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Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia01:30

Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

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Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
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General Anesthesia: Overview01:24

General Anesthesia: Overview

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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
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Local Anesthetics: Adverse Effects01:12

Local Anesthetics: Adverse Effects

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While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Anesthesiology Residents-as-Teachers Program: A Pilot Study.

Jeffrey S Berger, Negin Daneshpayeh, Marian Sherman

    Journal of Graduate Medical Education
    |December 3, 2013
    PubMed
    Summary
    This summary is machine-generated.

    Anesthesiology residents demonstrated improved teaching skills after participating in the Anesthesiology Residents-as-Teachers (ART) program. This low-resource educational initiative significantly enhanced their self-assessed abilities in key teaching domains.

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    Area of Science:

    • Medical Education
    • Anesthesiology
    • Graduate Medical Education

    Background:

    • The role of residents as educators is increasingly important in medical training.
    • Anesthesiology residents frequently supervise novice learners but lack formal training programs.
    • Existing literature lacks structured educational programs for anesthesiology residents to teach novice learners.

    Purpose of the Study:

    • To assess the impact of a dedicated resident-as-teacher program on anesthesiology residents' self-reported teaching skills.
    • To evaluate the effectiveness of the Anesthesiology Residents-as-Teachers (ART) Program.

    Main Methods:

    • An 8-session interactive Anesthesiology Residents-as-Teachers (ART) Program was implemented, focusing on 6 core teaching skills.
    • 14 anesthesiology residents participated over 2 years, with self-assessments conducted before and 6 months post-program.
    • Paired t testing analyzed changes in self-assessed teaching skills across 14 domains and workshop evaluations.

    Main Results:

    • Residents reported a significant mean increase of 1.04 on a 5-point Likert scale in overall teaching skills (P < .001).
    • Greatest improvements were noted in leading case discussions (+1.64, P < .001), teaching at the bedside (+1.57, P = .002), and writing/using teaching objectives (+1.29, P < .001).
    • The program received high ratings, with workshops averaging 4.2 out of 5.

    Conclusions:

    • Participation in the ART program led to significant self-reported improvements in 13 out of 14 teaching domains for anesthesiology residents.
    • The educational program proved effective, required minimal resources, and was highly regarded by the resident participants.
    • The ART program offers a valuable, resource-efficient model for enhancing resident teaching competencies in anesthesiology.