8 resultados para post school transition

em University of Washington


Relevância:

30.00% 30.00%

Publicador:

Resumo:

Background and Objectives: Peripheral nerve blockade requires regional anesthesia skills that trainees learn in several formats. Technical proficiency has shifted from a quota to comprehensive procedural evaluation. Successful nerve blockade is the clinical endpoint validating proficiency but patient, technical and procedural factors influence this result. The purpose of this study was to determine if procedural expertise for sciatic nerve blockade influenced postoperative pain scores and opioid requirements and if patient factors, technique and repetition influenced this outcome. Method: Sciatic nerve blockade by nerve stimulation and ultrasound guidance and training level of the resident performing the procedure were recorded. Patient obesity, trauma, chronic pain, opioid use and preoperative pain scores were compared to post-procedure pain scores and opioid analgesic requirements. Results: 102 patients received sciatic nerve blockade from 47 trainees over a 36 month interval. A significant relation between training level and improved pain scores was not demonstrated but transition from nerve stimulation to ultrasound guidance lowered scores in all groups. Nerve blockade failure was frequent with chronic opioid use and trauma. Conclusion: Analgesic outcomes should be an integral part of assessment of proficiency in regional anesthesia techniques. Evaluating outcomes of procedures throughout training will longitudinally assess technical expertise.

Relevância:

30.00% 30.00%

Publicador:

Resumo:

Thesis (Master's)--University of Washington, 2016-06

Relevância:

30.00% 30.00%

Publicador:

Resumo:

Thesis (Master's)--University of Washington, 2016-06

Relevância:

30.00% 30.00%

Publicador:

Resumo:

Thesis (Master's)--University of Washington, 2016-06

Relevância:

30.00% 30.00%

Publicador:

Resumo:

Thesis (Ph.D.)--University of Washington, 2016-06

Relevância:

30.00% 30.00%

Publicador:

Resumo:

Thesis (Ph.D.)--University of Washington, 2016-06

Relevância:

30.00% 30.00%

Publicador:

Resumo:

The Myanmar Book Aid Preservation Foundation (MBAPF) and Enlightened Research Myanmar (EMR) held an Information Symposium titled, From Scarcity to Overload: Finding “Good Enough” Public Information in Myanmar’s Transition in Yangon, Myanmar on January 28-29, 2016. The Symposium was co-sponsored by the University of Washington’s Henry M. Jackson School of International Studies (JSIS) and the Technology & Social Change Group (TASCHA) of the University’s Information School with support from the United States Agency for International Development (USAID), Microsoft, the Bill & Melinda Gates Foundation, and the Asia Foundation. The Information Symposium was held as part of a larger project supported by USAID, Microsoft, the Bill & Melinda Gates Foundation, and the Tableau Foundation implemented by the University of Washington’s JSIS and TASCHA, along with Myanmar partners, MBAPF and EMR. This project, Information Strategies for Societies in Transition, was developed largely because of the staggering challenges Myanmar is facing as it seeks to “catch-up” in the world’s most economically competitive region.