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Biomedical subjects

G Brattebø

Publications and source records attributed to G Brattebø.

At least 19 recordsLinked to original sources
PubMed2001

[Organization of trauma admissions at Norwegian hospitals].

BACKGROUND: Treatment of major trauma is a demanding challenge for most hospitals. The potential benefits of improvement are substantial: it has been calculated that approx. 6,000 person-years are lost each year because of suboptimal treatment of trauma in Norway. Trauma teams, paging criteria, and manuals for appropriate resuscitative and diagnostic interventions are needed for improving the structure and quality of this service. MATERIAL AND METHODS: A telephone survey to Norwegian hospitals. RESULTS: 27 (52%) of all 52 Norwegian hospitals receiving trauma victims had dedicated trauma teams, while 19 (37%) had paging criteria for trauma teams. 22 hospitals (42%) confirmed that they had manuals for the initial treatment of trauma victims. Smaller hospitals tended to have trauma teams and trauma manuals to a lesser extent. An interesting finding was that hospitals that participated in a collaborative project on trauma treatment (the so-called BEST network) were significantly more likely to have trauma teams, paging criteria, and trauma manuals. INTERPRETATION: The results show that structural issues in relation to optimal trauma treatment still need more attention in Norwegian hospitals. Collaborative programmes for training and exchange of experience and procedures seem to be one way to go.

Clinical Competence↗
PubMed2000

[Hyperbaric oxygen treatment for radiation reactions].

BACKGROUND: A national hyperbaric centre was established in 1994 at Haukeland Hospital with responsibility for all hyperbaric oxygen (HBO) treatment in Norway. In hypoxic tissues with symptomatic radiation reactions, hyperbaric oxygen induces the formation of collagen and angiogenesis resulting in permanently improved local microcirculation. MATERIAL AND METHODS: 234 patients received elective HBO treatment at Haukeland Hospital in 1997 with a total of 4,048 treatments. All 47 patients treated for radiation reactions in the pelvic area in 1997 received a questionnaire 3-15 months after HBO therapy; 81% responded. RESULTS: Rectal bleeding and haematuria were reported as much improved in 61% and 55% respectively, while bladder incontinence was much improved in 46%. INTERPRETATION: This treatment modality may be an alternative in symptomatic radiation reactions of the urinary bladder and the bowel when conventional treatment has given unsatisfactory results.

Hematuria↗
PubMed1997

[Spinal anesthesia in ambulatory surgery. Extent, routines and patient satisfaction].

Spinal anaesthesia has been used in day-care surgery for a long time, but the fear of past dural puncture headache has limited its use in younger patients. A survey was conducted in order to assess the extent to which spinal anaesthesia is used for day-care surgery, and the routines governing the present practice in Norwegian anaesthetic departments. Information was obtained on the use of spinal anaesthesia for day-care surgery. In half of the anaesthetic departments spinal anaesthesia was used regularly. A large proportion of the departments worked with a lower age limit over 30 years of age for use of spinal anaesthesia. This does not seem to be justified on the basis of the scientific evidence. A prospective patient study revealed that out of 120 day-care patients aged 15 to 45 years who were given spinal anaesthesia, 93% would accept the same kind of anaesthetic again. Based on recent studies, the fear of post dural puncture headache should not preclude the use of spinal anaesthesia as a good alternative to general anaesthesia in day-care surgery.

Adolescent↗
PubMed1997

Skills of pre-registration house officers: gender differences reported in Norway.

During training pre-registration house officers should acquire skills, practical clinical procedures, and good clinical judgement, in order to be able to practice on their own. This is not always the case (Flaatten et al. 1987). Ten years ago the Norwegian Health Authorities issued a regulation regarding the content of hospital training (6 months internal medicine and surgery, respectively). A number of practical skills to be learned were listed. As part of an assessment of the quality of the internship, a study was carried out into what extent the pre-registration house officers had acquired these clinical skills.

Clinical Competence↗
PubMed1996

[Hyperbaric oxygen therapy. Now an established treatment in Norway].

Hyperbaric oxygen therapy can be a life-saving form of treatment for certain acute medical conditions, e.g. cerebral gas embolism, clostridial infections, and smoke/carbon monoxide inhalation. It has long been used for treating decompression illness in divers. As from 1994 our hospital has been delegated the national responsibility for hyperbaric medicine in Norway. This paper describes the physiological basis, indications, and contraindications for hyperbaric oxygen treatment, and summarises hyperbaric oxygen treatment in Bergen over the last two years.

Humans↗
PubMed1995

[Do the interns receive the supervision they are supposed to get?].

The Norwegian preregistration internship consists of 12 months duty as a house officer in hospitals (6 months in a surgical and 6 in a medical department) followed by 6 months in general practice. The survey assesses to what extent the intended information, supervision, feedback and internal evaluation assessment are offered the house officers during their hospital internship. A questionnaire was sent to all preregistration house officers who had recently finished their hospital duty, of whom 104 (78%) out of 133 responded. Half of the "medical" and 65% of the "surgical" house officers reported that they received no introductory information nor supervision before attending hospital duties. Two thirds did not participate in an educational programme and 80% did not receive systematic feedback on their work. Most house officers received no evaluation of their work at all. Specific interventions are needed to ensure high quality clinical training of the preregistration house officers.

Education, Medical, Graduate↗
PubMed1995

[Is the training of interns in practical clinical skills adequate?].

In Norway the preregistration internship consists of 12 months service in hospitals followed by 6 months in general practice. This survey assessed to what extent the intended practical skills had been aquired during the hospital service. A questionnaire was sent to all preregistration house officers who had recently completed their internship. 104 out of 133 responded (78%). Most of the house officers reported that they had received training and instruction in basic medical and surgical skills. However, more than 30% received no formal supervision in various emergency medical skills and the reported instruction in gynaecological skills was even worse. The female house officers were less likely than their male colleagues to report that they had attained various practical clinical skills. There was substantial variation in skills among respondents from different hospitals. Further studies into the quality of the preregistration internship, and the value of specific interventions, seem to be justified.

Clinical Competence↗
PubMed1995

[How to monitor the development of a population of specialists? A method for prognostic estimation of needs in anesthesiology].

The Norwegian Medical Association has been delegated responsibility for suggesting guidelines to monitor the quality and capacity of postgraduate specialist training. In every specialty, a committee for specialist training has to monitor the availability of specialists in their field on behalf of the Association. The authors describe a systematic approach to monitoring, in which available information was carefully matched with selected survey data, to enable prognostications. The method was then applied to anaesthesia, and revealed a need for higher production of specialists in this field. More than 10% of the 309 consultant anaesthetist positions were vacant, owing to lack of applicants, and another 36 consultants are needed to ascertain a minimum of three specialists in every hospital providing emergency services. 15% of the certified specialists did not work as anaesthesiologists. It was estimated that ten persons would leave annually, either to do research or take up another specialty, and that 15 would retire. Based on the findings, it is suggested that the present specialist production of about 20 per year should be increased to secure the nation's future need of anaesthesiologists.

Anesthesiology↗