Pro: manometry should routinely be used during central venous catheterization.

摘要

In the beginning, the specialty of Anesthesiology emphasized analgesia, amnesia, hypnosis, and optimization of operating conditions, usually through muscle relaxation to prevent unwanted muscle tone or movement. During the last half-century, Anesthesiologists added attention to intraoperative hemodynamic stability, active minimization of perioperative morbidity and mortality, patient satisfaction, operating room throughput, and length of postoperative stay. Underlying all of these issues is every Anesthesiologist's desire to avoid any complication specifically attributable to the administration of Anesthesia. Two important results stand out: 1) the risk of significant Anesthesia-related morbidity and mortality typically is orders of magnitude lower than that of the surgical procedure for which the Anesthesia is provided and 2) our Anesthesiology devices and medications have an enviable efficacy and safety profile. This is why our specialty is held as the model for overall patient safety in medicine.