Scientific advances and ongoing training

Eslava-Schmalbach, Javier H

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Colombian Journal of Anestesiology

versión impresa ISSN 0120-3347

Rev. colomb. anestesiol. v.37 n.3 Bogotá jul./sep. 2009

Scientific advances and ongoing training

Javier H. Eslava-Schmalbach, MD, MSc, PhD
Editor Colombian Journal of Anesthesiology
Associate Professor
Universidad Nacional de Colombia

Ongoing advances in anaesthesiology have kept the speciality young through implementing new technologies in managing patients, in the search for the safest anaesthetic technique and that which has the least secondary effects. Of course, this has been due to anaesthesia currently managing very narrow therapeutic ranges having a great probability of secondary effects occurring when using different anaesthetic techniques (1-3).

There is also the level of uncertainty regarding some anaesthetic techniques´ potential benefit over others for managing determined patients who have not been well-studied, in such a way that the best technique available for a specific patient is usually the technique which the anaesthesiologist in charge of such case handles the best.

However, many efforts are still being made for putting anaesthesiologists closer in touch with new technological developments to maintain their expertise in terms of their ongoing formation thereby allowing them to receive constant updating regarding knowledge and training in the skilful use of the new technologies now available. This issue specifically presents an approach to new strategies for reducing secondary effects or ensuring better management of patients undergoing interventions or having specific pathologies, in such a way that specialists are provided with the chance of critically studying such efforts to improve their knowledge and whether to implement this in their field of practice (4-7).

A paper, dealing with the development of mathematical model estimates allowable blood-loss by using a new exponential formula (8).

With the latest changes which it has now incorporated, The Revista Colombiana de Anestesiología has been trying to bring anaesthesiologists and health workers closer to such training and updating processes so as to increase the safety of anaesthetic and disciplinary practices in other branches and, in turn, present the results of these research projects to investigators from the international community who are their potential consumers and critics. This is why so many resources are being invested in and efforts being made, on the one hand, for updating the journal´s webpage with computing developments facilitating how articles are managed on-line, publishing podcasts, images, educational videos and interactive clinical cases and, on the other hand, having a bilingual journal containing articles in English and always in Spanish and sometimes in Portuguese.

Such worldwide interactivity with readers and investigators demands that the journal has greater thoroughness in all its processes, the Editorial Committee and Scientific Committee´s ongoing collaboration and that of experts thereby guaranteeing the ongoing peer review process, as has been the case to date.

We thus invite you to become part of this community of interested parties by contributing as authors and/or readers, by making use of our interactive webpage and making suggestions keeping us on the ball regarding our ongoing improvement strategy.

References

1. Denson DD, Thompson GA, Raj PP, Finnsson RA, Myers JA, Thurman BH. Continuous perineural infusions of bupivacaine for prolonged analgesia--a rapid two-point method for estimating individual pharmacokinetic parameters. Int J Clin Pharmacol Ther Toxicol. 1984 Oct;22(10):552-6.

2. Heuss LT, Inauen W. The dawning of a new sedative: propofol in gastrointestinal endoscopy. Digestion. 2004;69(1):20-6.

3. Lazzaroni M, Bianchi Porro G. Preparation, premedication and surveillance. Endoscopy. 2003 Feb;35(2):103-11.

4. Álvarez C, Cárdenas S, Soto M, Arroyave H, Arenas ID, Gonzalez N. Comparación de la efectividad de las presiones de sello en la vía aérea con la mascara laríngea clásica LMA Classic y la mascara laríngea Supreme LMA Supreme en pacientes. Rev Col Anest. 2009;37(3):212-224.

5. Chaparro LE, Martinez CM, Jaramillo JA, Manrique H, Castaño A, Jadad AR. Añadir haloperidol a la morfina para la analgesia controlada por el paciente (PCA) reduce náusea y vómito tras una cirugía de corta estancia en el hospital: un ensayo clínico aleatorio, controlado. Rev Col Anest. 2009;37(3):177-188.

6. Medina H, Londoño A, Quintero IF. Anestesia combinada epidural general ligera: una alternativa en cirugía plástica. Rev Col Anest. 2009;37(3):225-234.

7. Meléndez HJ, Mercado A, Cobos JH. Morbimortalidad en cirugía mayor de cadera. Estudio de la eficacia de la anestesia raquídea selectiva comparada con la anestesia general balanceada. Ensayo clínico controlado. Rev Col Anest. 2009;37(3):189-201.

8. Márquez MJG. Pérdidas sanguíneas permisibles. Modelo exponencial. Rev Col Anest. 2009;37(3):255-262.

2. Heuss LT, Inauen W. The dawning of a new sedative: propofol in gastrointestinal endoscopy. Digestion. 2004;69(1):20-6. [ Links ]

3. Lazzaroni M, Bianchi Porro G. Preparation, premedication and surveillance. Endoscopy. 2003 Feb;35(2):103-11. [ Links ]

6. Medina H, Londoño A, Quintero IF. Anestesia combinada epidural general ligera: una alternativa en cirugía plástica. Rev Col Anest. 2009;37(3):225-234. [ Links ]

8. Márquez MJG. Pérdidas sanguíneas permisibles. Modelo exponencial. Rev Col Anest. 2009;37(3):255-262. [ Links ]