RESUMO
We analysed data from the electronic rota system CLWRota, covering 2,689,962 anaesthetic sessions between 01/01/2014 and 31/12/2015, in 91 UK Trusts, in order to investigate trainees' supervision. There were 8209 trainee attachments analysed, during which 618,695 sessions were undertaken by trainees. The number of supervised sessions per week that trainees worked varied considerably (median (IQR [range]) 2.6 (1.6-3.6 [0-10]) for all grades combined), with senior trainees more likely than junior trainees to be supervised for fewer than the three sessions per week mandated by the Royal College of Anaesthetists. The number of supervised sessions was unrelated to Trusts' size, suggesting that trainees in smaller hospitals receive the same level of supervision as in larger teaching hospitals. Analysis of a dataset of this size should be a good reflection of the delivery of anaesthesia training in the UK.
Assuntos
Anestesiologia/educação , Educação de Pós-Graduação em Medicina/normas , Competência Clínica , Currículo , Educação de Pós-Graduação em Medicina/tendências , Humanos , Internato e Residência , Reino UnidoRESUMO
The incidence of myocardial ischaemia is increasing in the obstetric population. This has been attributed to several factors including greater maternal age, the increasing incidence of obesity and diabetes, and the growing population of patients with grown-up congenital heart disease who now reach adulthood and become pregnant. A number of cases of myocardial ischaemia in pregnant women have been documented, during and after delivery, for which no cause has been established. We present a case of a nulliparous woman who developed cardiac chest pain, bradycardia, hypertension and a raised troponin I after vaginal delivery of twin boys at 36 weeks of gestation. Ischaemic electrocardiogram changes were noted. Detailed investigations demonstrated a normal coronary circulation. A patent foramen ovale was found on bubble echocardiography.
Assuntos
Dor no Peito/etiologia , Período Periparto/fisiologia , Complicações Cardiovasculares na Gravidez/terapia , Troponina/sangue , Adulto , Dor no Peito/terapia , Eletrocardiografia , Feminino , Forame Oval Patente/complicações , Humanos , Imageamento por Ressonância Magnética , Masculino , Gravidez , Gêmeos Dizigóticos , Manobra de ValsalvaRESUMO
This paper reports on a literature review of evidence on the influence of essential oils on wound healing and their potential application in clinical practice. It focuses mainly on tea tree, lavender, chamomile, thyme and ocimum oils.
