Directrices de procedimientos de comprobación y validación (“chequeo”) previos a la anestesia de la SEDAR

Cassinello, Fernando; Ariño, J.; Ruibal, A. Bartolomé; Pinta, J.C. de la; Quintana, F.B. de la; Espinosa, Mariana; Gilsanz, F.; Gómez-Arnau, J; Arévalo, A. González; López-Quero, L.; López-Romero, J.L.; Moret, E.; Mourelle, I.; Pensado, A; Planas, Antonio; Pérez-Cerdá, F.; Rincón, R.

doi:10.1016/s0034-9356(13)70005-7

Cited by 2 publications

(1 citation statement)

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“…Following a checklist throughout the entire anesthetic procedure is believed to represent an important step in implementing essential actions as routine, thus minimizing the human failures that often occur as the result of an excessive workload. 20,21 Most of the communities worldwide that are concerned with patient safety believe that something has to be done to improve the safety and quality of risk management within the realm of healthcare. The existing processes are fragmented and information on what is wrong is sparse.…”

Section: Resultsmentioning

confidence: 99%

Is the anesthesiologist actually prepared for loss of airway or respiratory function? A cross-sectional study conducted in a tertiary hospital

Vasconcelos

Bomfim²,

Mello³

et al. 2014

Rev. Assoc. Med. Bras.

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Objective To identify compliance with the procedures for securing the airway of patients submitted to anesthesia, defined as highly recommended in the World Health Organization Surgical Safety Checklist. Methods A prospective, cross-sectional, observational study was conducted with 87 patients aged 18 to 60 years, classified as ASA grade 1 or 2 according to the American Society of Anesthesiologists’ Physical Status Classification. The study variables consisted of: whether the Mallampati test had been performed, whether equipment was readily available for orotracheal intubation, whether the correct placement of the endotracheal tube was verified, whether patient ventilation was monitored and whether fasting was confirmed. Prevalence ratios and their respective 95% confidence intervals were calculated as measures of relative risk. Statistical significance was defined at 5%. Results It was found that in 87.4% of patients, the airway was not evaluated using the Mallampati classification and in 51.7% of cases, preoperative fasting was not confirmed. In 29.9% of cases, the ready availability of equipment for orotracheal intubation was not verified. In all of the cases in which the availability of this equipment was not checked, the patient was submitted to regional anesthesia, with a statistically significant difference compared to the cases in which the patient was submitted to general anesthesia. Conclusion Measures considered essential for the safety of the patient during surgery are still being ignored.

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Section: Resultsmentioning

confidence: 99%