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Escalating care in cormorbid elderly: Where do we stop?

Escalating care in cormorbid elderly: Where do we stop?

An Emeritus Professor of medical ethics at Imperial College London will deliver a presentation at this year’s Euroanaesthesia meeting titled ‘Escalating care for the comorbid elderly-where do we stop?.” Raanan Gillon, who is President of the UK’s Institute of Medical Ethics, will argue that a patient’s age should not in itself be considered an ethically relevant criterion for deciding ‘where to stop’. Acknowledging that there is a morally plausible counter-argument — known in the UK as ‘the fair innings argument’- according to which scarce life prolonging resources should be preferentially deployed to younger patients, Professor Gillon will argue against it. He says: “If societies do wish to pursue such ‘ageist’ policies then they should do so only do so after widespread consultation and the enactment of democratically established laws according to which patients condemned to be denied life-prolonging therapies on grounds of age alone should have a legal right of appeal!” The moral criteria that are relevant can be summarized, he argues, as the likelihood of achieving a beneficial outcome for the patient, at the cost of a minimised and acceptable risk of harm, in the light of the patient’s own views and values where these are ascertainable, and also in the context of fair consideration of competing claims on available resources Continue reading

Patients admitted to hospital at weekends have higher mortality: Study of 55 million people adds further evidence

Patients admitted to hospital at weekends have higher mortality: Study of 55 million people adds further evidence

A systematic review and meta-analysis of hospital data worldwide, presented as this year’s Euroanaesthesia meeting in Stockholm, adds further evidence that patients admitted to hospital at weekends have higher mortality than those admitted on weekdays. The study is by Dr Hiroshi Hoshijima, Tohoku University, Sendai, Japan, and colleagues. Continue reading

Risk of death highest following surgery in afternoons, at weekends, and in February

Risk of death highest following surgery in afternoons, at weekends, and in February

New research presented at this year’s Euroanaesthesia show that on weekends, in the afternoons and in February are the times when the risk of death following surgery is the highest. The research is by Dr Felix Kork and Professor Claudia Spies, Charité — University Medicine Berlin, Germany and colleagues. Hospital mortality is subject to day-night, weekly and seasonal variability. Continue reading

Hypnosis/local anesthesia combination during surgery helps patients, reduces hospital stays, study finds

Hypnosis/local anesthesia combination during surgery helps patients, reduces hospital stays, study finds

ScienceDaily (June 11, 2011) — Using a combination of hypnosis and local anaesthesia (LA) for certain types of surgery can aid the healing process and reduce drug use and time spent in hospital, anaesthesiologists have found. The combination could also help avoid cancer recurrence and metastases, according to new research to be presented at the European Anaesthesiology Congress in Amsterdam. Professor Fabienne Roelants and Dr Continue reading

Hypnosis/local anesthesia combination during surgery helps patients, reduces hospital stays, study finds

Hypnosis/local anesthesia combination during surgery helps patients, reduces hospital stays, study finds

ScienceDaily (June 11, 2011) — Using a combination of hypnosis and local anaesthesia (LA) for certain types of surgery can aid the healing process and reduce drug use and time spent in hospital, anaesthesiologists have found. The combination could also help avoid cancer recurrence and metastases, according to new research to be presented at the European Anaesthesiology Congress in Amsterdam. Professor Fabienne Roelants and Dr Continue reading

What happens in the brain as it loses consciousness: 3-D movie constructed

What happens in the brain as it loses consciousness: 3-D movie constructed

ScienceDaily (June 10, 2011) — For the first time researchers have been able to watch what happens to the brain as it loses consciousness. Using sophisticated imaging equipment they have constructed a 3-D movie of the brain as it changes while an anaesthetic drug takes effect. Brian Pollard, Professor of Anaesthesia at The University of Manchester (UK), will tell the European Anaesthesiology Congress in Amsterdam that the real-time 3-D images seemed to show that losing consciousness involves a change in electrical activity deep within the brain, changing the activity of certain groups of nerve cells (neurons) and hindering communication between different parts of the brain Continue reading

British Journal of Anaesthesia from Jan. to June 2010

British Journal of Anaesthesia from Jan. to June 2010

Product Details: Date: From Jan. to June 2010 Format: 6 PDFs Size: 58 Mb ISBN: 0007-0912 Publisher: Oxford Journals Download links: Code: http://rapidshare.com/files/392452816/BJAN10.rar Password: Code: MIK Medical Library Synopsis Founded in 1923, one year after the first anaesthetic journal was published by the International Anaesthesia Research Society, BJA remains the oldest and largest independent journal of anaesthesia. Continue reading

Anesthesia in Cosmetic Surgery

Anesthesia in Cosmetic Surgery

Anesthesia in Cosmetic Surgery Publisher: Cambridge University Press Number Of Pages: 284 Publication Date: 2007-04-09 ISBN / ASIN: 0521870909 Book Description: One major by-product of the aging baby-boom generation is a surging interest in cosmetic surgery. Although procedures like facelifts and abdominoplasties (the ˜tummy-tuck’) are considered minimally invasive, the anesthetic protocols and regimens here are often overly complex and unnecessarily toxic. Continue reading

Pain Medicine: The Requisites in Anesthesiology

Pain Medicine: The Requisites in Anesthesiology

Pain Medicine: The Requisites in Anesthesiology (Requisites in Anesthesia) By Stephen Abram Publisher: Mosby Number Of Pages: 256 Publication Date: 2006-03-13 ISBN-10 / ASIN: 0323028314 ISBN-13 / EAN: 9780323028318 Product Description: This new volume in the REQUISITES IN ANESTHESIA Series thoroughly but concisely covers the many diverse aspects of pain medicine. It explains all of the basic principles, clinical concepts, and management options involved in providing anesthesia for patients suffering from a range of pain inducing syndromes, including psychological testing. Continue reading

Anesthesia secrets-4th ED

Anesthesia secrets-4th ED

Anesthesia Secrets By James Duke MD MBA Publisher: Mosby Number Of Pages: 592 Publication Date: 2010-03-16 ISBN-10 / ASIN: 0323065244 ISBN-13 / EAN: 9780323065245 Product Description: Anesthesia Secrets, 4th Edition by James Duke, MD has the quick answers you need for practice and review. Continue reading