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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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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: Clinical Application as Epidural Anesthesia01:29

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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.
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Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

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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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Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
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Preparing anesthesiology faculty for competency-based medical education.

Amy B Fraser1, Emma J Stodel2,3, Robert Jee4

  • 1Department of Anesthesiology, Ottawa Civic Hospital, The Ottawa Hospital/The University of Ottawa, Suite B302, 1053 Carling Avenue, Ottawa, ON, K1Y 4E2, Canada. afraser@toh.on.ca.

Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|September 21, 2016
PubMed
Summary

Faculty development is crucial for the success of competency-based medical education (CBME) programs. Effective faculty development requires longitudinal, multi-modal training and faculty buy-in for successful implementation.

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Area of Science:

  • Medical Education
  • Residency Training
  • Faculty Development

Background:

  • Competency-based medical education (CBME) is increasingly adopted in medical residency programs.
  • Transitioning to CBME necessitates new teaching and assessment skills for faculty.
  • Faculty development is essential to support this educational shift.

Purpose of the Study:

  • Examine evidence-based best practices in faculty development.
  • Propose strategies for faculty development in CBME residency programs.
  • Discuss outcomes of faculty development at the University of Ottawa's anesthesia CBME program.

Main Methods:

  • Literature review on faculty development best practices.
  • Analysis of data from the University of Ottawa's anesthesia residency program.

Main Results:

  • Faculty development is critical for CBME program success.
  • Ensuring faculty competence in teaching and assessing CanMEDS roles is vital.
  • Faculty development initiatives at the University of Ottawa had mixed success, with some hindered by internal/external factors and low attendance.

Conclusions:

  • Faculty development must be integrated into all new educational initiatives.
  • CBME faculty development should use diverse methods and be longitudinal.
  • Continuous education is needed until faculty competence is demonstrated; faculty buy-in is key for non-mandatory programs.