This is the first of a series of upcoming articles which will focus on the Joint Comnmission on Accreditation of Hospitals (JCAH) standards relative to quality assurance in anesthesia services. In this article, the author explains the JCAH standards' impact on anesthesia services. Future articles will utilize case examples of how individual anesthesia departments have improved patient care thro...

• Few tests compared local dental anesthesia with vasoconstrictor versus no vasoconstrictor. The vasoconstrictor seems to improve the effectiveness and the duration of the anesthesia. • Anesthetic associations containing 1/200,000 adrenaline concentration seem to present the most favourable balance benefit-risks. At this concentration, the quantities of adrenaline injected during everyday denta...

I N Japan, Australia, and New Zealand there is thriving research in anesthesia, pain medicine, and intensive care. The success of the researchers often has been attributable to organizations similar to the Foundation for Anesthesia Education and Research (FAER). Countries differ in the ways research is supported, both at a government level and at the society level. In Australia, New Zealand, an...

Malpractice claims for non-operating room anesthesia care (NORA) had a higher proportion of claims for death than claims in operating rooms (ORs). NORA claims most frequently involved monitored anesthesia care. Inadequate oxygenation/ventilation was responsible for one-third of NORA claims, often judged probably preventable by better monitoring. Fewer malpractice claims for NORA occurred than f...

Basic Principles of Magnetic Resonance Imaging Magnetic Field Problems Implanted Objects Propelled Objects Noise Radio Frequency Heating Occupational Exposure Monitor Interference Monitors and Equipment Electrocardiography Pulse Oximetry and Peripheral Perfusion Blood Pressure Anesthesia Machines Respiratory Gas Analysis Intravenous Infusion Pumps Specialized Equipment Patient Problems Patient ...

This up-to-date, revised edition on ultrasound in anesthesia has now been expanded to cover the important areas of pain management and critical care, and includes the new Royal College of Anaesthetists' guidelines for using ultrasound in anesthesia and intensive care. A comprehensive, practical guide, it explains the benefits of ultrasound for all essential practices, ranging from vascular acce...

Anesthesiologists and certified registered nurse anesthetists provide high-quality, efficacious anesthesia care to the U.S. population. This research and analyses indicate that CRNAs are less costly to train than anesthesiologists and have the potential for providing anesthesia care efficiently. Anesthesiologists and CRNAs can perform the same set of anesthesia services, including relatively ra...

An alfentanil infusion was used to produce analgesia and sedation for patients undergoing extracorporeal shock wave lithotripsy with the Dornier HM-4 lithotripter. This was compared to general and epidural anesthesia in a retrospective review of 197 consecutive patients. Total care time, anesthesia time, and recovery room time were shorter for the alfentanil analgesia/sedation group. The incide...

education and practice of medicine potentially provides an unexplored avenue for anesthesia care providers wherein currently practiced anesthesia care providers’ initiated quality-assurance (QA) can grow out of the bounds of peri-anesthesia events. these QA processes should expand into anesthesia care providers’ based interdisciplinary peri-operative cross-over post-market (post-hire) safety su...