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Anesthesia, Evidence and Experience

Dr. Ilkka Kalli, MD, PhD, MBA
Editor-in-chief, Clinical Window Web Journal

See the editor-in-chief working and his Curriculum Vitae

Dear clinician,

The seventeenth issue of the Clinical Window Web Journal (CWWJ) has just appeared, and this is a special issue in many ways. It starts our fifth year as a clinical education web magazine. Visit our updated pages to see our fresh blue appearance.

Our new topic: "Anesthesia, Evidence and Experience" wants to reflect the atmosphere from the recent scientific congresses, like WCA 2004 in Paris and Euroanaesthesia in Portugal. Simultaneously, we activate a new web address (our previous links will also work - no need to rush to modify your lists).
http://www.clinicalwindow.net

Introduction to our articles

Dr. Ilkka Kalli MD, starts with a review article: "Residual relaxation, the sleeping brain and anesthesia monitoring: observations on evidence and expectations". From a multidisciplinary viewpoint, touching both market mechanism and evidence-based medicine, the author draws lines to patient monitoring, particularly to monitoring of hypnosis and neuromuscular blockade. Lastly, he makes conclusive remarks about how the roles of patients and caregivers may be changing in the future healthcare, and how Internet as a source of information may impact that development.

Next, we publish two fresh reprints from original scientific articles. CWWJ has made an agreement with Blackwell Publishers (UK) to make them available for our readers.

(I) Viertio-Oja H et al. Description of the Entropy algorithm as applied in the Datex-Ohmeda S/5 Entropy Module. (Acta Anaesthesiol Scand. 2004 Feb).

(II) Vakkuri A. et al. Time-frequency balanced spectral entropy as a measure of anesthetic drug effect in central nervous system during sevoflurane, propofol, and thiopental anesthesia. (Acta Anaesthesiol Scand. 2004 Feb)

Thereafter, a column will follow, as Dr Vincenzo Lanza MD (Palermo, Italy) continues: "How to organize obstetric analgesia services for labor patients? Our practical experiences (Part II)". This column is the second part of his article, and reflects the practical issues many clinicians face when providing care or managing services in their hospital.

Dr. G. Cammu, MD (Aalst, Belgium) gave a stimulating Clinical Window presentation at the anesthesiology world congress in Paris in April 2004. I am delighted of the opportunity to publish both his abstract "NMT monitoring: an absolute necessity in anesthesia practice". and his presentation slides (see our podium area) in this issue of CWWJ.

Having been privileged to serve as the Editor-in-chief since the very first issues, I want to thank both the editorial team and our thousands of readers for their input and activity. In the next issue, scheduled to appear at the end of September, we will have a critical care orientation.

I would be delighted to receive input from our many readers, including letters, comments, and suggestions. I greatly appreciate hearing your opinions. Thank you in advance!

Ilkka Kalli, MD, PhD, MBA
Anesthesiologist, Editor-in-Chief
Clinical Window Web Journal

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Last updated: 26 August 2004 Created
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Dr. G. Cammu
NMT monitoring: an absolute necessity in anesthesia practice

slide presentation

Tailor-made Anesthesia
Clinical Window
Issue 14, Sept 2003



Read stories from our short historic account of milestones in anesthesiology.