International Journal of Anesthesiology & Pain Medicine

Description

To ascertain current knowledge, attitudes, and practices of anesthesiology residents regarding tobacco control, and to determine the characteristics of current residency training offered in tobacco control. Most investigations were led in North America or Western Europe, with one New Zealand study. Fifteen investigations assessed period commonness. Female orientation, lower financial status and middle age were among the segment qualities distinguished as being related with persistent agony.

A survey monkey link was sent to 3,000 randomly selected non-time-limited diplomates who were not enrolled in MOC, non-time-limited diplomates who were enrolled in MOC, and 3) time-limited diplomates of the ABA. The surveys queried demographics, attitudes about the value of Board certification, and attitudes and knowledge about Maintenance of Certification in Anesthesiology (MOCA).

Pediatric Anesthesia

Children are a vulnerable patient population because their intellectual and emotional capabilities are immature. One must consider the risks and discomfort associated with the proposed research before proceeding. These risks must then be justified against the expected benefits to the child or to society as a whole. The same rights and ethical standards that are granted to adults should be applied when conducting research on children.

A portion of these investigations gave information on different affiliations, for example, the connection between persistent agony and mental trouble, wellbeing status and workforce cooperation, the last option normally restricted to infection nonattendance because of torment. Barely any examinations have adapted to the presence of other ailments while inspecting these affiliations. There are not many Australian information on persistent agony predominance. In an investigation of more seasoned Australians arbitrarily chose from electing rolls, ongoing torment commonness was bunch, ascending to 55% in those matured 85 years and over. In the 1995 National Health Survey, outer muscle conditions represented 9% of specialist discussions in the fortnight before the review, and in a similar period 24% of respondents revealed utilizing pain killers.

The program director and resident response rates were programs currently provide education regarding the perioperative consequences of smoking and, with the exception of the effect of smoking cessation shortly before surgery, resident knowledge reflected this curricular emphasis. However, the strong majority of programs did not offer education on how to ask about smoking status and advise cessation or help tobacco users quit before surgery though both program directors and residents felt these topics should be covered. A strong majority of residents felt the perioperative period was an effective time to assist in long-term smoking cessation, and desired education on tobacco control. Barriers to helping patients quit preoperatively included lack of time and low confidence in counseling abilities.

Minimizing Distress

Repetitive invasive procedures may invoke pain, discomfort and fear in the pediatric study patient and must be minimized whenever possible. Some practical considerations to minimize distress include: conducting research in child appropriate settings, having research staff skilled in working with children, limiting venipuncture attempts, considering alternative routes of drug administration and taking into account the schedules of both the child and parent when arranging times for research participation.

Residents in this study remain highly satisfied with anaesthesiology as a career choice and with their training program. However, a resurgence of concern about employment after program completion and about future job security is apparent. The impact of critical care medicine training has significantly increased as a factor in selecting anaesthesiology as a career, and the impact of training in pain medicine has significantly decreased. Although work hour restrictions were viewed as having a positive impact on training and well-being by 48% of residents, a majority of respondents in this study (76%) disagreed with further duty hour restrictions. Albeit this idea appears from the beginning to be illogical, this is simply because the virtual body is so compelling - the ghost encounters of an excised appendage is a significant a valid example. Ghost experience has been examined finally by Melzack. Neuroanatomically, the essential somatosensory homunculus is the most notable spatial portrayal of the interior and outer actual climate. While various motivations to pursue research in pediatric anesthesia exist, we elected to focus on three primary motives – discussing each of them within the context of pediatric anesthesia as a discipline and within the context of Colombia in particular.

Over the past two years there has been increased interest in promoting research in anesthesia as an integral part of academic anesthesia practice in Colombia. Research in developing countries is limited due to multiple factors: Lack of resources, heavy clinical workload, alternate academic priorities and lack of a culture that embraces research as an integral part of academic medicine. Despite these limiting factors, important advances have been made. For example, one can point to the consensus document on research guidelines formulated after the 2011 Colombian Symposium on Research in Anesthesia. The Colombian Symposium on Research in Anesthesia formulated and published guidelines to promote this effort. Despite these efforts, pediatric anesthesia is still a subspecialty in which very little research is done. In this opinion article we discuss why and how to promote research in pediatric anesthesia in Colombia.

Anesthesiology is a dynamic discipline. New developments in the basic sciences and research in clinical care are improving the safety and quality of our rapidly evolving field. As anesthesiologists, we are responsible for updating our knowledge and clinical practice according to new guidelines generated from research discoveries. Currently, most research in anesthesiology is done in developed countries, where resources are available and where academic centers have embraced the responsibility of generating new knowledge to constantly evolve our field of study.

These guidelines were published in August 2012 by the Revista Colombiana de Anestesiologia. From this publication it is clear that there is a growing interest in promoting research as an integral part of the practice of academic anesthesia in Colombia, and that the Colombian Society of Anesthesia (as well as the regional societies) are invested in developing this effort. Within that context and taking advantage of the growing interest in research from anesthesiologists in Colombia; we propose that the field of pediatric anesthesia be considered as one of the priorities to develop by answering the following four questions.