Anaesthesia and Intensive Care is an educational journal for those associated with anaesthesia, intensive care medicine and pain medicine
The November edition of Anaesthesia and Intensive Care features a range of interesting articles, commencing with a probing editorial by Dr Michael Reade that looks at barriers to the provision of adequate care for suddenly deteriorating hospital patients.
Gilfillan et al examine problems that patients undergoing retrosternal goitre surgery may present to anaesthetists, questioning whether conventional airway management techniques can be suitably utilised in such circumstances.
In this issue, Ho et al judge the ability of the Trauma Embolic Scoring System (TESS) in predicting deep vein thrombosis and pulmonary embolism in severely injured trauma patients, concluding that, while not perfectly calibrated, the System’s high sensitivity and negative predictive value may still make it useful in clinical and research settings.
Rotella et al have conducted a fascinating investigation into factors that influence escalation-of-care decisions made by junior medical officers. The article explores a range of considerations, including familiarity with patient conditions, adequate handover protocol and even fears of conflict with senior medical staff.
This month, Weller et al present a qualitative study into the rigours of ANZCA specialist assessment, looking at the impact this testing has on trainee wellbeing and whether it is effective in promoting lifelong learning amongst young anaesthetists.
An audit conducted by Dr David Belavy describes a system for the collection of anaesthesia patient data using an online Quality of Recovery survey that is compatible with smartphones. This article suggests that while mobile internet technology can be used to provide significant amounts of data needed for quality assurance, it also presents new issues related to privacy and security.
Correspondence for November focuses on a great variety of topics, including the decline of trainee exposure to obstetric general anaesthesia, the optimal composition of amino acid and protein for ICU patients, thromboelastography-guided thrombolysis during ECMO, as well as a remarkable case in which a search for compatible blood needed in the event of transfusion for a particular patient resulted in only one available unit throughout the whole of the United Kingdom.
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