Ghana, like other countries in sub-Saharan African, has limited access to surgery. One contributing factor is the inadequate number of anesthesia providers. To address this need, Kybele, Inc., a US-based non-governmental organization, partnered with the Ghana Health Service to establish the third nurse anesthesia training school (NATS) in Ghana. The school, based at Ridge Regional Hospital (RRH...

BACKGROUND Patients were subjected to post-discharge follow-up (by telephone) in order to investigate the potential complications of outpatient general anesthesia or deep sedation that could develop in disabled dental patients discharged from the hospital. The ultimate aim of this study was to establish an appropriate response measure for such complications. METHODS The caregivers of 79 disab...

lumen endotracheal tube or bronchial blocker with general anesthesia is the first anesthetic choice in thoracic surgery. However, general anesthesia with mechanical ventilation carries a risk of side-effects related to tracheal intubation and general anesthesia, such as airway complications, ventilation-induced lung injury, and residual neuromuscular blockade [1-3]. Thanks to advances in minima...

Background and purpose: The conventional lecture-based teaching method that has been used to transit theoretical knowledge to the participants is inadequate. Due to some issues with this didactic approach, it is believed that integration of this approach with an active method may be more valuable in nursing education. In this study, we hypothesized that integrating lecture-based teaching within...

OVER 70 yr ago, Emery A. Rovenstine gave an address titled “Anesthesia: Organization for Teaching.” He stated, “Anesthetic requirements of the future, if present day trends in surgery are a criterion, will demand methods, skill and imagination beyond our present capacity. To meet this pertinent challenge, organization for teaching is essential.” Rovenstine advocated for supervised clinical inst...

OBJECTIVE To compare 8% or 5% sevoflurane and propofol induction according to the ease of laryngeal mask airway (LMA) placement and hemodynamic effects in elderly patients. METHODS Ninety unpremedicated American Society of Anesthesiologists (ASA) I-III male patients >65 years, undergoing day case urological surgical intervention under general anesthesia at the Numune Education and Research Ho...

PURPOSE In July 2015, the University of Ottawa introduced a competency-based medical education (CBME) postgraduate program for anesthesia. Prior to program implementation, this study aimed to identify Canadian anesthesiology program directors perceptions of CBME and residents' opinion on how the program should be designed and perceived consequences of CBME. METHODS This two-phase, qualitative...

OBJECTIVES Fears related to anesthesia have affected a considerable number of patients going for surgery. The purpose of this survey was to identify the most common concerns about general anesthesia during the preoperative anesthetic clinic in different healthcare settings, and whether they are affected by patients' sex, age, education, or previous experience of anesthesia or not. MATERIALS A...

The use of dynamic electrocardiogram (ECG) monitoring is regarded as a standard of care during general anesthesia and is strongly encouraged when providing deep sedation. Although significant cardiovascular changes rarely if ever can be attributed to mild or moderate sedation techniques, the American Dental Association recommends ECG monitoring for patients with significant cardiovascular disea...