Physician’s Subjective Increase in Awareness towards Perioperative Anaemia, Patient’s Blood Resource, and Transfusion after the Implementation of Patient Blood Management: A Nationwide Multicentre Survey

Introduction: Patient blood management (PBM) is a clinical and multidisciplinary, 3-pillar concept. The aim of this study was to detect the subjective increase in physician’s awareness towards perioperative anaemia, patient’s blood resource, and transfusion after the implementation of PBM in German hospitals. Material and Methods: A survey among 56 hospitals from the German PBM Network group was conducted from October 27 to December 19, 2020. An electronic questionnaire with 28 questions was sent to the local PBM coordinator for the distribution at the hospital level. For assessment of the physician’s subjective increase in awareness, numeric rating scales (0 [no increase] – 10 [maximum increase]) were used. Results: In total, 404 clinicians from 56 hospitals completed the survey. The mean (±standard deviation) time of an existing PBM program was 4.8 (±2.2) years. The physician’s subjective increase in awareness towards anaemia (8.2 [±2.0]), patient’s blood resource (7.6 [±2.5]), and transfusion (8.1 [±1.9]) was the highest in physicians from hospitals with ≥21 implemented PBM measures. In addition, a subjective increase in awareness towards anaemia (6.6 [±3.3]), patient’s blood resource (7.0 [±3.3]), and transfusion (6.6 [±3.4]) was the highest in physicians with daily PBM contact. Conclusion: Results suggest that physician’s awareness towards perioperative anaemia, patient’s blood resource, and transfusion has increased, depending on the hospital’s number of implemented PBM measures and physician’s PBM contact in everyday clinical practice.

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Controversies in the Clinical Practice of Patient Blood Management

Journal of Cardiothoracic and Vascular Anesthesia ◽

10.1053/j.jvca.2020.11.020 ◽

2020 ◽

Author(s):

Daniel Bolliger ◽

Joachim M. Erb ◽

Andreas Buser

Keyword(s):

Clinical Practice ◽

Patient Blood Management ◽

Blood Management

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Evaluation of clinical practice in perioperative patient blood management

British Journal of Anaesthesia ◽

10.1093/bja/aew308 ◽

2016 ◽

Vol 117 (5) ◽

pp. 610-616 ◽

Cited By ~ 23

Author(s):

D.M. Baron ◽

P.G.H. Metnitz ◽

T. Fellinger ◽

B. Metnitz ◽

A. Rhodes ◽

...

Keyword(s):

Clinical Practice ◽

Patient Blood Management ◽

Blood Management

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STS/SCA/AmSECT/SABM Update to the Clinical Practice Guidelines on Patient Blood Management

Journal of Cardiothoracic and Vascular Anesthesia ◽

10.1053/j.jvca.2021.03.011 ◽

2021 ◽

Author(s):

Pierre Tibi ◽

R. Scott McClure ◽

Jiapeng Huang ◽

Robert A. Baker ◽

David Fitzgerald ◽

...

Keyword(s):

Clinical Practice ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Patient Blood Management ◽

Blood Management

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‘Quit while you are ahead – and smell the roses!’ A survey of retired Fellows of the Australian and New Zealand College of Anaesthetists

Anaesthesia and Intensive Care ◽

10.1177/0310057x211005783 ◽

2021 ◽

pp. 0310057X2110057

Author(s):

Diana Strange Khursandi ◽

Victoria Eley

Keyword(s):

Clinical Practice ◽

New Zealand ◽

Standard Deviation ◽

Response Rate ◽

Common Factors ◽

Published Data ◽

Factors Affecting ◽

Retirement Decisions ◽

Zealand College ◽

The Mean

There are no published data on the age of retirement of anaesthetists in Australia and New Zealand. We surveyed 622 retired Fellows of the Australian and New Zealand College of Anaesthetists to determine their ages of complete retirement from clinical practice, demographics, and whether they had retired at the age they had intended to retire. We also aimed to explore factors affecting the decision to retire, the practice of ‘winding down’, common post-retirement activities, and the arrangement of personal and professional affairs. Responses were received from 371 specialists (response rate 60%). The mean (standard deviation) age of retirement was 65.2 (6.9) years. The mean (standard deviation) retirement ages ranged from 62.0 (7.1) years (those who retired earlier than planned) to 68.0 (4.3) years (those who retired later than they had intended). The mean (standard deviation) age of retirement of the male respondents was 66.0 (6.5) years, and for female respondents was 62.7 (7.7) years. Two hundred and thirty-three respondents (63%) reported winding down their practice prior to retirement, and 360 (97%) had made a will. Poor health and loss of confidence were the two most common factors in the retirement decisions of those who retired earlier than they had planned. Our results may assist current practitioners plan for retirement, and suggest strategies to help health services, departments and private groups accommodate individuals in winding down their practice.

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Investigating Optimal Echo Times for Quantitative Susceptibility Mapping of Basal Ganglia Nuclei in the Healthy Brain

Current Medical Imaging Formerly Current Medical Imaging Reviews ◽

10.2174/1573405615666191219102044 ◽

2020 ◽

Vol 16 (8) ◽

pp. 991-996

Author(s):

Wenping Fan ◽

Xue Wang ◽

Xingwen Zhang ◽

Mengqi Liu ◽

Qinglin Meng ◽

...

Keyword(s):

Magnetic Susceptibility ◽

Clinical Practice ◽

Standard Deviation ◽

Basal Ganglia ◽

Caudate Nucleus ◽

Susceptibility Mapping ◽

Quantitative Susceptibility Mapping ◽

Significant Difference ◽

The Mean ◽

Echo Time

Background: Quantitative susceptibility mapping (QSM) technique had been used to measure the magnetic susceptibility of brain tissue in clinical practice. However, QSM presented echo-time (TE) dependence, and an appropriate number of echo-times (nTEs) for QSM became more important to obtain the reliable susceptibility value. Objective: The aim of the study was to explore the optimal nTEs for quantitative susceptibility mapping (QSM) measurements of basal ganglia nuclei in the healthy brain. Methods: 3D multi-echo enhanced gradient recalled echo T2 star weighted angiography (ESWAN) sequence was acquired on a 3.0T MR scanner for QSM analysis. Regions of interests (ROIs) were drawn along the margin of the head of the caudate nucleus (HCN), putamen (Pu) and globus pallidus (GP). The mean susceptibility value and standard deviation of the ROIs were derived from the pixels within each region. Results: CV analysis demonstrated that TE6, TE8 and TE14 ESWAN sequences presented consistent lower CV value (<1) for QSM measure of HCN, Pu and GP. ANOVA identified that susceptibility value showed no significant difference between TE6 and TE8 in HCN, Pu and GP (P > 0.05). ICC analysis demonstrated that the susceptibility value of TE6-TE8 had the highest ICC value as compared with TE6-TE14 and TE8-TE14 in HCN, Pu and GP. Combined with the timeefficiency of MRI scanning, TE6 sequence could not only provide the reliable QSM measurement but also short imaging time. Conclusions: The current study identified that the optimal nTEs of ESWAN were 6 TEs (2.9ms ~ 80.9ms) for QSM measurement of basal ganglia nuclei in the healthy brain.

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Iphone app use to Cobb angle in adolescent idiopathic scoliosis: Does this apply?

Coluna/Columna ◽

10.1590/s1808-185120151402145324 ◽

2015 ◽

Vol 14 (2) ◽

pp. 101-104 ◽

Cited By ~ 3

Author(s):

Antenor Rafael de Oliveira Mazzuia ◽

Diógenes Rodrigues Machado ◽

Denis Kiyoshi Fukumothi ◽

Luccas Franco Bettencourt Nunes ◽

Carlos Tucci Neto ◽

...

Keyword(s):

Clinical Practice ◽

Standard Deviation ◽

Adolescent Idiopathic Scoliosis ◽

Confidence Interval ◽

Idiopathic Scoliosis ◽

Cobb Angle ◽

Traditional Method ◽

Mobile App ◽

Radiographic Measurements ◽

The Mean

<sec><title>OBJECTIVE:</title> To validate a new method of measuring the Cobb angle for scoliosis from the mobile app CobbMeter to facilitate the evaluation and measurement in clinical practice.</sec><sec><title>METHODS:</title> Five observers with minimum experience of two years in the field performed radiographic measurements of Cobb angle in 24 radiographs of patients with adolescent idiopathic scoliosis through the CobbMeter. Observers performed serial measures on the images with the application, which were repeated after one month. The most experienced appraiser of the group, after measurements were made through the application, determined the Cobb angle in each radiography by the traditional method.</sec><sec><title>RESULTS:</title> The mean standard deviation by comparing the angles electronically and manually measured had no clinical significance. Although 40% of electronic measurements are outside the confidence interval when compared to manual measurements, this difference was insignificant in clinical practice.</sec><sec><title>CONCLUSIONS:</title> The CobbMeter is another alternative for measuring Cobb angle in scoliosis.</sec>

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Patient blood management: an update of current guidance in clinical practice

British Journal of Hospital Medicine ◽

10.12968/hmed.2017.78.2.88 ◽

2017 ◽

Vol 78 (2) ◽

pp. 88-95 ◽

Cited By ~ 4

Author(s):

Jayne Peters ◽

Kate Pendry

Keyword(s):

Clinical Practice ◽

Patient Blood Management ◽

Blood Management ◽

Current Guidance

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Montgomery-Asberg depression rating scale in clinical practice: Psychometric properties on Serbian patients

Vojnosanitetski pregled ◽

10.2298/vsp171017176v ◽

2020 ◽

Vol 77 (11) ◽

pp. 1119-1125

Author(s):

Petar Vojvodic ◽

Ana Andonov ◽

Dejan Stevanovic ◽

Ivana Perunicic-Mladenovic ◽

Goran Mihajlovic ◽

...

Keyword(s):

Clinical Practice ◽

Rating Scales ◽

Rating Scale ◽

Descriptive Analysis ◽

Measurement Properties ◽

Everyday Clinical Practice ◽

Retest Reliability ◽

Serbian Version ◽

Explained Variance ◽

Test Retest Reliability

Background/Aim. Various rating scales for depression are avalable, but the Montgomery-Asberg Depression Rating Scale (MADRS) is one of the most frequently used scales. The aim of this study was to analyze the measurement properties of the MADRS Serbian version for quantifying depression severity in the clinical setting. Methods. Two studies have been conducted in order to validate the MADRS. The first study included sixty-four adult patients with major depressive disorder (MDD), with test-retest situ-ation, and the second one included 19 participants (also with MDD), who had six test-retest situations. Psychomet-ric evaluation included descriptive analysis, internal con-sistency and test-retest reliability, and concurrent validity (correlations with the Hamilton Depression Rating Scale 17 ? HAMD-17). Results. The internal consistency for test-retest reliability was 0.93 in total for the MADRS, and for six test-retest situations was 0.95. The MADRS had one fac-tor structure, with explained variance of 66.26% for the first testing, and 61.29% for the retest. There were statistical sig-nificant correlations between the MADRS and HAMD-17 (r = 0.96 for test and r = 0.94 for retest). Also, it was shown a great correlation between all items on the MADRS, and for the instrument in total (r = 0.89). Conclusion. The MADRS was shown good statistical results, and it could be used in everyday clinical practice for discriminating MDD.

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