesiologists, OR Nurses, etc.) using a five-point Likert scale (Very Low, Low, Adequate, High, Very High).
Publication 2006
Accidents Anesthesiologist Catabolism Climate Health Personnel Inpatient Job Satisfaction Nurses Operative Surgical Procedures Patient Safety Risk Management Safety Surgeons
The Difficult Airway Society commissioned a working group to update the guidelines in April 2012. An initial literature search was conducted for the period January 2002 to June 2012 using databases (Medline, PubMed, Embase, and Ovid) and a search engine (Google Scholar). The websites of the American Society of Anesthesiologists (http://www.asahq.org), Australian and New Zealand College of Anaesthetists (http://www.anzca.edu.au), European Society of Anesthesiologists' (http://www.esahq.org/euroanaesthesia), Canadian Anesthesiologists' Society (http://www.cas.ca), and the Scandinavian Society of Anesthesiology and Intensive Care Medicine (http://ssai.info/guidelines/) were also searched for airway guidelines. English language articles and abstract publications were identified using keywords and filters. The search terms were as follows: ‘Aintree intubating catheter’, ‘Airtraq’, ‘airway device’, ‘airway emergency’, ‘airway management’, ‘Ambu aScope’, ‘backward upward rightward pressure’, ‘Bonfils’, ‘Bullard’, ‘bronchoscopy’, ‘BURP manoeuvre’, ‘can't intubate can't ventilate’, ‘can't intubate can't oxygenate’, ‘C-Mac’, ‘Combitube’, ‘cricoid pressure’, ‘cricothyroidotomy’, ‘cricothyrotomy’, ‘C trach’, ‘difficult airway’, ‘difficult intubation’, ‘difficult laryngoscopy’, ‘difficult mask ventilation’, ‘difficult ventilation’, ‘endotracheal intubation’, ‘esophageal intubation’, ‘Eschmann stylet’, ‘failed intubation’, ‘Fastrach’, ‘fiber-optic scope’, ‘fibreoptic intubation’, ‘fiberoptic scope’, ‘fibreoptic stylet’, ‘fibrescope’ ‘Frova catheter', ‘Glidescope’, ‘gum elastic bougie’, ‘hypoxia’, ‘i-gel’, ‘illuminating stylet’, ‘jet ventilation catheter’, ‘laryngeal mask’, ‘laryngeal mask airway Supreme’, ‘laryngoscopy’, ‘lighted stylet’, ‘light wand’, ‘LMA Supreme’, ‘Manujet’, ‘McCoy’, ‘McGrath’, ‘nasotracheal intubation’, ‘obesity’, ‘oesophageal detector device’, ‘oesophageal intubation’, ‘Pentax airway scope’, ‘Pentax AWS’, ‘ProSeal LMA′, ‘Quicktrach’, ‘ramping’, ‘rapid sequence induction’, ‘Ravussin cannula’, ‘Sanders injector’, ‘Shikani stylet’, ‘sugammadex’, ‘supraglottic airway’, ‘suxamethonium’, ‘tracheal introducer’, ‘tracheal intubation’, ‘Trachview’, ‘Tru view’, ‘tube introducer’, ‘Venner APA’, ‘videolaryngoscope’, and ‘videolaryngoscopy’.
The initial search retrieved 16 590 abstracts. The searches (using the same terms) were repeated every 6 months. In total, 23 039 abstracts were retrieved and assessed for relevance by the working group; 971 full-text articles were reviewed. Additional articles were retrieved by cross-referencing the data and hand-searching. Each of the relevant articles was reviewed by at least two members of the working group. In areas where the evidence was insufficient to recommend particular techniques, expert opinion was sought and reviewed.8 (link) This was most notably the situation when reviewing rescue techniques for the ‘can't intubate can't oxygenate’ (CICO) situation.
Opinions of the DAS membership were sought throughout the process. Presentations were given at the 2013 and 2014 DAS Annual Scientific meetings, updates were posted on the DAS website, and members were invited to complete an online survey about which areas of the existing guidelines needed updating. Following the methodology used for the extubation guidelines,5 (link) a draft version of the guidelines was circulated to selected members of DAS and acknowledged international experts for comment. All correspondence was reviewed by the working group.
Publication 2015
Airway Management Anesthesiologist Anesthetist Bronchoscopy Cannula Catheters Dyspnea Emergencies Eructation Esophagus Europeans Frova Hypoxia Intensive Care Intubation Intubation, Intratracheal Laryngoscopy Light Medical Devices Obesity Pharmaceutical Preparations Pressure Rapid Sequence Induction Scandinavians Succinylcholine Sugammadex Trachea Tracheal Extubation
This was a single-center, double-blind, randomized, crossover, placebo-controlled study conducted to assess the efficacy and safety of a single intravenous infusion of the NMDA antagonist ketamine combined with lithium or valproate therapy in the treatment of bipolar I or II depression. As noted previously, subjects were first required to have failed to respond to a prospective open trial of therapeutic levels of either lithium or valproate at the NIMH for a minimum of 4 weeks, regardless of whether they were already taking therapeutic levels of lithium or valproate at admission. During the entirety of the study, patients were required to take either lithium or valproate within the specified range and were not allowed to receive any other psychotropic medications (including benzodiazepines) or to receive structured psychotherapy. Lithium and valproate levels were obtained weekly. Vital signs and oximetry were monitored during the infusion and for 1 hour after. Electrocardiograms, complete blood counts, electrolyte panels, and liver function tests were obtained at baseline and at the end of the study.
Following nonresponse to open treatment with lithium or valproate and a 2-week drug-free period (except for treatment with lithium or valproate), subjects received intravenous infusions of saline solution and 0.5-mg/kg ketamine hydrochloride 2 weeks apart using a randomized, double-blind, crossover design. The ketamine dose was based on previous controlled studies of patients with major depressive disorder.30 (link),33 (link),34 (link)
Patients were randomly assigned to the order in which they received the 2 infusions via a random-numbers chart. Study solutions were supplied in identical 50-mL syringes containing either 0.9% of saline or ketamine with the additional volume of saline to total 50 mL. Ketamine forms a clear solution when dissolved in 0.9% saline. The infusions were administered over 40 minutes via a Baxter infusion pump (Deerfield, Illinois) by an anesthesiologist in the perianesthesia care unit. All staff, including the anesthesiologist, was blind to whether drug or placebo was being administered.
Publication 2010
Anesthesiologist Benzodiazepines Complete Blood Count Electrocardiogram Electrolytes Infusion Pump Intravenous Infusion Ketamine Ketamine Hydrochloride Lithium Liver Function Tests Major Depressive Disorder N-Methylaspartate Normal Saline Oximetry Patients Pharmaceutical Preparations Placebos Psychotherapy Psychotropic Drugs Safety Saline Solution Signs, Vital Syringes Valproate Visually Impaired Persons

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Publication 2012
Anesthesia Anesthesiologist Benzodiazepines Depression, Bipolar Electrolytes Infusion Pump Intravenous Infusion Ketamine Ketamine Hydrochloride Lithium Liver Function Tests N-Methylaspartate Normal Saline Oximetry Patients Pharmaceutical Preparations Placebos Psychotherapy Psychotropic Drugs Safety Saline Solution Signs, Vital Syringes Valproate Visually Impaired Persons
Patients presenting to the Esophageal Center of Northwestern for evaluation of dysphagia between November, 2012 and April, 2016 that completed HRM and FLIP during upper endoscopy were prospectively included. Upper endoscopy was completed using sedation with midazolam (2 - 15 mg) and fentanyl (0 - 300 mcg); propofol (in addition to midazolam and fentanyl) was used with anesthesiologist assistance at the discretion of the performing endoscopist in some cases. Patients with previous upper gastrointestinal surgery, significant medical co-morbidities, eosinophilic esophagitis, severe reflux esophagitis (LA-classification C or D), or large hiatal hernia were excluded. Patients were often identified by referral for manometry, thus FLIP was commonly included with the endoscopic evaluation if an esophageal motility disorder was suspected. Enrollment of achalasia patients was prioritized, but limited to 70 patients: 49 of the achalasia patients were previously described.(11 (link)) We intentionally included an excess of achalasia patients to evaluate the diagnostic effectiveness of FLIP topography for this important esophageal motility disorder. Additional clinical evaluation (e.g. barium esophagram) were obtained and management decisions made at the discretion of the primary treating gastroenterologist. The study protocol was approved by the Northwestern University Institutional Review Board.
Publication 2016
Anesthesiologist Barium Deglutition Disorders Diagnosis Endoscopy Endoscopy, Gastrointestinal Eosinophilic Esophagitis Esophageal Achalasia Ethics Committees, Research Fentanyl Gastroenterologist Hiatal Hernia Manometry Midazolam Motility Disorders, Esophageal Operative Surgical Procedures Patients Peptic Esophagitis Propofol Sedatives Upper Gastrointestinal Tract

Most recents protocols related to «Anesthesiologist»

Elderly patients who underwent lower extremity arthroplasty in Drum Tower Hospital Affiliated to Nanjing University Medical School from September 2020 to March 2021 were selected and followed up for postoperative pain assessment using the numerical rating scale NRS. The elderly osteoarthritis patients selected were all caused by joint degeneration rather than fractures or necrosis caused by other reasons. They were performed operations by the same group of doctors and operation method. All patients signed informed consent and were authorized by the ethics committee of Drum Tower Hospital Affiliated to Nanjing University Medical School (Nanjing, China, No. 2019-270-02). Inclusion criteria: (1) Age ≥ 65 years old; (2) American Society of Anesthesiologists (ASA) classification II–III; (3) Patients undergoing lower extremity arthroplasty; (4) Operation duration ≥ 60 min; (5) Patients recorded in electronic medical record system; (6) Patients agreed to participate in the study and signed the informed consent. Exclusion criteria: (1) With gene deficiency disease; (2) Having history of opioid abuse; (3) Using drugs that induce or inhibit liver isoenzymes (such as carbamazepine, quinidine, ketoconazole, etc.) in 4 weeks before operation; (4) Combined with peripheral neuropathy and psychiatric history, chronic pain and long-term opioid use history; (5) With poor body conditions affecting the perioperative pain evaluation; (6) Patients can’t cooperate and communicate with.
The patient's NRS score being ≥ 4 on the 90th day after operation was identified as having severe CPSP. A total of 10 patients were judged to have severe CPSP (group A). 10 patients hospitalized in the same period without chronic postsurgical pain (NRS score = 0 on the 90th day after operation) were randomly selected as the control group (group B).
Publication 2023
Abuse, Opioid Aged Anesthesiologist Arthroplasty Carbamazepine Cardiac Arrest Chronic Pain Deficiency Diseases Degenerative Arthritides Ethics Committees, Clinical Fracture, Bone Genes Human Body Isoenzymes Ketoconazole Liver Lower Extremity Necrosis Opioids Pain Measurement Patients Peripheral Nervous System Diseases Pharmaceutical Preparations Physicians Postoperative Pain, Chronic Quinidine
All patients with a malignant tumour of the oesophagus or the oesophagogastric junction considered to be resectable with curative intent via oesophagectomy by means of an abdominal and right thoracic approach (Ivor-Lewis procedure) irrespective of neoadjuvant therapy are eligible for the study. All subjects must be suitable for the MIN-E and for the HYBRID-E procedure. Only adult patients (≥18 years of age) with the ability to understand character and individual consequences of the clinical trial will be included. All subjects must provide a written informed consent.
The preoperative exclusion criteria are defined as the presence of distant metastases, tumour localization above the azygos vein, history of right thoracotomy within the last 3 years, American Society of Anesthesiologists (ASA) grade >3 and advanced hepatic cirrhosis (Child B/C). Patients who participate in another intervention trial with interference of the intervention and/or primary outcome of the MICkey trial will be excluded as well as patients with an expected lack of compliance or language problems. Furthermore, two intraoperative exclusion criteria are defined: (a) intraoperative diagnosis of previously occult metastases that prohibit surgical resection according to current S3 guidelines [19 (link)] and (b) the tumour resection is technically impossible. For further handling of these cases (i.e., intraoperative exclusion of previously randomized patients), please refer to the section “Criteria for discontinuing or modifying allocated interventions {11b}”.
Publication 2023
Abdomen Adult Anesthesiologist Character Child Diagnosis Esophageal Cancer Esophagectomy Esophagogastric Junction Hybrids Liver Cirrhosis Neoadjuvant Therapy Neoplasm Metastasis Neoplasms Operative Surgical Procedures Patients Thoracotomy Veins, Azygos
Patient demographic data were collected at baseline and included age, sex, first language, highest level of education, type of procedure undertaken, and American Society of Anesthesiologists grade (ASA).12 All data were collected on the ward at the participating centres.
From 1 March 2021 to 31 September 2021, 66 patients were screened for eligibility. Six participants were excluded: two patients were in severe pain, two reported feelings of anxiety, and two declined to participate in the study. Overall, 60 patients participated in the trial. Therefore, the recruitment rate for this trial was 90.91%. Of these 60, 32 were randomized to the standard method of informed consent and 28 were randomized to the detailed method and 30 (94%) and 26 (93%) were followed up in the standard and detailed groups, respectively. The Consolidated Standards of Reporting Trials13 (link) flow diagram for recruitment is presented in Figure 1.
Participant demographics and surgical procedures included in the study are presented in Table I. The mean age was 53 years (standard deviation (SD) 17.95). The most undertaken procedures were distal radius (40%; n = 24) and ankle fracture (38.3%; n = 23) fixations. Baseline demographic data were similar between groups.
The primary outcome measure was patient recall at 72 hours postoperatively using a seven-point interviewer-administered questionnaire. The questionnaire asked the participant details of potential complications (maximum three points), implants used (maximum three points), and postoperative instructions (maximum one point). A total score was calculated and was used as an overall measure of patient recall and had good face validity.
Secondary outcomes included perioperative anxiety using the HADS-A measured at 24 hours preoperatively and 72 hours postoperatively (minimum 0, maximum 21); postoperative satisfaction using the PSQ-18 measured at 72 hours postoperatively (minimum 0, maximum 90); perioperative pain using the VAS14 (link) measured at 24 hours preoperatively and 72 hours postoperatively (minimum 0, maximum 10); and recruitment rate estimated at the conclusion of the trial. The HADS-A and VAS pain change was calculated by subtracting the postoperative score from the preoperative score. The recruitment rate was defined as the percentage of patients recruited into the study from those that were screened. A rate of 75% of eligible participants was needed for the study to be considered feasible.
Publication 2023
4-amino-4'-hydroxylaminodiphenylsulfone Anesthesiologist Ankle Fracture Anxiety Eligibility Determination Feelings Interviewers Mental Recall Operative Surgical Procedures Pain Patients Radius Satisfaction
Patient demographics and perioperative outcomes were obtained from the prospectively collected colorectal cancer database. Patient demographic data included age, sex, preoperative CEA level, body mass index (BMI), American Society of Anesthesiologists (ASA) physical status (PS) classification, and tumor location. Operative outcomes included the total operation time, incision length, blood loss, specimen extraction site, and anastomosis method. Conversion was defined as the transition from laparoscopic to open surgery. Clinical outcomes included postoperative pain management, time to gas pass, sips of water, soft diet, hospital stay, pain score, use of painkillers on postoperative days 1 and 2, postoperative morbidity, and mortality within 30 days. POI was diagnosed when 2 or more of the following 5 criteria were met on or after the 4th postoperative day without resolution of POI: nausea or vomiting, inability to tolerate an oral diet over the previous 24 hours, absence of flatus over the previous 24 hours, abdominal distension, and radiologic confirmation [15 (link)]. Morbidity was classified using the Clavien-Dindo (CD) classification. On postoperative days 1 and 2, postoperative wound pain was measured using a numeric pain rating scale, with endpoints labeled “no pain” (scale 0) and “worst possible pain” (scale 10). Pathological outcomes for colonic adenocarcinoma included tumor stage, histology, retrieved lymph nodes, tumor size, and resection margins. Tumors were classified according to the 8th edition of the American Joint Committee on Cancer (AJCC) cancer staging system.
Publication 2023
Abdomen Analgesics Anesthesiologist BAD protein, human Colon Adenocarcinomas Colorectal Carcinoma Diet Flatulence Hemorrhage Index, Body Mass Joints Nausea Neoplasms Neoplasms by Site Nodes, Lymph Pain, Postoperative Patients Physical Examination Staging, Cancer Surgical Anastomoses Surgical Margins Surgical Procedures, Laparoscopic Wounds
This study was approved by the Institutional Review Board of the Catholic University of Korea, St. Vincent Hospital (No. VC21RASI0194). The need for informed consent was waived because of the retrospective design. The analysis used anonymous clinical data and involved no additional procedure besides routine practices in a clinical setting, presenting no risk of harming the patients.
The patients who underwent robotic inguinal hernia repair by 2 different surgeons from April 2021 to April 2022 were retrospectively analyzed. Two surgeons exhibit a difference in the experience of hernia surgeries; one with over 1,000 cases of inguinal hernia repair (surgeon A) and the other with over 100 cases of inguinal hernia repair (surgeon B). Patient data were collected and constructed from patient medical records. All operations were conducted by the 2 surgeons who had finished the robot platform training program.
Patient demographics, operation variables, and postoperative outcomes were extracted from the electronic medical record. Patient demographics include age, sex, body mass index (kg/m2), American Society of Anesthesiologists physical status classification, Charlson comorbidity index score, previous operation history, laterality of the hernia, and its size. Operation variables include the laterality of the inguinal hernia and the time from skin incision to skin closure. The mean operation time was calculated for patients who underwent surgery solely for hernia repair. Patients who received other surgical procedures, such as prostatectomy, nephrectomy, or adrenalectomy, were excluded in order to get an accurate operation time. Postoperative outcomes were assessed by a visual analog scale assessing postoperative pain, episodes of urinary difficulty, postoperative wound complications, and other postoperative 30-day morbidities.
Publication 2023
Adrenalectomy Anesthesiologist Ethics Committees, Research Functional Laterality Groin Hernia Hernia, Inguinal Herniorrhaphy Index, Body Mass Nephrectomy Operative Surgical Procedures Pain, Postoperative Patients Physical Examination Postoperative Complications Prostatectomy Roman Catholics Skin Surgeons Training Programs Urine Visual Analog Pain Scale Wounds

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More about "Anesthesiologist"

Anesthesiologists, also known as anaesthesiologists, are highly trained medical professionals who play a crucial role in patient care during surgical, obstetric, and other medical procedures.
These specialists are responsible for administering anesthesia, closely monitoring patients' vital signs, and adjusting anesthesia levels to ensure patient safety and comfort throughout the procedure.
Anesthesiologists possess a deep understanding of human anatomy, physiology, and pharmacology, which enables them to effectively manage anesthesia and monitor patient responses.
They work closely with surgeons, dentists, and other healthcare providers to deliver comprehensive, coordinated care.
Anesthesiologists are instrumental in minimizing pain, promoting healing, and improving patient outcomes.
Beyond their role in the operating room, anesthesiologists may also be involved in the administration of anesthesia for other medical procedures, such as pain management, critical care, and emergency situations.
They may utilize advanced technologies and equipment, such as SAS 9.4, Sapien XT, Sapien 3, Precedex, CoreValve, SPSS version 26, SAS version 9.4, SAS v9.4, R version 3.6.1, and SPSS Statistics, to monitor and manage patient health during these procedures.
Anesthesiologists play a vital role in the healthcare system, ensuring the safety and well-being of patients undergoing various medical interventions.
Their expertise and dedication to patient care are essential in minimizing risks, promoting recovery, and ultimately, enhancing the overall quality of healthcare.