Browsing by Author "Cortinez, Luis, I"

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    Brain activity complexity has a nonlinear relation to the level of propofol sedation
    (2021) Boncompte, Gonzalo; Medel, Vicente; Cortinez, Luis, I; Ossandon, Tomas
    Background: Brain activity complexity is a promising correlate of states of consciousness. Previous studies have shown higher complexity for awake compared with deep anaesthesia states. However, little attention has been paid to complexity in intermediate states of sedation.
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    Impact of the COVID-19 pandemic on anaesthesia trainees and their training
    (2020) Sneyd, John R.; Mathoulin, Sophie E.; O'Sullivan, Ellen P.; So, Vincent C.; Roberts, Fiona R.; Paul, Aaron A.; Cortinez, Luis, I; Ampofo, Russell S.; Miller, Caitlynn J.; Balkisson, Maxine A.
    Coronavirus disease 2019 (COVID-19; severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] has dislocated clinical services and postgraduate training. To better understand and to document these impacts, we contacted anaesthesia trainees and trainers across six continents and collated their experiences during the pandemic. All aspects of training programmes have been affected. Trainees report that reduced caseload, sub-specialty experience, and supervised procedures are impairing learning. Cancelled educational activities, postponed examinations, and altered rotations threaten progression through training. Job prospects and international opportunities are downgraded. Work-related anxieties about provision of personal protective equipment, and risks to self and to colleagues are superimposed on concerns for family and friends and domestic disruption. These seismic changes have had consequences for wellbeing and mental health. In response, anaesthetists have developed innovations in teaching and trainee support. New technologies support trainer-trainee interactions, with a focus on e-learning. National training bodies and medical regulators that specify training and oversee assessment of trainees and their progression have provided flexibility in their requirements. Within anaesthesia departments, support transcends grades and job titles with lessons for the future. Attention to wellness, awareness of mental health issues and multimodal support can attenuate but not eliminate trainee distress.