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Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia
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Table of Contents
EDITORIAL  
Year : 2012  |  Volume : 15  |  Issue : 2  |  Page : 103-104
Journey forward


Department of Anaesthesiology, SCTIMST, Trivandrum, India

Click here for correspondence address and email

Date of Web Publication16-Apr-2012
 

How to cite this article:
Neema PK. Journey forward. Ann Card Anaesth 2012;15:103-4

How to cite this URL:
Neema PK. Journey forward. Ann Card Anaesth [serial online] 2012 [cited 2020 Apr 1];15:103-4. Available from: http://www.annals.in/text.asp?2012/15/2/103/95071


The journal "Annals of Cardiac Anaesthesia0" was first published in the year 1998. It is one of the three international journals which exclusively focus on cardiothoracic and vascular anesthesia. The journal is indexed with PubMed and many other databases. I am honoured to be chosen as the New Editor in Chief of this prestigious journal. The journal has made rapid strides in the last 15 years, and I shall strive to consolidate the achievements made by our distinguished predecessors Dr. Yatin Mehta, Dr. Deepak Tempe and Dr. Murali Chakravarthy, and carefully move forward.

The important responsibilities of a medical journal are to (i) disseminate scientifically proven information to the readership [1] , (ii) push forward the frontiers of current knowledge [2],[3],[4] , (iii) permit publication of creative ideas [5] , (iv) show direction for the future research, (v) indicate areas where deficiencies exist in knowledge and understanding, and (vi) form the basis for ongoing innovations. The ultimate objective of dissemination of knowledge is to improve patient management and enhance health care delivery. In the process, the scientific work of the authors is viewed by a larger audience and is peer reviewed by global experts. The authors are, in turn, rewarded with appreciation, promotion and acknowledgement by peers. The publications do not fetch any money for the scientist. However, nothing is more heartening than seeing one's own work and his/her name published in a prestigious journal.

The modern era of cardiac surgery started in the landmark year 1953 when on 6 th May, John H. Gibbon, Jr, MD, of the Jefferson University Medical Center performed the first successful open-heart operation in an 18-year-old woman with the use of the heart-lung machine, using total cardiopulmonary bypass for 26 min, and closed a large secundum atrial septal defect. [6] Over the years, cardiac anesthesia has developed as a subspecialty and presently specialty courses are offered in cardiac anesthesia. Ever since we started our journey of cardiac anesthesia, the specialty has traversed leaps and bounds. Our understanding of the pathophysiology of various cardiothoracic and vascular diseases, the physiology of cardiopulmonary bypass, myocardial protection, etc., has improved dramatically. Cardiopulmonary bypass in its newer miniaturized and refined avatar "extracorporeal life support" has entered in intensive care units. The last 60 years have changed the discipline of cardiac anesthesia beyond ones' imaginations. With the advent of internet, computers, microprocessors and imaging modalities, the understanding of complex problems are no longer restricted. The imaging modalities such as ultrasound, 2D echocardiography and 3D echocardiography have advanced tremendously in the last 20 years. Ultrasound echocardiography machines have become an integral part of cardiac surgical operating rooms. The precision of cardiac surgical corrections has increased and they are now amenable to real time evaluation. The adequacy of the correction, the magnitude of the residual lesion, the expected hemodynamic consequences of residual lesion, etc., are known before the patient leaves the operating room. Cardiovascular and pulmonary support devices such as intra-aortic balloon pump (IABP) and extracorporeal membrane oxygenation (ECMO) are available to overcome clinically challenging situations in patient management. The pharmaceutical armamentarium of anaesthesiologists has expanded phenomenally and drugs with specific actions on microscopic receptors are available. The pace of technological growth has been very fast and the new concepts, technology and knowledge find their way to the bedside within a matter of a few years. The coming times will see much more rapid growth; the technology will be able to achieve what one can imagine; perhaps, the limitation would be the imagination not the technology.

The enormity of scientific material currently available for dissemination is mind boggling; the issue of fraud in the medical journalism has seen unprecedented increase in the recent past, and it is needless to say that the task of the peer reviewers has become daunting. The peer reviewers and the editor have a great responsibility of filtering relevant and useful articles for the readers. However, the mechanisms to deal with the issue of violation of ethics and fraud in the medical journalism are yet to be identified. The task of the contributors has become equally challenging. Finally, the expectations of the society have grown many folds. In these exciting times, I believe the most important responsibility of the journal is to prepare the entire readership to face the upcoming challenges.

Scientific journals generally have a mix of original articles, case reports, brief communications, emerging technology, interesting images, how we do it, letter to editor, etc. The original articles either seek new directions in a specific field or fill the gap in our existing knowledge; the review articles define the present status of a particular subject; whereas case-reports are unique experiences of physicians explained on the basis of existing knowledge or extending a hypothesis to explain their experience. Case-reports could be the beginning of research in hitherto unexplored territories. However, with an extraordinary explosion in new knowledge, it has become increasingly relevant to explore new ways to disseminate knowledge in a shorter time and in an effective manner. It is important to realize what the readership wants and what more the journal can offer the readers.

The safety of the patient under anesthesia is a primary responsibility of an anesthesiologist and is an important area of research. As it is said "For some must watch, while some must sleep", [7] the same possibly applies to anaesthesiologists who need to be watchful while the patients sleep. Monitors are our extended eyes. In the quest to ensure absolute safety, the technology has developed enormously and provided us with a plethora of monitors. For example to monitor the cardiac output, several monitors based on various scientific principles are available. Which is most appropriate in a particular situation is still not clear. This is one important area where journal can help the readership.

Journals adopt different approaches to benefit the readers which include publication of an invited commentary with original paper by an authority in the field and/or take home message(s) with the paper, publication of Continuing Medical Education article or a tutorial, reviews on areas of interest; pros and cons on issues of controversy, etc. The value of such articles is proven. The endeavor of the journal will be to carefully move forward in the aforementioned directions; however, the final outcome rests as much with contributors as with the editor; the editor can only publish what he/she receives from the contributors. To pursue the path charted by my predecessors and to move further ahead and make the journal more vibrant, as the editor of your journal I seek your constant feedback. The goals are defined, the path is clear; however, to move forward your valuable comments are vital. The journal will endeavor to enrich your knowledge to meet the challenges of the future and serve patients better.

 
   References Top

1.Neema PK. Medical research: Is everything all right? J Anaesthesiol Clin Pharmacol 2011;27:159-61.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.Treasure T. Are randomised trials needed in the era of rapidly evolving technologies? Eur J Cardiothorac Surg 2009;35:474-8 ; discussion 478-9.  Back to cited text no. 2
[PUBMED]  [FULLTEXT]  
3.Vecht JA, Athanasiou T, Ashrafian H, Mayer E, Darzi A, von Segesser LK. Surgeons produce innovative ideas which are frequently lost in the labyrinth of patents. Eur J Cardiothorac Surg 2009;35:480-8.  Back to cited text no. 3
[PUBMED]  [FULLTEXT]  
4.4 Robicsek F. When four plus four is less than eight: the Nuss operation. Eur J Cardiothorac Surg 2009;35:559-60.  Back to cited text no. 4
    
5.Beyersdorf F. European Journal of Cardio-thoracic Surgery/Interactive CardioVascular and Thoracic Surgery--Reach out for the next decade! Interact Cardiovasc Thorac Surg 2011;12:101-2.  Back to cited text no. 5
    
6.Cohn LH. Fifty years of open-heart surgery. Circulation 2003;107:2168-70.  Back to cited text no. 6
[PUBMED]  [FULLTEXT]  
7.Shakespeare W. The Oxford Shakespeare. Hamlet, Prince of Denmark Act III. Scene II. 1914. p. 1564-616.  Back to cited text no. 7
    

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Correspondence Address:
Praveen Kumar Neema
Department of Anaesthesiology, SCTIMST, Trivandrum
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.95071

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