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  1. Article ; Online: Letter to the Editor: Using epinephrine in local infiltration analgesia (LIA): focusing on safety reasons.

    Altermatt, Fernando R / De la Cuadra-Fontaine, Juan C

    Acta orthopaedica

    2023  Volume 94

    MeSH term(s) Humans ; Epinephrine/adverse effects ; Analgesia ; Pain Management ; Pain, Postoperative/drug therapy ; Anesthetics, Local/adverse effects ; Anesthesia, Local ; Analgesics, Opioid
    Chemical Substances Epinephrine (YKH834O4BH) ; Anesthetics, Local ; Analgesics, Opioid
    Language English
    Publishing date 2023-06-16
    Publishing country Sweden
    Document type Letter ; Comment
    ZDB-ID 2180677-9
    ISSN 1745-3682 ; 1745-3674
    ISSN (online) 1745-3682
    ISSN 1745-3674
    DOI 10.2340/17453674.2023.13646
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Health Care Simulation as a Training Tool for Epidemic Management: A Systematic Review.

    Corvetto, Marcia A / Altermatt, Fernando R / Belmar, Francisca / Escudero, Eliana

    Simulation in healthcare : journal of the Society for Simulation in Healthcare

    2023  Volume 18, Issue 6, Page(s) 382–391

    Abstract: Summary statement: The objective of this research was to identify and review studies that have evaluated the impact of simulation-based training on health care professionals during epidemics.All studies in health care simulation-based training published ...

    Abstract Summary statement: The objective of this research was to identify and review studies that have evaluated the impact of simulation-based training on health care professionals during epidemics.All studies in health care simulation-based training published during the last 5 epidemics with a global impact (SARS-CoV, H1N1, MERS, Ebola, SARS-CoV-2; through July 2021) were selected from a systematic search of PUBMED, EMBASE, and key journals.The search strategy identified 274 studies; 148 met the inclusion criteria and were included. Most of the studies were developed in response to SARS-CoV-2 infection (n = 117, 79.1%), used a descriptive approach (n = 54, 36.5%), and were used to train technical skills (n = 82, 55.4%).This review demonstrates a growing interest in publications related to health care simulation and epidemics. Most of the literature is marked by limited study designs and outcome measurements, although there is a trend toward the use of more refined methodologies in the most recent publications. Further research should seek the best evidence-based instructional strategies to design training programs in preparation for future outbreaks.
    MeSH term(s) Humans ; Influenza A Virus, H1N1 Subtype ; COVID-19/epidemiology ; SARS-CoV-2 ; Delivery of Health Care ; Health Personnel/education
    Language English
    Publishing date 2023-03-07
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 2223429-9
    ISSN 1559-713X ; 1559-2332
    ISSN (online) 1559-713X
    ISSN 1559-2332
    DOI 10.1097/SIH.0000000000000716
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Developing an Innovative Medical Training Simulation Device for Peripheral Venous Access: A User-Centered Design Approach.

    Miranda, Constanza / Altermatt, Fernando / Villagrán, Ignacio / Goñi, Julián

    Healthcare (Basel, Switzerland)

    2020  Volume 8, Issue 4

    Abstract: Nurses and other health students may lack the proper time for training procedural tasks, such as peripheral venous access. There is a need to develop these abilities in novices so that errors can be avoided when treating real patients. Nonetheless, from ... ...

    Abstract Nurses and other health students may lack the proper time for training procedural tasks, such as peripheral venous access. There is a need to develop these abilities in novices so that errors can be avoided when treating real patients. Nonetheless, from an experiential point of view, the simulation devices offered in the market do not always make sense for educators and trainees. This could make the adoption of new technology difficult. The purpose of this case study is to describe the development of an innovative simulation device and to propose concrete tactics for the involvement of the educators and trainees. We used a participative design based approach, with an ethnographic basis, where incremental cycles of user testing, development and iteration were involved. The study showcases methods from the field of design and anthropology that can be used to develop future simulation devices that resonate with students and educators to achieve a long term learning experience. Results could shed a light on new ways for the involvement of educators and students to create devices that resonate with them, making learning significant and effective.
    Language English
    Publishing date 2020-10-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare8040420
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Designing Sustainable Solutions to Implement a Distance-Based Simulation Basic Life Support Training Program During COVID-19 Pandemic in Low-Income Countries.

    Corvetto, Marcia A / Kattan, Eduardo / Varas, Julian / Caro, Ivan / Altermatt, Fernando R

    Simulation in healthcare : journal of the Society for Simulation in Healthcare

    2022  Volume 17, Issue 5, Page(s) 351–352

    Abstract: Summary statement: The global pandemic of COVID-19 had strong repercussions in healthcare simulation-based education around the world. Different adaptations to imposed restraints such as social distancing have been developed to address the educational ... ...

    Abstract Summary statement: The global pandemic of COVID-19 had strong repercussions in healthcare simulation-based education around the world. Different adaptations to imposed restraints such as social distancing have been developed to address the educational needs of healthcare professionals. However, the lack of access to simulators in low-income countries or rural areas may restrict the access to distance simulation-based training.
    MeSH term(s) COVID-19 ; Health Personnel ; Humans ; Pandemics
    Language English
    Publishing date 2022-03-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2223429-9
    ISSN 1559-713X ; 1559-2332
    ISSN (online) 1559-713X
    ISSN 1559-2332
    DOI 10.1097/SIH.0000000000000651
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Cross-cultural adaptation and validation of the Spanish version of the Anesthetists' Non-Technical Skills (ANTS) assessment tool.

    Delfino, Alejandro E / Fuentes-López, Eduardo A / de la Fuente, Rene F / Altermatt, Fernando R

    Journal of clinical anesthesia

    2022  Volume 84, Page(s) 111008

    Abstract: Study objective: Establish the transcultural validity of Anesthetists Non-Technical Skills (ANTS) in a Spanish-speaking country.: Design: Prospective cohort.: Setting: Clinical simulation center.: Subjects: Forty-two Anesthesia PY2 and PY3 ... ...

    Abstract Study objective: Establish the transcultural validity of Anesthetists Non-Technical Skills (ANTS) in a Spanish-speaking country.
    Design: Prospective cohort.
    Setting: Clinical simulation center.
    Subjects: Forty-two Anesthesia PY2 and PY3 residents participated in the study.
    Interventions: Four clinical scenarios simulating anesthesia crises were assessed with a Spanish version of ANTS. Every simulated scenario was run twice with a time span of 3 to 4 months between them.
    Measurements: Two anesthesiologists independently assessed all simulated sessions using ANTS. The ANTS indicators of construct validity were obtained by confirmatory factor analysis. Various goodness-of-fit indices of the factorial model were calculated: Comparative Fit Index (CFI); Tucker-Lewis Adjustment Index (TLI) and Root Mean Square Error of Approximation (RMSEA). The standardized factor loadings and the determination coefficient (R2) was also estimated.
    Main results: A total of 212 clinical scenarios were analyzed. The specified factorial model had the same grouping of elements in four domains as the original version of ANTS. The CFI index and the TLI were 0.99 and the RMSEA reached 0.07 (95% CI 0.06-0.08). All the standardized factor loadings were found to be >0.4. Also, the elements obtained an R2 value that fluctuated between 0.54 and 0.92.
    Conclusions: The Spanish version of ANTS is a valid, reliable and a useful tool to assess non-technical skills in Spanish-speaking countries. The applicability of the instrument was comparable to the original setting. The high reliability of ANTS in our setting allows us to propose its use not just in an educational and research setting; it can be used as an assessment tool of non-technical skills.
    MeSH term(s) Humans ; Cross-Cultural Comparison ; Prospective Studies ; Reproducibility of Results ; Anesthetists ; Anesthesiologists
    Language English
    Publishing date 2022-11-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2022.111008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2622: Show issues Location:
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  6. Article ; Online: Is intravenous lidocaine effective for decreasing pain and speeding up recovery after surgery?

    González, María Magdalena / Altermatt, Fernando

    Medwave

    2017  Volume 17, Issue 9, Page(s) e7121

    Abstract: Introduction: Lidocaine is widely used in anesthesia due to its multiple properties, including its role as analgesic. However, it is not entirely clear which are the real benefits of its use in the perioperative setting.: Methods: To answer this ... ...

    Title translation ¿Es efectiva la lidocaína endovenosa para disminuir el dolor y acelerar la recuperación postoperatoria?
    Abstract Introduction: Lidocaine is widely used in anesthesia due to its multiple properties, including its role as analgesic. However, it is not entirely clear which are the real benefits of its use in the perioperative setting.
    Methods: To answer this question we used Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others. We extracted data from the systematic reviews, reanalyzed data of primary studies, conducted a meta-analysis and generated a summary of findings table using the GRADE approach.
    Results and conclusions: We identified 15 systematic reviews including 53 studies overall, all of them randomized controlled trials. We concluded the use of intravenous perioperative lidocaine probably results in a clinically irrelevant difference in pain and length of hospital stay, but it probably prevents postoperative nausea and vomiting.
    MeSH term(s) Administration, Intravenous ; Analgesics/administration & dosage ; Analgesics/therapeutic use ; Databases, Factual ; Humans ; Length of Stay ; Lidocaine/administration & dosage ; Lidocaine/therapeutic use ; Pain, Postoperative/drug therapy ; Randomized Controlled Trials as Topic ; Treatment Outcome
    Chemical Substances Analgesics ; Lidocaine (98PI200987)
    Language English
    Publishing date 2017-12-29
    Publishing country Chile
    Document type Journal Article ; Meta-Analysis ; Review
    ZDB-ID 2818022-7
    ISSN 0717-6384 ; 0717-6384
    ISSN (online) 0717-6384
    ISSN 0717-6384
    DOI 10.5867/medwave.2017.09.7121
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Tracking Motion Devices as Assessment Tools in Anesthesia Procedures: Have We Been Using Them Well?

    Corvetto, Marcia A / Altermatt, Fernando R

    CJEM

    2017  Volume 19, Issue 5, Page(s) 412–413

    MeSH term(s) Algorithms ; Anesthesia ; Humans ; Motion
    Language English
    Publishing date 2017
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2059217-6
    ISSN 1481-8035 ; 1481-8035 ; 1488-1543
    ISSN (online) 1481-8035
    ISSN 1481-8035 ; 1488-1543
    DOI 10.1017/cem.2017.337
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Cognitive load theory as a framework for simulation-based, ultrasound-guided internal jugular catheterization training: Once is not enough, but we must measure it first.

    de la Fuente, Rene / Altermatt, Fernando R

    CJEM

    2019  Volume 21, Issue 5, Page(s) E3

    MeSH term(s) Catheterization, Central Venous ; Cognition ; Humans ; Simulation Training ; Ultrasonography ; Ultrasonography, Interventional
    Language English
    Publishing date 2019-05-21
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 2059217-6
    ISSN 1481-8035 ; 1481-8035 ; 1488-1543
    ISSN (online) 1481-8035
    ISSN 1481-8035 ; 1488-1543
    DOI 10.1017/cem.2019.355
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Continuous Erector Spinae Plane (ESP) Block: Optimizing the Analgesia Technique.

    de la Cuadra-Fontaine, Juan Carlos / Altermatt, Fernando R

    Journal of cardiothoracic and vascular anesthesia

    2018  Volume 32, Issue 5, Page(s) e2–e3

    MeSH term(s) Analgesia ; Humans ; Nerve Block ; Pain, Postoperative
    Language English
    Publishing date 2018-03-27
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2018.03.034
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    In stock of ZB MED Cologne/Königswinter

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    Zs.MO 31: Show issues

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  10. Article ; Online: Improving transversus abdominis plane block safety.

    Corvetto, Marcia A / Altermatt, Fernando R

    Regional anesthesia and pain medicine

    2014  Volume 39, Issue 5, Page(s) 440–441

    MeSH term(s) Analgesia, Obstetrical/adverse effects ; Female ; Humans ; Nerve Block/adverse effects ; Seizures/chemically induced ; Ultrasonography, Interventional/methods
    Language English
    Publishing date 2014-08-17
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1425299-5
    ISSN 1532-8651 ; 1098-7339 ; 0146-521X
    ISSN (online) 1532-8651
    ISSN 1098-7339 ; 0146-521X
    DOI 10.1097/AAP.0000000000000134
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