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The magic of theatre.

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Career Choice↗

[The current anesthetic practice in the United Kingdom].

In the current anesthetic practice in the United Kingdom (UK), there are some unique characteristics that are not necessarily familiar to the Japanese anesthesiologists. The author has obtained first-hand experience in anesthesia in the UK as a qualified anesthetist through the fellowship program between the Royal College of Anaesthetists and the Japanese Society of Anesthesiologists. The major differences in the UK anesthetic practice from its Japanese counterpart include dissimilarity in the use of drugs, the existence of "anaesthetic rooms", the expertise of perfusionists and operating department practitioners, and excellent systematic support from hospital professionals such as statisticians and graphics experts. Although the UK anesthetic practice may not be perfect, it certainly provides practical wisdom that may be useful for Japanese anesthesiologists.

Anesthesia↗

The caring ODP.

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Humans↗

Transmission of tuberculosis from patient to healthcare workers in the anaesthesia context.

INTRODUCTION: Pulmonary tuberculosis (PTB) is prevalent in our population. We report an incident of healthcare workers (HCWs) suspected of being infected by a patient with undiagnosed active PTB in the operating theatre. CLINICAL PICTURE: A 60-year-old patient admitted for intestinal obstruction, underwent an emergency laparotomy. Preoperative chest X-ray (CXR) showed diffuse reticular-nodular shadowing and postoperative sputum was positive for acid-fast bacilli. TREATMENT: The patient was isolated and treated for active tuberculosis. The anaesthetist and her assistants in the operating theatre that day were referred to the infectious disease physician and some were started on tuberculosis prophylaxis. OUTCOME: The patient and the HCWs involved recovered. CONCLUSION: Thus, all PTB-susceptible patients with suggestive CXR should be treated as potentially infective. Adequate personnel protection should include highly efficient facemasks and shields. Risk of patient-to-patient transmission of tuberculosis through the anaesthetic circuit is low if effective bacterial/viral filters are used.

Anesthesia, General↗

Unraveling surgical assistant modifiers.

This article aims to answer frequently asked questions regarding accurate reporting of assistant surgeons versus assistant at surgery modifiers.

Current Procedural Terminology↗

Show me the money! Factors to consider when looking to finance a RNFA position.

Increasingly hospitals are looking to the Registered Nurse First Assistant (RNFA) position as a means to ensure readily available, qualified assistance for a patient's surgical intervention. Each year, in Canada, the number of RNFAs grows. As more individuals learn about the benefits of the position, through either direct experience or published reports, interest in the role increases. This, coupled with the reality of physician shortages, is bringing the RNFA role to the forefront in numerous hospitals across the country. Funding the position is one of the largest challenges that hospitals, and RNFAs, face in converting a recognized need into the reality of a paid RNFA position.

Canada↗