Pub Date : 2016-08-01DOI: 10.1097/SA.0000000000000237
D. Mata, M. Ramos, N. Bansal, Rida I. Khan, C. Guille, E. Angelantonio, S. Sen
DATA SOURCES AND STUDY SELECTION Systematic search of EMBASE, ERIC, MEDLINE, and PsycINFO for studies with information on the prevalence of depression or depressive symptoms among resident physicians published between January 1963 and September 2015. Studies were eligible for inclusion if they were published in the peer-reviewed literature and used a validatedmethod to assess for depression or depressive symptoms.
{"title":"Prevalence of Depression and Depressive Symptoms Among Resident Physicians: A Systematic Review and Meta-analysis","authors":"D. Mata, M. Ramos, N. Bansal, Rida I. Khan, C. Guille, E. Angelantonio, S. Sen","doi":"10.1097/SA.0000000000000237","DOIUrl":"https://doi.org/10.1097/SA.0000000000000237","url":null,"abstract":"DATA SOURCES AND STUDY SELECTION Systematic search of EMBASE, ERIC, MEDLINE, and PsycINFO for studies with information on the prevalence of depression or depressive symptoms among resident physicians published between January 1963 and September 2015. Studies were eligible for inclusion if they were published in the peer-reviewed literature and used a validatedmethod to assess for depression or depressive symptoms.","PeriodicalId":22104,"journal":{"name":"Survey of Anesthesiology","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77338916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-08-01DOI: 10.1097/01.sa.0000484818.43690.c1
B. Walker, J. Long, G. Oliveira, P. Szmuk, C. T. Setiawan, D. Polaner, S. Suresh
{"title":"Peripheral Nerve Catheters in Children: An Analysis of Safety and Practice Patterns From the Pediatric Regional Anesthesia Network (PRAN)","authors":"B. Walker, J. Long, G. Oliveira, P. Szmuk, C. T. Setiawan, D. Polaner, S. Suresh","doi":"10.1097/01.sa.0000484818.43690.c1","DOIUrl":"https://doi.org/10.1097/01.sa.0000484818.43690.c1","url":null,"abstract":"","PeriodicalId":22104,"journal":{"name":"Survey of Anesthesiology","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87649155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-08-01DOI: 10.1097/01.sa.0000484581.57924.f6
E. Wesselink, T. Kappen, W. V. Klei, J. Dieleman, D. Dijk, A. Slooter
{"title":"Intraoperative Hypotension and Delirium After On-pump Cardiac Surgery","authors":"E. Wesselink, T. Kappen, W. V. Klei, J. Dieleman, D. Dijk, A. Slooter","doi":"10.1097/01.sa.0000484581.57924.f6","DOIUrl":"https://doi.org/10.1097/01.sa.0000484581.57924.f6","url":null,"abstract":"","PeriodicalId":22104,"journal":{"name":"Survey of Anesthesiology","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79122557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-08-01DOI: 10.1097/01.sa.0000484831.94219.dd
B. Brueckmann, N. Sasaki, P. Grobara, M. Li, T. Woo, J. D. Bie, M. Maktabi, J. M. Lee, J. Kwo, R. Pino, A. S. Sabouri, F. Mcgovern, A. K. Staehr-Rye, M. Eikermann
{"title":"Effects of Sugammadex on Incidence of Postoperative Residual Neuromuscular Blockade: A Randomized, Controlled Study","authors":"B. Brueckmann, N. Sasaki, P. Grobara, M. Li, T. Woo, J. D. Bie, M. Maktabi, J. M. Lee, J. Kwo, R. Pino, A. S. Sabouri, F. Mcgovern, A. K. Staehr-Rye, M. Eikermann","doi":"10.1097/01.sa.0000484831.94219.dd","DOIUrl":"https://doi.org/10.1097/01.sa.0000484831.94219.dd","url":null,"abstract":"","PeriodicalId":22104,"journal":{"name":"Survey of Anesthesiology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91180466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-07-01DOI: 10.1097/SA.0000367827.06059.26
Y. Shimahara, J. Kobayashi
The advent of transcatheter aortic valve implantation (TAVI) has been rapidly evolving the treatment of the severe aortic stenosis in patients with comorbidities that lead to being high-risk for conventional aortic valve replacement. The patient selection for TAVI is carefully made by a multidisciplinary heart team. An accurate preoperative assessment of the computed tomography angiography and transesophageal echocardiography are necessary for procedural success. In Japan, SAPIEN XT and CoreValve are available, and Lotus Valve is under clinical trial. So far, TAVI is an attractive treatment because the early outcome and the intermediate-term durability are favorable. An answer to a question of whether the indication for TAVI is able to expand to low- or intermediate- risk patients depends on the long-term durability.
{"title":"[Transcatheter Aortic Valve Implantation].","authors":"Y. Shimahara, J. Kobayashi","doi":"10.1097/SA.0000367827.06059.26","DOIUrl":"https://doi.org/10.1097/SA.0000367827.06059.26","url":null,"abstract":"The advent of transcatheter aortic valve implantation (TAVI) has been rapidly evolving the treatment of the severe aortic stenosis in patients with comorbidities that lead to being high-risk for conventional aortic valve replacement. The patient selection for TAVI is carefully made by a multidisciplinary heart team. An accurate preoperative assessment of the computed tomography angiography and transesophageal echocardiography are necessary for procedural success. In Japan, SAPIEN XT and CoreValve are available, and Lotus Valve is under clinical trial. So far, TAVI is an attractive treatment because the early outcome and the intermediate-term durability are favorable. An answer to a question of whether the indication for TAVI is able to expand to low- or intermediate- risk patients depends on the long-term durability.","PeriodicalId":22104,"journal":{"name":"Survey of Anesthesiology","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86929510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-07-01DOI: 10.1097/01.sa.0000489998.34151.8e
J. Sandella, J. Gimpel, Larissa L. Smith, J. Boulet
BACKGROUND The Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) and the United States Medical Licensing Examination (USMLE) are recognized by all state medical licensing boards in the United States, and the Federation of State Medical Boards has supported the validity of both examinations for medical licensure. Many osteopathic medical students take both examinations. OBJECTIVE The purpose of this study was to investigate performance on COMLEX-USA Level 1 and USMLE Step 1 of students from colleges of osteopathic medicine where the majority of students took both examinations. METHODS Data were collected on the entering classes of 2010 and 2011. Relationships between the COMLEX-USA Level 1 and the USMLE Step 1 were quantified using Pearson correlations. The correlation between outcomes on the 2 examinations was evaluated using the phi coefficient. A contingency table was constructed to look at first-attempt outcomes (pass/fail). RESULTS Data for 2010 and 2011 were collected from 3 osteopathic medical schools, with 795 of 914 students (87%) taking both examinations. The correlation between first-attempt COMLEX-USA Level 1 and USMLE Step 1 scores was statistically significant across and within all 3 schools. The overall correlation was r(795) = 0.84 (P < .001). Pass/fail status on the 2 examinations was moderately correlated (φ = 0.39, P < .01). CONCLUSIONS Our study found a strong association between COMLEX Level 1 and USMLE Step 1 performance. Additional studies to accurately compare scores on these examinations are warranted.
背景:综合骨科医师执照考试(complex - usa)和美国医疗执照考试(USMLE)得到美国所有州医疗执照委员会的认可，州医学委员会联合会支持这两项医疗执照考试的有效性。许多骨科医学院的学生都参加了这两门考试。目的本研究的目的是调查来自骨科医学院的学生在complex - usa Level 1和USMLE Step 1中的表现，大多数学生都参加了这两项考试。方法收集2010年和2011年入学班级的数据。complex - usa Level 1和USMLE Step 1之间的关系使用Pearson相关性进行量化。使用phi系数评估两项检查结果之间的相关性。我们构建了一个列联表来查看首次尝试的结果(通过/失败)。结果2010年和2011年的数据来自3所骨科医学院，914名学生中有795名(87%)参加了这两项考试。首次尝试complex - usa Level 1和USMLE Step 1分数之间的相关性在所有3所学校之间和内部都具有统计学意义。总相关系数r(795) = 0.84 (P < 0.001)。两项考试的合格率与不合格率呈正相关(φ = 0.39, P < 0.01)。结论我们的研究发现complex Level 1和USMLE Step 1的表现之间有很强的相关性。有必要进行更多的研究，以准确地比较这些考试的分数。
{"title":"The Use of COMLEX-USA and USMLE for Residency Applicant Selection.","authors":"J. Sandella, J. Gimpel, Larissa L. Smith, J. Boulet","doi":"10.1097/01.sa.0000489998.34151.8e","DOIUrl":"https://doi.org/10.1097/01.sa.0000489998.34151.8e","url":null,"abstract":"BACKGROUND\u0000The Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) and the United States Medical Licensing Examination (USMLE) are recognized by all state medical licensing boards in the United States, and the Federation of State Medical Boards has supported the validity of both examinations for medical licensure. Many osteopathic medical students take both examinations.\u0000\u0000\u0000OBJECTIVE\u0000The purpose of this study was to investigate performance on COMLEX-USA Level 1 and USMLE Step 1 of students from colleges of osteopathic medicine where the majority of students took both examinations.\u0000\u0000\u0000METHODS\u0000Data were collected on the entering classes of 2010 and 2011. Relationships between the COMLEX-USA Level 1 and the USMLE Step 1 were quantified using Pearson correlations. The correlation between outcomes on the 2 examinations was evaluated using the phi coefficient. A contingency table was constructed to look at first-attempt outcomes (pass/fail).\u0000\u0000\u0000RESULTS\u0000Data for 2010 and 2011 were collected from 3 osteopathic medical schools, with 795 of 914 students (87%) taking both examinations. The correlation between first-attempt COMLEX-USA Level 1 and USMLE Step 1 scores was statistically significant across and within all 3 schools. The overall correlation was r(795) = 0.84 (P < .001). Pass/fail status on the 2 examinations was moderately correlated (φ = 0.39, P < .01).\u0000\u0000\u0000CONCLUSIONS\u0000Our study found a strong association between COMLEX Level 1 and USMLE Step 1 performance. Additional studies to accurately compare scores on these examinations are warranted.","PeriodicalId":22104,"journal":{"name":"Survey of Anesthesiology","volume":"2013 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86439874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1097/01.sa.0000482094.11439.10
A. Kurz, E. Fleischmann, D. Sessler, D. Buggy, C. Apfel, O. Akça
{"title":"Effects of Supplemental Oxygen and Dexamethasone on Surgical Site Infection: A Factorial Randomized Trial","authors":"A. Kurz, E. Fleischmann, D. Sessler, D. Buggy, C. Apfel, O. Akça","doi":"10.1097/01.sa.0000482094.11439.10","DOIUrl":"https://doi.org/10.1097/01.sa.0000482094.11439.10","url":null,"abstract":"","PeriodicalId":22104,"journal":{"name":"Survey of Anesthesiology","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83583794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1097/01.sa.0000482337.21445.bd
S. Hastings, P. Myles, D. McIlroy
R esearchers evaluated the differential effects of both colloid and crystalloid fluid retention on renal oxygen delivery, glomerular filtration, renal oxygen consumption, and the renal oxygen supply-demand relationship after cardiopulmonary bypass surgery. Subjects included 30 patients with normal preoperative renal function who underwent uncomplicated cardiac surgery. The patients were studied in the early postoperative period while admitted to the intensive care unit. Patients were randomized to receive a bolus of either crystalloid or colloid fluids. Despite an increase in cardiac index and renal blood flow identified with the administration of each, neither type of fluid improved renal oxygen delivery, owing to hemodilution. Crystalloid fluids increased glomerular filtration, but colloid fluids did not. Furthermore, an increase in filtration fraction and renal oxygen extraction in the crystalloid group indicates that the increase in glomerular filtration was not matched by a proportional increase in renal oxygen delivery.
{"title":"Aspirin and Coronary Artery Surgery: A Systematic Review and Meta-analysis","authors":"S. Hastings, P. Myles, D. McIlroy","doi":"10.1097/01.sa.0000482337.21445.bd","DOIUrl":"https://doi.org/10.1097/01.sa.0000482337.21445.bd","url":null,"abstract":"R esearchers evaluated the differential effects of both colloid and crystalloid fluid retention on renal oxygen delivery, glomerular filtration, renal oxygen consumption, and the renal oxygen supply-demand relationship after cardiopulmonary bypass surgery. Subjects included 30 patients with normal preoperative renal function who underwent uncomplicated cardiac surgery. The patients were studied in the early postoperative period while admitted to the intensive care unit. Patients were randomized to receive a bolus of either crystalloid or colloid fluids. Despite an increase in cardiac index and renal blood flow identified with the administration of each, neither type of fluid improved renal oxygen delivery, owing to hemodilution. Crystalloid fluids increased glomerular filtration, but colloid fluids did not. Furthermore, an increase in filtration fraction and renal oxygen extraction in the crystalloid group indicates that the increase in glomerular filtration was not matched by a proportional increase in renal oxygen delivery.","PeriodicalId":22104,"journal":{"name":"Survey of Anesthesiology","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89363794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1097/01.sa.0000482343.88155.ba
Carmen Guerra, M. Hua, H. Wunsch
{"title":"Risk of Diagnosis of Dementia for Elderly Medicare Beneficiaries After Intensive Care","authors":"Carmen Guerra, M. Hua, H. Wunsch","doi":"10.1097/01.sa.0000482343.88155.ba","DOIUrl":"https://doi.org/10.1097/01.sa.0000482343.88155.ba","url":null,"abstract":"","PeriodicalId":22104,"journal":{"name":"Survey of Anesthesiology","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80272227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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