Anesthesiology ,Critical Care, Pain management
The influence of simulation-based physiology labs taught by anesthesiologists on the attitudes of first-year medical students towards anesthesiology
by Ethan Bryson
DeMaria S Jr, Bryson EO, Bodian C, Khelemsky Y, Sim AJ, Schwartz AD, Katz D, Levine AI.
Middle East Journal of Anesthesiology, October 2011
BACKGROUND:
The development of medical students' perceptions of different medical specialties is based... more
BACKGROUND:
The development of medical students' perceptions of different medical specialties is based on many factors and influences their career choices and appreciation of other practitioners' knowledge and skills. The goal of this study was to determine if participation in a series of anesthesiologist-run, simulation-based physiology labs changed first year medical students' perceptions of anesthesiologists.
METHODS:
One hundred first-year medical students were surveyed at random three months before completion of a simulation-based physiology lab run by anesthesiologists. All participants received the same survey instrument, which employed a 5-point Rating Scale to rate the appropriateness of several descriptive terms as they apply to a particular specialist or specialty. A post-simulation survey was performed to track changes in attitudes.
RESULTS:
Response rates to the survey before and after the simulation labs were 75% and 97% (ofthe initial cohort responding), respectively. All students who filled out the post-simulation surveys had been exposed to anesthesiologists in the prior three months whereas none had interacted with surgeons in the interim. Nearly all had interacted with internal medicine specialists in that time period. No changes in the medical students' perceptions of surgeons or internal medicine specialists were evident. Statistically significant changes were found for most descriptors of anesthesiologists, with a trend towards a more favorable perception after the simulation program.
CONCLUSIONS:
Using a survey instrument containing descriptors of different medical specialists and specialties, we found an improved attitude towards anesthesiology after medical students participated in an anesthesiologist-run simulation-based physiology lab series. Given the importance of providing high quality medical education and attracting quality applicants to the field, integrati-on of anesthesiology staff into medical student courses at the non-clinical level appears useful
Simulation-based Maintenance of Certification in Anesthesiology (MOCA) course optimization: use of multi-modality educational activities
by Ethan Bryson
Levine AI, Flynn BC, Bryson EO, Demaria S Jr.
Journal of Clinical Anesthesia, February 2012
In 2010, the American Board of Anesthesiology instituted a new Maintenance of Certification in Anesthesiology (MOCA)... more In 2010, the American Board of Anesthesiology instituted a new Maintenance of Certification in Anesthesiology (MOCA) Part IV activity requiring diplomates to attend and self-reflect on a simulation-based course in an American Society of Anesthesiologists-endorsed program. Although there are certain course requirements, much of the curriculum and structure of these MOCA activities is left to the discretion of the participating endorsed program. The ideal course would emphasize multimodality simulation-based activities that optimize diplomate education and satisfaction, while economizing faculty requirements. We describe of our course structure and content as a potentially useful template.
Download (.pdf) Aneurysmal subarachnoid hemorrage in pregnancy: a cese series
Co-authored with Maurizio Guida and Francesca Bifulco, published in TranslationalMedicine@UniSA
PreAnesthetic Assessment of the Patient Reporting an Allergy to Penicillin
by Ethan Bryson
by Ethan Bryson, MD in Anesthesiology News March 2007
Recent emphasis on preventing surgical wound infections has highlighted the role of the anesthesiologist as the... more Recent emphasis on preventing surgical wound infections has highlighted the role of the anesthesiologist as the physician responsible for administering appropriate antibiotic prophylaxis. Patients often report a distant or unclear history of allergy to penicillin. An antibiotic administered to a patient who has a true allergy can provoke a life-threatening reaction. The anesthesiologist should be aware of the prevalence, severity, and manifestation of allergies to antibiotics, in addition to the available alternative therapies. The unnecessary administration of powerful broad-spectrum antibiotics leads to the development of antimicrobial resistance and thus should be avoided. It is the duty of anesthesiologists to balance such concerns when selecting appropriate antibiosis.
PreAnesthetic Assessment of the Patient With a History Of Prolonged Postoperative Nausea and Vomiting
by Ethan Bryson
by Ethan Bryson, MD in Anesthesiology News, March 2006
Postoperative nausea and vomiting continue to be problematic areas in anesthesia, as evidenced by frequent reports of... more Postoperative nausea and vomiting continue to be problematic areas in anesthesia, as evidenced by frequent reports of therapies in the literature. A periodic in-depth review of the treatment strategies has been identified by committee as required knowledge for clinical anesthesiologists.
Anesthesia and Addiction, International Anesthesiology Clinics 49 (1), Winter 2011
by Ethan Bryson
By Ethan O. Bryson, M.D., and Elizabeth A. M. Frost, M.D.
Philadelphia, Lippincott Williams & Wilkins, 2011.
Pages: 176. Price: $176.00.
This is a review of the special issue of the International Anesthesiology Clinics book on Anesthesia and Addiction... more This is a review of the special issue of the International Anesthesiology Clinics book on Anesthesia and Addiction that Dr. Frost and I put together that was published in the January 2012 issue of Anesthesiology.
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VARIABILIDAD DE LA PRESION ARTERIAL PRE Y POST-QUIRURGICA EN PACIENTES SOMETIDOS A CIRUGIA ORAL QUE ASISTIERON A LA CLINICA ODONTOLOGICA DE LA UNIVERSIDAD DEL MAGDALENA
http://arimaca.unimagdalena.edu.co/editorial/revistas/index.php/duazar
ARTICULO ORIGINAL.
VARIABILIDAD DE LA PRESION ARTERIAL PRE Y POST-QUIRURGICA EN PACIENTES SOMETIDOS A CIRUGIA ORAL QUE ASISTIERON A LA CLINICA ODONTOLOGICA DE LA UNIVERSIDAD DEL MAGDALENA EN LOS MESES DE ABRIL Y MAYO PERIODO 2008
AUTOR:
Dr Luis Castillo Castilla. Medico, Docente de cátedra Fisiología 2006 Facultad de Ciencias de la Salud Universidad del Magdalena.
Dr Iván Manotas Arévalo. Odontólogo Universidad de Cartagena, Cirujano Maxilofacial Universidad Javeriana, Docente de Planta Clínica Odontológica Universidad del Magdalena.
Dubbling Vargas. Estudiante de Pregrado Odontología Universidad del Magdalena
Castillo Castilla Luis, Manotas Arévalo Iván Alberto, Vargas Dubbling.
Duazary 2011; 8(1) : 48-57
Duazary 2011; 8(1) : 48-57
Resumen
La incidencia de enfermedades cardiovasculares se ha asociado como una de las principales causas de mortalidad no violenta en Colombia. La hipertensión arterial (HTA) es la patología cardiovascular de mayor prevalencia en nuestra nación, con un rango que oscila entre 13% y 23%, por la alta frecuencia en la población adulta. Los últimos avances en el estudio de la HTA revelan que el componente genético determina el 50% de los niveles altos de presión arterial (PA) y el 50% restante es determinado por la presencia de una serie de factores de riesgos exógenos.
Los valores de PA en el ejercicio de la practica odontológica pueden alterarse, lo que es importante tener en cuenta al momento de ejecutar procedimientos quirúrgicos ya que puede estar sujeta a diversos factores de riesgo tales como estrés, alcoholismo, tabaquismo, consumo de medicamentos y sedentarismo, entre otros, agentes que pueden causar su aumento o disminución, constituyendo en su conjunto un serio riesgo para la vida del paciente sino existe su adecuada atención ante cualquier práctica quirúrgico.
Con el objeto de determinar la variabilidad de la presión arterial generada en los procedimientos pre y post-quirúrgicos, se tomó una muestra de 33 pacientes en la Clínica Odontológica de la Universidad del Magdalena a los cuales se les realizó una toma de presión arterial en cada una de las fases del evento correspondiente. Los datos se tabularon y analizaron mediante estadísticas descriptivas; obteniéndose que el 64% de los pacientes presentó aumento de la presión arterial tras el procedimiento quirúrgico, el 18% mantuvo la presión normal y el restante manifestó descenso de la misma.
Palabras clave: Presión arterial, procedimientos quirúrgicos, factores de riesgo, anestésicos, estadística descriptiva, cirugía oral.