Does prior exposure to clinical critical events influence stress reactions to simulation session in nursing students: A case-control study.

Background: Simulation is a pedagogical method known to be a generator of stress, that could be influenced by previous stressful experiences.

Objectives: The purpose of this study was to determine the impact of previous experience with a clinical critical event on the stress experienced by nursing students during simulation session of critical events, and on the stress experienced during clinical critical events subsequent to the training.

Design: Observational case-control study.

Training in intraoperative handover and display of a checklist improve communication during transfer of care: An interventional cohort study of anaesthesia residents and nurse anaesthetists.

Background: Handovers during anaesthesia are common, and failures in communication may lead to morbidity and mortality.

Objectives: We hypothesised that intraoperative handover training and display of a checklist would improve communication during anaesthesia care transition in the operating room.

Design: Interventional cohort study.

Guidelines to the Practice of Anesthesia - Revised Edition 2016.

The Guidelines to the Practice of Anesthesia Revised Edition 2016 (the guidelines) were prepared by the Canadian Anesthesiologists' Society (CAS), which reserves the right to determine their publication and distribution. Because the guidelines are subject to revision, updated versions are published annually. The Guidelines to the Practice of Anesthesia Revised Edition 2016 supersedes all previously published versions of this document.

Simulation as a new tool to establish benchmark outcome measures in obstetrics.

Background: There are not enough clinical data from rare critical events to calculate statistics to decide if the management of actual events might be below what could reasonably be expected (i.e. was an outlier).

Assessment of brain midline shift using sonography in neurosurgical ICU patients.

Introduction: Brain midline shift (MLS) is a life-threatening condition that requires urgent diagnosis and treatment. We aimed to validate bedside assessment of MLS with Transcranial Sonography (TCS) in neurosurgical ICU patients by comparing it to CT.

Methods: In this prospective single centre study, patients who underwent a head CT were included and a concomitant TCS performed.

Guidelines to the practice of anesthesia--revised edition 2015.

The Guidelines to the Practice of Anesthesia Revised Edition 2015 (the guidelines) were prepared by the Canadian Anesthesiologists' Society (CAS), which reserves the right to determine their publication and distribution. Because the guidelines are subject to revision, updated versions are published annually. The Guidelines to the Practice of Anesthesia Revised Edition 2015 supersedes all previously published versions of this document.

Predicting preload responsiveness using simultaneous recordings of inferior and superior vena cavae diameters.

Introduction: Echocardiographic indices based on respiratory variations of superior and inferior vena cavae diameters (ΔSVC and ΔIVC, respectively) have been proposed as predictors of fluid responsiveness in mechanically ventilated patients, but they have never been compared simultaneously in the same patient sample. The aim of this study was to compare the predictive value of these echocardiographic indices when concomitantly recorded in mechanically ventilated septic patients.

Methods: Septic shock patients requiring hemodynamic monitoring were prospectively enrolled over a 1-year period in a mixed medical surgical ICU of a university teaching hospital (Toulouse, France).

Guidelines to the Practice of Anesthesia--Revised Edition 2014.

The Guidelines to the Practice of Anesthesia Revised Edition 2014 (the guidelines) were prepared by the Canadian Anesthesiologists' Society (CAS), which reserves the right to determine their publication and distribution. Because the guidelines are subject to revision, updated versions are published annually. The Guidelines to the Practice of Anesthesia Revised Edition 2014 supersedes all previously published versions of this document.

Technical communication: the effect of the double mask on anesthetic waste gas levels during pediatric mask inductions in dental offices.

A significant portion of office-based general anesthesia for pediatric patients is performed in dental offices and involves mask inductions with inhaled drugs. This can lead to significant pollution with waste gases. We assessed occupational exposure to anesthetic drugs during pediatric general anesthesia in dental offices and assessed the effectiveness of the "double mask.

Nontechnical skills assessment after simulation-based continuing medical education.

Introduction: Human factors have been identified as root causes of human error in medicine. The "Anesthetists' Non-Technical Skills (ANTS) system" evaluates the effect of simulation training and debriefing on nontechnical skills (NTS). Studies suggest that residents' NTS may improve after simulation training but the effect on NTS of practicing anesthesiologists is unclear.

Morbidity in patients with or at high risk for obstructive sleep apnea after ambulatory laparoscopic gastric banding.

Considerable controversy exists about the perioperative management of patients at high risk for obstructive sleep apnea (OSA) in free-standing clinics. Eighty-eight percent of an American Society of Anesthesiologists expert panel felt that upper abdominal laparoscopic surgery could not be performed safely on an outpatient basis. We sought to review the incidence of major adverse events after outpatient laparoscopic adjustable gastric banding (LAGB) in a high risk population for OSA at a free-standing facility.

Office-based anesthesia: how to start an office-based practice.

Ambulatory, office-based anesthesia (OBA) has experienced an exponential growth in the last decade, and is popular among patients and health care providers alike. About 17% to 24% of all elective ambulatory procedures in the United States are currently being performed in an office-based setting. Special considerations must be made when comparing OBA to a hospital setting, particularly with respect to facility and environment, administration, and accreditation.

Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery.

Background: Simulation-based training is useful in improving physicians' skills. However, no randomized controlled trials have been able to demonstrate the effects of simulation teaching in real-life patient care. This study aimed to determine whether simulation-based training or an interactive seminar resulted in better patient care during weaning from cardiopulmonary bypass (CPB)-a high stakes clinical setting.

Office-based anesthesia.

Purpose: Ambulatory office-based anesthesia (OBA) is a relatively new but rapidly growing field. OBA requires a different approach than that used in the hospital, because there are unique considerations that must be recognized when administering anesthesia in a free-standing office facility. This review provides a summary of the important issues and aspects of safe patient care.