Nga Nomo S, Kuitchet Aristide, I. C, Djomo Tamchom D, J. B, B. F, Ze Minkande J
{"title":"Effect of Prolonged Preoperative Fasting on Intraoperative Glycaemia in Pediatric Surgery at the Essos-Cameroun Hospital Center (Cameroon)","authors":"Nga Nomo S, Kuitchet Aristide, I. C, Djomo Tamchom D, J. B, B. F, Ze Minkande J","doi":"10.26502/acc.056","DOIUrl":"https://doi.org/10.26502/acc.056","url":null,"abstract":"","PeriodicalId":41147,"journal":{"name":"Pediatric Anesthesia and Critical Care Journal","volume":"11 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87480223","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}
Mahabubuzzaman M, Begum Sa, Iqbal Mj, Kumar D, Islam Ms, Bhowmick Lk, Kaisar K, Rahman Akms
{"title":"Efficacy of Dexamethasone and Fentanyl as an Adjuvant with Lignocaine Adrenaline and Bupivacaine for Supraclavicular Brachial Plexus Block in Upper Limb Surgery","authors":"Mahabubuzzaman M, Begum Sa, Iqbal Mj, Kumar D, Islam Ms, Bhowmick Lk, Kaisar K, Rahman Akms","doi":"10.26502/acc.058","DOIUrl":"https://doi.org/10.26502/acc.058","url":null,"abstract":"","PeriodicalId":41147,"journal":{"name":"Pediatric Anesthesia and Critical Care Journal","volume":"45 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73743242","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}
Alberto Martinez Ruiz, Blanca Escontrela, Itxaso Merino Julian
Background: Deep of hypnosis monitoring based on electroencephalogram (EEG) and end tidal anesthetic concentration (ETAC) of volatile agents are a standard of care in patients under general anesthesia. Entropy and ETAC could reflected the effects of volatile agents as evidence had been showed, but its accuracy for hypnosis monitoring during nociceptive stimulation in patients under neuromuscular block and emergence is controversial.
{"title":"Combination of Entropy and Electroencephalograpy for Deep of Hypnosis Monitoring Improvement during General Anesthesia","authors":"Alberto Martinez Ruiz, Blanca Escontrela, Itxaso Merino Julian","doi":"10.26502/acc.061","DOIUrl":"https://doi.org/10.26502/acc.061","url":null,"abstract":"Background: Deep of hypnosis monitoring based on electroencephalogram (EEG) and end tidal anesthetic concentration (ETAC) of volatile agents are a standard of care in patients under general anesthesia. Entropy and ETAC could reflected the effects of volatile agents as evidence had been showed, but its accuracy for hypnosis monitoring during nociceptive stimulation in patients under neuromuscular block and emergence is controversial.","PeriodicalId":41147,"journal":{"name":"Pediatric Anesthesia and Critical Care Journal","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135507310","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}
Objectives: This study aimed to investigate the two different types of regional anesthesia for a cesarean section and to analyze the various perioperative and postoperative side effects related to them.
目的:探讨剖宫产术中两种不同的区域麻醉方式，并分析其围术期及术后的各种不良反应。
{"title":"Comparison of Adverse Effects Related To the Use of Epidural Anesthesia versus Spinal Anesthesia In Cesarean Section Patients At The Plaza De La Salud General Hospital In Santo Domingo, Dominican Republic, During The Period January-December 2021: A Retrospective Study","authors":"Mariam Alcántara, Alba Rebecca Hernández","doi":"10.26502/acc.062","DOIUrl":"https://doi.org/10.26502/acc.062","url":null,"abstract":"Objectives: This study aimed to investigate the two different types of regional anesthesia for a cesarean section and to analyze the various perioperative and postoperative side effects related to them.","PeriodicalId":41147,"journal":{"name":"Pediatric Anesthesia and Critical Care Journal","volume":"157 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135507313","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}
Begum SA, Mahabubuzzaman M, Kumar D, Iqbal MJ, Kabir MH, Sheikh MZA, Bhari P, Rahman AKMS, Kabir MSH, Kabir MH
Background: The advantage of unilateral spinal anaesthesia is that it provides a stronger block on the side of surgery, accelerated recovery of the nerve block with better maintenance of cardiovascular stability. Hence it could be a suitable technique for high risk geriatric patients. Objective: To compare two different doses of hyperbaric bupivacaine in unilateral spinal anaesthesia among geriatric patients in hemiarthroplasty surgery. Methods: This randomized controlled clinical trial was conducted in the Department of Anaesthesia and Intensive Care Medicine, National Institute of Traumatology and Orthopaedics Rehabilitation (NITOR), Dhaka, Bangladesh. Total 60 geriatric patients who underwent hemiarthroplasty surgery were enrolled and divided into two groups (30 patients in each group). Group A was received 10 mg hyperbaric bupivacaine plus 20 µg fentanyl and Group B was received 7.50 mg hyperbaric bupivacaine plus 20 µg fentanyl. The time onset of sensory and motor block, level of sensory and degree of motor block and the duration of sensory and motor block were assessed accordingly. Results: No significant difference was found in duration of surgery, onset of sensory and motor block on operative limb between the groups (p >0.05). The haemodynamic parameters were well maintained in group B. The time for 1st demand of analgesia, time of complete sensory and motor recovery was significantly earlier in group B (p <0.05). The higher dose had developed comparatively high peri-operative complications. Conclusion: Unilateral spinal block with a low dose of local anesthetic is safe and effective method for hemiarthroplasty surgery in geriatric patients
{"title":"Comparison between two Different Doses of Hyperbaric Bupivacaine in Unilateral Spinal Anesthesia among Geriatric Patients in Hemiarthroplasty Surgery","authors":"Begum SA, Mahabubuzzaman M, Kumar D, Iqbal MJ, Kabir MH, Sheikh MZA, Bhari P, Rahman AKMS, Kabir MSH, Kabir MH","doi":"10.26502/acc.060","DOIUrl":"https://doi.org/10.26502/acc.060","url":null,"abstract":"Background: The advantage of unilateral spinal anaesthesia is that it provides a stronger block on the side of surgery, accelerated recovery of the nerve block with better maintenance of cardiovascular stability. Hence it could be a suitable technique for high risk geriatric patients. Objective: To compare two different doses of hyperbaric bupivacaine in unilateral spinal anaesthesia among geriatric patients in hemiarthroplasty surgery. Methods: This randomized controlled clinical trial was conducted in the Department of Anaesthesia and Intensive Care Medicine, National Institute of Traumatology and Orthopaedics Rehabilitation (NITOR), Dhaka, Bangladesh. Total 60 geriatric patients who underwent hemiarthroplasty surgery were enrolled and divided into two groups (30 patients in each group). Group A was received 10 mg hyperbaric bupivacaine plus 20 µg fentanyl and Group B was received 7.50 mg hyperbaric bupivacaine plus 20 µg fentanyl. The time onset of sensory and motor block, level of sensory and degree of motor block and the duration of sensory and motor block were assessed accordingly. Results: No significant difference was found in duration of surgery, onset of sensory and motor block on operative limb between the groups (p >0.05). The haemodynamic parameters were well maintained in group B. The time for 1st demand of analgesia, time of complete sensory and motor recovery was significantly earlier in group B (p <0.05). The higher dose had developed comparatively high peri-operative complications. Conclusion: Unilateral spinal block with a low dose of local anesthetic is safe and effective method for hemiarthroplasty surgery in geriatric patients","PeriodicalId":41147,"journal":{"name":"Pediatric Anesthesia and Critical Care Journal","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135507308","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 : 2022-02-21DOI: 10.21203/rs.3.rs-770145/v1
E. T. Mouzou, S. Assenouwe, D. Lamboni, Kondo Bignandi, A. Moumouni, Pwèmdéou Ef, Ib Kai-Samba, H. Sama, Pikabalo Tchétike, P. Egbohou, Magnoudéwa Poko, Maliki Akondo, Akala Yoba Gnimdo Mawa-eya, G. Songne
Background: The Management of thoracic trauma (TT) requires important resources, especially for intensive cares. In developing countries, intensive care units (ICUs) are often the first facilities providing life-saving care to severe trauma patients. This study aimed to analyze the management of TT in a Togolese ICU.Methods: A retrospective and descriptive study was carried out in the ICU of the SylvanusOlympio University Hospital (SO UH) of Lomé, over a six-year period. The records of TT inpatients were analyzed from registers. Statistical tests were performed using Epi-info 7.2.4 software. Results: Of the inpatients for resuscitation, one hundred and ninety-five patients (195) were admitted with TT (5.1% of ICU admission), with 187 selected for the research. Their mean age was 38.1 ± 13 years and sex-ratio = 6.8. Road Traffic Accidents (RTA) were the most frequent causes (87.2%). Patients had respiratory distress (62.6%), hemorrhagic shock (4.8%) and severe coma (24.6%). It was polytrauma in 92.5% of the cases with 75.9% of cranio-encephalic injuries. Fifty patients underwent surgery. Resuscitation included oxygen therapy (65.8%), mechanical ventilation (15%), decompression needle thoracostomy (11.2%), chest drainage (10.7%), analgesia, sedation (54%), vascular filling (21.9%), administration of vasopressors (14.4%) and blood transfusion (49.7%). The mean length for ICU stay was 12.7 ± 6 days. At least one complication occurred in 55.8% of patients: sepsis in 43.3%, bronchopulmonary infection in 32.1%, acute respiratory distress syndrome (ARDS) in 25.7%, hemorrhagic shock in 16.6% and septic shock in 15%.Eighty-four patients (44.9%) died of septic shock (30.9%), hemorrhagic shock (14.3%), brain injuries (36.9%), and ARDS (9.5%). The management faced shortcomings such as inadequate aseptic conditions, unavailability of arterial blood gas test, insufficiency of surveillance monitors and ventilators. Conclusion: TTs were common in ICU. Most of the patients presented associated injuries. ICU management was successful in most cases, but faced challenges. It is necessary to improve equipment and management protocols.
{"title":"Management of Thoracic Trauma in Intensive Care Unit in Togo: A Particular Reference to Sylvanus Olympio University Hospital of Lome","authors":"E. T. Mouzou, S. Assenouwe, D. Lamboni, Kondo Bignandi, A. Moumouni, Pwèmdéou Ef, Ib Kai-Samba, H. Sama, Pikabalo Tchétike, P. Egbohou, Magnoudéwa Poko, Maliki Akondo, Akala Yoba Gnimdo Mawa-eya, G. Songne","doi":"10.21203/rs.3.rs-770145/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-770145/v1","url":null,"abstract":"\u0000 Background: The Management of thoracic trauma (TT) requires important resources, especially for intensive cares. In developing countries, intensive care units (ICUs) are often the first facilities providing life-saving care to severe trauma patients. This study aimed to analyze the management of TT in a Togolese ICU.Methods: A retrospective and descriptive study was carried out in the ICU of the SylvanusOlympio University Hospital (SO UH) of Lomé, over a six-year period. The records of TT inpatients were analyzed from registers. Statistical tests were performed using Epi-info 7.2.4 software. Results: Of the inpatients for resuscitation, one hundred and ninety-five patients (195) were admitted with TT (5.1% of ICU admission), with 187 selected for the research. Their mean age was 38.1 ± 13 years and sex-ratio = 6.8. Road Traffic Accidents (RTA) were the most frequent causes (87.2%). Patients had respiratory distress (62.6%), hemorrhagic shock (4.8%) and severe coma (24.6%). It was polytrauma in 92.5% of the cases with 75.9% of cranio-encephalic injuries. Fifty patients underwent surgery. Resuscitation included oxygen therapy (65.8%), mechanical ventilation (15%), decompression needle thoracostomy (11.2%), chest drainage (10.7%), analgesia, sedation (54%), vascular filling (21.9%), administration of vasopressors (14.4%) and blood transfusion (49.7%). The mean length for ICU stay was 12.7 ± 6 days. At least one complication occurred in 55.8% of patients: sepsis in 43.3%, bronchopulmonary infection in 32.1%, acute respiratory distress syndrome (ARDS) in 25.7%, hemorrhagic shock in 16.6% and septic shock in 15%.Eighty-four patients (44.9%) died of septic shock (30.9%), hemorrhagic shock (14.3%), brain injuries (36.9%), and ARDS (9.5%). The management faced shortcomings such as inadequate aseptic conditions, unavailability of arterial blood gas test, insufficiency of surveillance monitors and ventilators. Conclusion: TTs were common in ICU. Most of the patients presented associated injuries. ICU management was successful in most cases, but faced challenges. It is necessary to improve equipment and management protocols.","PeriodicalId":41147,"journal":{"name":"Pediatric Anesthesia and Critical Care Journal","volume":"88 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83440187","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}
Khaled A Yassen, Zahra Al Ghadeer, F. Alhejji, Fatimah Alothman, Huda Alethan, D. AlAli, Lamis F Aljamaan, Dur I Shahwar, Lien Reyin, Yasser E. Nassef
The Role of Electrical Cardiometry in Paediatrics and Neonatal Anaesthesia and Intensive Care: A Narrative Review. Anesthesia and Critical care 4 (2022): 73-83. Abstract Invasive hemodynamic monitoring could be challenging among pediatrics, particularly infants and new-borns. This current narrative review aims to discuss and present the published literature that addresses the optimal use and validity of the electrical cardiometry (EC) device among pediatrics. This is a non-invasive continuous cardiac output and hemodynamic monitor that measures the electrical transthoracic bioimpedance. focused on PubMed (MEDLINE), Saudi Digital library (SDL), and Google Scholar database between 2010 and 2022. English language studies were Anesthesia and Critical Care to track CO changes over the time (Trend). However, EC absolute values for CO were interchangeable with the CO measurements derived from the thermodilution technique in some studies and were not interchangeable in some others. The variation in clinical conditions and surgical procedures affected the performance EC CO. In specific clinical scenarios, EC CO trend changes proved to be of extreme help during transportations and in operating rooms during PDA ligation. The EC technology is easy to use and is an addition for future developments in monitoring, particularly for the pediatric age group. More studies are recommended to improve further the precision of the absolute CO measurements and to study the impact of the EC on short- and long-term clinical outcomes. non-invasive continuous cardiac (CO)
{"title":"The Role of Electrical Cardiometry in Paediatrics and Neonatal Anaesthesia and Intensive Care: A Narrative Review","authors":"Khaled A Yassen, Zahra Al Ghadeer, F. Alhejji, Fatimah Alothman, Huda Alethan, D. AlAli, Lamis F Aljamaan, Dur I Shahwar, Lien Reyin, Yasser E. Nassef","doi":"10.26502/acc.040","DOIUrl":"https://doi.org/10.26502/acc.040","url":null,"abstract":"The Role of Electrical Cardiometry in Paediatrics and Neonatal Anaesthesia and Intensive Care: A Narrative Review. Anesthesia and Critical care 4 (2022): 73-83. Abstract Invasive hemodynamic monitoring could be challenging among pediatrics, particularly infants and new-borns. This current narrative review aims to discuss and present the published literature that addresses the optimal use and validity of the electrical cardiometry (EC) device among pediatrics. This is a non-invasive continuous cardiac output and hemodynamic monitor that measures the electrical transthoracic bioimpedance. focused on PubMed (MEDLINE), Saudi Digital library (SDL), and Google Scholar database between 2010 and 2022. English language studies were Anesthesia and Critical Care to track CO changes over the time (Trend). However, EC absolute values for CO were interchangeable with the CO measurements derived from the thermodilution technique in some studies and were not interchangeable in some others. The variation in clinical conditions and surgical procedures affected the performance EC CO. In specific clinical scenarios, EC CO trend changes proved to be of extreme help during transportations and in operating rooms during PDA ligation. The EC technology is easy to use and is an addition for future developments in monitoring, particularly for the pediatric age group. More studies are recommended to improve further the precision of the absolute CO measurements and to study the impact of the EC on short- and long-term clinical outcomes. non-invasive continuous cardiac (CO)","PeriodicalId":41147,"journal":{"name":"Pediatric Anesthesia and Critical Care Journal","volume":"18 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80341901","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}
Eduardo A Wilson-Manríquez, Mercedes Nicté López-Hernández, F. Lopez-jimenez, Rocío Torres-Méndez, Rafael Acuña-Prats
Background The use of intrathecal baclofen pumps (ITBP) has become increasingly common worldwide for the treatment of severe spasticity. Increased prevalence of patients using ITBPs makes encounters ever more common with surgical teams, these surgical interventions may be related to ITBP manipulation or completely unrelated to these devices. The anesthetist must be familiar with the normal functioning of ITBPs and be aware of baclofen pharmacokinetics in the cerebrospinal fluid, the occurrence of baclofen overdosing or withdrawal, and the potential pharmacological interactions between baclofen and drugs commonly used intraoperatively. We present the case of a successful management of a patient with chronic use of an ITBP which had to be suspended before undergoing a surgical procedure to perform intraoperative neuromonitoring to guide the surgical intervention. A good communication and organization of the multidisciplinary team improves the prognosis of the patient and reduces morbidity and mortality.
{"title":"Intrathecal Baclofen Pump Perioperative Management: Case Report and Literature Review","authors":"Eduardo A Wilson-Manríquez, Mercedes Nicté López-Hernández, F. Lopez-jimenez, Rocío Torres-Méndez, Rafael Acuña-Prats","doi":"10.26502/acc.046","DOIUrl":"https://doi.org/10.26502/acc.046","url":null,"abstract":"Background The use of intrathecal baclofen pumps (ITBP) has become increasingly common worldwide for the treatment of severe spasticity. Increased prevalence of patients using ITBPs makes encounters ever more common with surgical teams, these surgical interventions may be related to ITBP manipulation or completely unrelated to these devices. The anesthetist must be familiar with the normal functioning of ITBPs and be aware of baclofen pharmacokinetics in the cerebrospinal fluid, the occurrence of baclofen overdosing or withdrawal, and the potential pharmacological interactions between baclofen and drugs commonly used intraoperatively. We present the case of a successful management of a patient with chronic use of an ITBP which had to be suspended before undergoing a surgical procedure to perform intraoperative neuromonitoring to guide the surgical intervention. A good communication and organization of the multidisciplinary team improves the prognosis of the patient and reduces morbidity and mortality.","PeriodicalId":41147,"journal":{"name":"Pediatric Anesthesia and Critical Care Journal","volume":"6 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82056709","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}
Cristiana SQ Vasconcelos, Manuel D de La Cruz, Gabriel HLB Nascimento, J. R. Azevedo
{"title":"Impact of Admission SOFA Score and 48-Hour Delta SOFA on Clinical Outcomes of Critically Ill Patients","authors":"Cristiana SQ Vasconcelos, Manuel D de La Cruz, Gabriel HLB Nascimento, J. R. Azevedo","doi":"10.26502/acc.048","DOIUrl":"https://doi.org/10.26502/acc.048","url":null,"abstract":"","PeriodicalId":41147,"journal":{"name":"Pediatric Anesthesia and Critical Care Journal","volume":"8 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87882496","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}
Introduction: The anesthesiologist is a representative of the specialty exposed to severe professional stress occurring in every field of his activity. They are reported to have higher rates of burnout compared with other specialists. Aim: The aim of this paper is to discuss the psychological aspects of working as an anaesthesiologist. Material and methods: This work is based on the authors’ experience and available literature. Results and discussion: In the profession of anaesthesiologist not only the manual skills but above all the psychological resistance to stress is very important. The anaesthesiologist must act quickly, but in a thoughtful manner, because each decision can have enormous consequences. Resilience and teamwork combined with decisiveness should distinguish a good anaesthesiologist. Even experienced anaesthesiologists can experience tremendous stress in a sudden critical situation, therefore, simulation of adverse effects and development of appropriate habits are of great importance. The following article highlights the important aspects of anaesthetic practice, not only to reduce stress but also to increase safety during patient anaesthesia. Conclusion: Stress resistance is the most important quality of an anesthesiologist. Moreover, active listening, critical thinking, sound judgment, and decision-making are also crucial.
{"title":"Psychological Aspects of Working as an Anesthesiologist","authors":"K. Podhorodecka, Paweł Radkowski","doi":"10.26502/acc.049","DOIUrl":"https://doi.org/10.26502/acc.049","url":null,"abstract":"Introduction: The anesthesiologist is a representative of the specialty exposed to severe professional stress occurring in every field of his activity. They are reported to have higher rates of burnout compared with other specialists. Aim: The aim of this paper is to discuss the psychological aspects of working as an anaesthesiologist. Material and methods: This work is based on the authors’ experience and available literature. Results and discussion: In the profession of anaesthesiologist not only the manual skills but above all the psychological resistance to stress is very important. The anaesthesiologist must act quickly, but in a thoughtful manner, because each decision can have enormous consequences. Resilience and teamwork combined with decisiveness should distinguish a good anaesthesiologist. Even experienced anaesthesiologists can experience tremendous stress in a sudden critical situation, therefore, simulation of adverse effects and development of appropriate habits are of great importance. The following article highlights the important aspects of anaesthetic practice, not only to reduce stress but also to increase safety during patient anaesthesia. Conclusion: Stress resistance is the most important quality of an anesthesiologist. Moreover, active listening, critical thinking, sound judgment, and decision-making are also crucial.","PeriodicalId":41147,"journal":{"name":"Pediatric Anesthesia and Critical Care Journal","volume":"20 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78425126","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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