All news from Anaesthesiology

Video Monitoring: Simulation-Based Quality Improvement Program in India

To provide facilitators the ability to conduct video-guided debriefs and measure changes in technical and nontechnical skills of mentees, we developed a large-scale video monitoring system that evaluates both simulations and debriefs in Bihar, India.

The aim of the overall study was to examine changes in technical and nontechnical skills in simulated clinical scenarios in a large-scale quality improvement project. This article describes the feasibility and design of the video monitoring system and the coding process.

Children Who Undergo Tonsillectomy May Have Complications

A Study suggested that researchers determine that Children who undergo tonsillectomy before age three are more likely to have complications afterward than kids who have the surgery when they are older. Researchers studied 1,817 children, ages one to six, who had tonsillectomies at hospitals.

Overall, 95 patients, or 5.2%, had postoperative complications like bleeding, breathing difficulties or dehydration. Kids under three were 50% more likely to have complications than older children. The study was published in JAMA Otolaryngology-Head & Neck Surgery

Anesthesia in Several Doses Changes the Brain Structure

A study determines the clinically-utilized anesthetics in sufficient doses changes brain structure and affects cognition and behavior in later life. In the current issue, two of the leading investigators in this field provides an excellent critical review of the literature about children, including recent studies that have contributed significantly to our understanding. Short-Term postoperative changes in behavior are well recognized, but few suspected that anesthesia itself could have long-term neurodevelopmental effects.