After the glut of doctors in the past, we find a shortage of doctors in the present time. Approximately only 60% of all doctors would decide to become a doctor again. These alarming news should urge us to improve the situation for the rising generation of doctors especially for young anaesthesiologists. The actual situation in the hospital is rather unattractive and there is increasing risk that we will not have a sufficient number of anaesthesiologists in our hospitals in the near future. Improvement of the financial situation is without doubt important--this must include payment according to performance principle rather than payment with regard to age. Moreover, training programs (e. g. financial support of meetings) of the young anaesthesiologists, working conditions for all staff members (e. g. limitation of overtime), and importance of the role of anaesthesia must be modified to improve motivation and to guarantee high standards of quality of anaesthesia for the future.
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http://dx.doi.org/10.1055/s-2003-39362 | DOI Listing |
J Orthop Surg Res
December 2024
Department of Orthopeadics, the First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Background: This study aimed to report the mid-term functional outcomes of total hip arthroplasty (THA) for the treatment of advanced hip involvement in ankylosing spondylitis (AS) and identify the factors associated with poor hip flexion range of motion (ROM) after THA in patients with AS.
Methods: We retrospectively investigated the mid-term functional outcomes in 313 AS patients (538 hips) who underwent primary THA from 2012 to 2017, with a mean follow-up of 7 years (range, 4-9 years). Postoperative functional outcomes were assessed by hip flexion ROM, Harris hip score (HHS), and the Western Ontario and McMaster Universities Arthritis Index (WOMAC).
Jt Dis Relat Surg
January 2025
Department of Orthopaedics, The Third People's Hospital of Chengdu, Sichuan, PR China.
Objectives: The study aimed to evaluate the hidden blood loss (HBL) and its possible risk factors in patients with lumbar disc herniation undergoing percutaneous endoscopic lumbar discectomy (PELD) via posterolateral approach.
Patients And Methods: The clinical data of 170 lumbar disc herniation patients (101 males, 69 females; mean age: 57.7±18.
Pain Physician
December 2024
Departments of Anesthesiology, Surgical Intensive Care and, Pain Medicine, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt.
Background: Effective postoperative analgesia enhances the patient's comfort and facilitates early mobilization and recovery.
Objective: This study compared the analgesic efficacy of the erector spinae plane block (ESPB), thoracic paravertebral block (TPVB), and quadratus lumborum block (QLB) for pelvi-ureteric surgeries. The primary outcome measure in the study was the total morphine consumption during the first 48 hours following the operation.
Can J Anaesth
December 2024
Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.
Purpose: This Continuing Professional Development module aims to help the general anesthesiologist recognize common pitfalls in ambulatory pediatric adenotonsillectomy and perform appropriate risk stratification, analgesic management, and disposition planning.
Principal Findings: Pediatric adenotonsillectomy is a widely performed procedure. An updated approach to preoperative risk assessment of commonly associated comorbidities allows the practitioner to anticipate and plan for adverse events.
BMJ Open
December 2024
Department of Anesthesiology, Deyang People's Hospital, Deyang, China
Background: Supraclavicular brachial plexus block (SCB) is a common regional analgesic technique for upper limb fracture surgery, but it often leads to rebound pain. Our primary aim is to determine whether different administration methods of esketamine can reduce rebound pain in patients undergoing SCB for upper limb fracture surgery.
Methods/design: This study is designed as a single-centre, double-blinded, prospective, randomised controlled trial.
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