Re: Surgery before anesthesia

Thank you for the interesting special feature in the June issue, “You must expect to suffer: Mme d’Arblay and surgery before the advent of anesthesia,” [BCMJ 2013;55:240-242] wonderfully written by Dr Morrant. 

I have given well over 50 000 anesthetics, and from my perspective the article brings into focus that we live in a luckier time. Anesthesiology has the reputation of being a narrow field (true), and a boring one (interrupted by the occasional unexpected panic attack), but much of this reputation is undeserved—we read more at work than anyone else, and the payback in personal satisfaction is a success rate second to none in medicine. 

The article also reminds me that the BCMJ does not have the dullness of its national counterpart—perhaps sitting drowsily in Ottawa surrounded by 100 000 civil servants is not conducive to creativity. 
—George Sennewald, MD
Kamloops

George Sennewald, MD,. Re: Surgery before anesthesia. BCMJ, Vol. 55, No. 7, September, 2013, Page(s) 316 - Letters.



Above is the information needed to cite this article in your paper or presentation. The International Committee of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

About the ICMJE and citation styles

The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.

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