An anaesthetic minimum dataset and report format

Lack, J. A.; Stuart‐Taylor, M.E.; Tecklenburg, A.

doi:10.1093/bja/73.2.256

Cited by 15 publications

(5 citation statements)

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“…Data were recorded using a variety of computer hardware over the period, but were always compliant with the Society for Computing and Technology in Anaesthesia (SCATA) minimum anaesthetic record data set [7]. We amalgamated all the data on a Microsoft access database.…”

Section: Methodsmentioning

confidence: 99%

The road to success: A review of 1000 axillary brachial plexus blocks

Watt²

2003

Anaesthesia

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SummaryThe authors present their experience of > 1000 axillary brachial plexus blocks performed over 13 years (1990)(1991)(1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002). Using a technique that involves the location of individual nerves with a nerve stimulator, the overall success rate was 97.9%, ranging from 89.7% in 1990 to 98.4% in 1998. There have been no failures, defined as the need for conversion to general anaesthesia, in the last 500 blocks. Supplementary nerve blocks at the elbow were performed in 22.2% of patients. The first author, trained and supervised by the second author, achieved similar success rates in half the time taken by the second author. The authors conclude that technique and experience are the keys to success, but that high success rates can be achieved in a short time if anaesthetists are trained by experts in regional anaesthesia.Keywords Anaesthesia; conduction, nerve block. Brachial plexus. Education. Correspondence to: T. P. Perris E-mail: tom_perris@hotmail.com Accepted: 12 April 2003 Regional anaesthesia can confer significant benefits to the patient; overall patient safety may be improved when compared with general anaesthesia [1, 2]. It is accepted that the use of regional anaesthesia can minimise the stress response, and the avoidance of opioid-related complications is an added bonus. As unashamed advocates of regional anaesthesia, we are pleased to see a recent editorial [1] that urged the greater usage of local anaesthetic techniques in an effort to provide perfect analgesia with minimal side effects. In an attempt to forestall the 'propofol is never patchy' brigade of sceptics, we wish to present the results of an audit of our database of 13 years' regional anaesthetic practice that includes data on > 1000 axillary blocks. MethodsThe authors regularly provide anaesthesia for elective hand surgery at a tertiary orthopaedic centre. The case mix is conducive to the use of axillary brachial plexus blockade as a sole technique or in combination with general anaesthesia. The majority of work is restorative surgery for rheumatic disease and release of Dupuytren's contracture.There have been several techniques described for axillary block, with reported success rates ranging from 50 to 100% [3][4][5][6]. Before the start of this series, one author (JMW) attempted three different techniques: the trans-arterial technique, the 'two needle' technique (seeking the point of maximum excursion of the hubs of needles inserted above and below the artery), the injection of a large volume of local anaesthetic having identified pulse-synchronous contractions in muscles supplied by a single nerve when using a peripheral nerve stimulator. An unacceptably high failure rate, estimated at $ 30%, was experienced. We now use a nerve stimulator technique to identify individually, by means of the characteristic twitches, the median, radial, ulnar and (if required) musculocutaneous nerves. We approach the brachial plexus at the low axillary level, i.e. just proximal to the inserti...

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Section: Methodsmentioning

confidence: 99%

The road to success: A review of 1000 axillary brachial plexus blocks

Watt²

2003

Anaesthesia

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“…The Medberry anaesthetic logbook is an Apple iOS (Apple Inc., Cupertino, CA, USA) application that has been used in the UK since 2014 . Its design conforms to RCoA guidance on data collection for logbooks, meeting the agreed minimum specification for anaesthetic logbooks in the UK . Users enter non‐identifiable anaesthetic case data via an iOS device.…”

Section: Methodsmentioning

confidence: 99%

“…In the UK and Republic of Ireland (ROI), practising anaesthetists are required to maintain a contemporaneous logbook of anaesthetics delivered and procedures performed . Clinical case‐loads recorded in these logbooks are reviewed at annual appraisals to provide evidence that supports consultant revalidation and trainee progression.…”

Section: Introductionmentioning

confidence: 99%

A retrospective analysis of case‐load and supervision from a large anaesthetic logbook database

et al. 2019

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The recent development of electronic logbooks with secure off-device data storage provides a rich resource for research. We present the largest analysis of anaesthetic logbooks to date, with data from 494,235 cases logged by 964 anaesthetists over a 4-year period. Our analysis describes and compares the annual case-load and supervision levels of different grades of anaesthetists across the UK and Republic of Ireland. We calculated the number of cases undertaken per year by grade (median (IQR [range]) core trainees = 388 (252-512 [52-1204]); specialist trainees = 344 (228-480 [52-1144]); and consultants = 328 (204-500 [52-1316]). Overall, the proportion of cases undertaken with direct consultant supervision was 56.7% and 41.6% for core trainees and specialist trainees, respectively. The proportion of supervised cases reduced out-of-hours, for both core trainees (day 93.5%, evening 86.3%, night 78.6%) and specialist trainees (day 81.0%, evening 67.7%, night 56.4%).

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“… is both helpful and timely. There is a long history of defining data standards for anaesthetic records , but relatively little progress towards implementation and adoption of electronic anaesthetic records.…”

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confidence: 99%

Coding for anaesthetic and peri‐operative practice

Norton

2017

Anaesthesia

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An anaesthetic minimum dataset and report format

Cited by 15 publications

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The road to success: A review of 1000 axillary brachial plexus blocks

The road to success: A review of 1000 axillary brachial plexus blocks

A retrospective analysis of case‐load and supervision from a large anaesthetic logbook database

Coding for anaesthetic and peri‐operative practice

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