This Month in Anesthesiology | November 2015
本帖最后由 songhailong 于 2015-10-24 20:23 编辑Regional and Gender Differences and Trends in the Anesthesiologist Workforce
A national survey of members of the American Society of Anesthesiologists was conducted in 2013. Workforce trends between 2007 and 2013 of a sample of 6,783 individuals were documented by region of the United States and by sex because such trends may have implications for the supply and demand of anesthesiologists. Compared to anesthesiologists in other regions, Western anesthesiologists were more likely to work in larger group-employer settings and receive fee-for-service compensation, were less likely to work with nurse anesthetists, and were less likely to spend time performing or overseeing monitored anesthesia care. Female anesthesiologists received lower levels of compensation, worked fewer hours, were more likely to work for facilities as employees, and allocated time across different types of patients. In many cases these sex differences were related.
2013年美国麻醉医师协会进行一项全国性调查。2007年至2013年间，按美国地区和性别调查6783人，了解美国劳动力发展趋势，因为这种趋势可能影响麻醉医师供给与需求。与其他地区麻醉医师相比,西部麻醉医师更有可能工作在较大雇主集团（医疗集团）并且收取服务费（补偿）, 不太可能雇佣（使用）麻醉护士, 并且不太可能花时间管理（执行或监督）麻醉护理。女麻醉医师收入较低,工作时间较少,更有可能受雇佣（作为员工工作）,根据不同类型的病人分配工作和时间。在很多情况下,这些差异与性别有关。
本帖最后由 songhailong 于 2015-10-25 00:05 编辑
Initial Experience of an Anesthesiology-based Service for Perioperative Management of Pacemakers and Implantable Cardioverter Defibrillators心脏起搏器和植入式心脏除颤器围手术期管理麻醉医师初始经验
Management of cardiovascular implantable electronic devices (CIEDs), including pacemakers and implantable cardioverter defibrillators, for surgical procedures is challenging due to the increasing number of patients with CIEDs and limited availability of trained providers. At the authors’ institution, a small group of anesthesiologists were trained to interrogate CIEDs, devise a management plan, and perform preoperative and postoperative programming and device testing whenever necessary.电子设备(CIEDs---心脏起搏器和植入心律转复除颤器)植入的心血管患者围术期管理富有挑战性,由于CIEDs的患者越来越多而经过专业培训的麻醉医师（懂CIEDs技术）很少。作者单位,少数麻醉医师培训CIEDs技术,制定CIEDs的患者管理计划,必要的时候执行术前和术后设备编程和设备测试。 Methods: Patients undergoing surgery between October 1, 2009 and June 30, 2013 at the University of Washington Medical Center were included in a retrospective chart review to determine the number of devices actively managed by the Electrophysiology/Cardiology Service (EPCS) versus the Anesthesiology Device Service (ADS), changes in workload over time, surgical case delays due to device management, and errors and problems encountered in device programming.
方法:纳入华盛顿大学医学中心2009年10月1日至2013年6月30日经历手术病人,包括了电生理学/心脏病服务相对于麻醉学设备服务回顾性的图表总结来确定积极管理设备数量,随着时间推移工作负载变化,由于设备管理和设备编程中遇到的问题和错误使手术延迟。
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