International Standards for a Safe Practice of Anesthesia 2010

Anesthesiology, 2014

A.V.A., L.K.M., and M.C.M.P.-S.).

2010

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Critical Reviews? in Biomedical Engineering, 2002

Minerva anestesiologica

Anesthesiology, which includes anaesthesia, perioperative care, intensive care medicine, emergency medicine and pain therapy, is acknowledged as the leading medical specialty in addressing issues of patient safety, but there is still a long way to go. Several factors pose hazards in Anesthesiology, like increasingly older and sicker patients, more complex surgical interventions, more pressure on throughput, as well as new drugs and devices. To better design educational and research strategies to improve patient safety, the European Board of Anesthesiology (EBA) and the European Society of Anesthesiology (ESA) have produced a blueprint for patient safety in Anesthesiology. This document, to be known as the Helsinki Declaration on Patient Safety in Anesthesiology, was endorsed together with the World Health Organization (WHO), the World Federation of Societies of Anesthesiologists (WFSA), and the European Patients' Federation (EPF) at the Euroanaesthesia meeting in Helsinki in Jun...

European Journal of Anaesthesiology, 2007

> External audits by peer review: J Practice facilities. J Provision and management of resources. J Outcomes of clinical practice. J Teaching facilities. J Local QA initiatives. J Communication. J Team-determined outcomes. > Support by employing institution: J Provision of resources for CPD, teaching and research. J Systems of assessment of CPD. J Inclusion of employees in all aspects of the institution's function.

The Joint Commission Journal on Quality Improvement, 2001

uring the past two decades, the performance of many short-term diagnostic, operative, and other invasive procedures has shifted from the operating room, emergency department, and intensive care areas to a variety of nontraditional settings. 1 Sedation/analgesia administered by nonanesthesiology staff is the primary method of managing procedure-related discomfort and anxiety in these settings. Although it is effective, this type of sedation can involve serious risks to patient safety. Many of the pharmacologic agents used for sedation and analgesia can cause central nervous system, respiratory, and/or cardiac depression. 2 Treatment can rapidly and unexpectedly progress from sedation/analgesia through deep sedation to general anesthesia. 3 The task force discovered major limitations to the site-specific approach to sedation guideline development and resolved to address pediatric deep sedation/analgesia issues in the framework of the basic, institutionwide sedation guideline.

IAR Consortium, 2022

This study focused its objective on knowing the extent of complications that exist and generated by the type of anaesthesia on the patient. A study was conducted of 800 patients collected from different Hospitals Baghdad, Iraq. Complications were found in 120 patients. All statistical analyzes were performed for patients of age, gender, and type of anesthesia used during in addition to that, the type of complications found in patients was identified, and by relying on the statistical analysis program SPSS Soft 20 and MSEXCEL, the data and demographic characteristics of the patients were analyzed.

Southern African Journal of Anaesthesia and Analgesia

Pain is now regarded as the "fifth vital sign" and pain relief to be a basic human right. Patient-controlled anaesthesia (PCA) is effective because it enables self-titration to individual requirements. PCA is perceived to be inherently safe because of the lockout interval, and because sedation purportedly stops the patient from pressing the button. Nevertheless, because of respiratory depression, increasing numbers of adverse events are serious cause for concern. Respiratory depression comprises three components: central respiratory depression, airway obstruction and sedation. Together, these effects result in opioid-induced respiratory impairment (OIVI). Strategies for safety improvement include an understanding of opioid pharmacokinetics and pharmacodynamics, appropriate dosing regimens, establishing guidelines and written orders, appropriate monitoring and record-keeping, staff training for PCA competency, preoperative patient education and oxygen administration when appropriate, e.g. sleeping patients. Initial postoperative analgesia should be established personally by the attending practitioner who should titrate small doses of opioid to the desired effect. It is emphasised that counting breathing rates is an unreliable index of OIVI is that the quality of breathing should be assessed, and that sedation occurs before OIVI, is clinically obvious. Therefore, monitoring and recording a sedation score at regular intervals is essential. During opioid administration, sedation should be regarded as the "sixth vital sign".

European Journal of Anaesthesiology, 2020

Patient safety is an activity to mitigate preventable patient harm that may occur during the delivery of medical care. The European Board of Anaesthesiology (EBA)/European Union of Medical Specialists had previously published safety recommendations on minimal monitoring and postanaesthesia care, but with the growing public and professional interest it was decided to produce a much more encompassing document. The EBA and the European Society of Anaesthesiology (ESA) published a consensus on what needs to be done/achieved for improvement of peri-operative patient safety. During the Euroanaesthesia meeting in Helsinki/Finland in 2010, this vision was presented to anaesthesiologists, patients, industry and others involved in health care as the 'Helsinki Declaration on Patient Safety in Anaesthesiology'. In May/June 2020, ESA and EBA are celebrating the 10th anniversary of the Helsinki Declaration on Patient Safety in Anaesthesiology; a good opportunity to look back and forward evaluating what was achieved in the recent 10 years, and what needs to be done in the upcoming years. The Patient Safety and Quality Committee (PSQC) of ESA invited experts in their fields to contribute, and these experts addressed their topic in different ways; there are classical, narrative reviews, more systematic reviews, political statements, personal opinions and also original data presentation. With this publication we hope to further stimulate implementation of the Helsinki Declaration on Patient Safety in Anaesthesiology, as well as initiating relevant research in the future.

Acta Anaesthesiologica Scandinavica, 2002

Saudi Journal of Anaesthesia, 2011

The role of the anesthesiologist is often unknown among patients. But, the situation where the anesthesiologist is uncertain of his/her function gives more cause for concern. Methods: A questionnaire survey on the appraisal of anesthetic practices was carried out over 5 months using the style of clinical practice. Results: One-third of the anesthesiologists who responded to the survey attached little importance to the work they did by not communicating the same to their patients while 45.2% did not discuss the intraoperative findings with the surgeons. Although 57 (59.4%) of the respondents usually visit their patients on the ward preoperatively, only 16 (21.6%) discussed the proposed anesthetic procedure with the patients. Thirty-nine (40.2%) respondents claimed that they do not wear ward coats to the ward at the preoperative visit. Less than 20% consistently conducted a postoperative visit. The majority of the respondents would treat all patients as important, irrespective of social status, while 74.5% of them considered obtaining informed consent for anesthesia from patients as significantly important. Conclusion: The current practice of anesthesia has been found wanting in several aspects. Knowledgeable discussion by anesthesiologists with surgeons as well as enlightenment of patients and their relatives about their work will improve the quality of anesthesia care remarkably. Changes in the anesthesia training curriculum to reflect these deficiencies would be helpful.

Increasingly, we are being asked to provide anesthesia or heavy sedation for patients undergoing procedures outside of the operating room. This represents a clinical, staffing, and financial challenge to most anesthesiology departments. While provision of anesthesia services within an operating room environment has been associated with increasing safety over the past several decades, settings outside of the operating room may present unique challenges. For these reasons, it is important the Anesthesiology Clinics address this important topic. In this issue, three major areas of care are addressed: financial implications, optimal care paradigms for specific patients, and locations and priorities with respect to all out-of-operating-room settings.

Anesthesiology, 1997