Patient Safety for Anesthesia in Remote Areas
Eman Elsaeed Ibrahim Ahmed;
Abstract
There is an increasing demand for non–operating room (OR) anesthesia in remote locations. These remote locations offer challenges to the provider beyond those found in the traditional OR suite.
American Society of Anesthesiology (ASA) definition of MAC is: "Monitored anesthesia care refers to instances in which an anesthesiologist has been called upon to provide specific anesthesia services to a particular patient undergoing a planned procedure, in connection with which a patient receives local anesthesia, or in some cases, no anesthesia at all. In such a case, the anesthesiologist is providing specific services to the patient and is in control of the patient's non-surgical or non-obstetrical medical care, including the responsibility of monitoring the patient's vital signs, and is available to administer anesthetics or provide other medical care as appropriate. Facilities to secure the airway should always be immediately available.
The aim of conscious sedation is to alleviate pain or discomfort, anxiolysis, and help the patient to lie still. Many procedures can be performed easily with minimal pain; however, the procedure may be stressful to the patient. The patient may experience discomfort from long periods of lying still on a hard cold table or claustrophobia from the confines of the room, these patients need sedation.
Services are requested at many different locations for a diverse range of procedures. These may be elective or emergency, diagnostic or potentially lifesaving interventions, and may last from seconds (e.g. cardioversion) through to all-day affairs in the electrophysiology laboratory. The patient group is equally diverse, covering all ages and co-morbidities.
Risk related to sedation and anesthesia outside the OR can be broken down into inadequate sedation, oversedation/adverse response to sedatives, and failure to rescue. This may lead to unscheduled admissions to the hospital, or unplanned admission to an intensive care unit as a direct result of the sedation or anesthesia (ie, because of protracted emesis, prolonged sedation, or respiratory or cardiac complication).
American Society of Anesthesiology (ASA) definition of MAC is: "Monitored anesthesia care refers to instances in which an anesthesiologist has been called upon to provide specific anesthesia services to a particular patient undergoing a planned procedure, in connection with which a patient receives local anesthesia, or in some cases, no anesthesia at all. In such a case, the anesthesiologist is providing specific services to the patient and is in control of the patient's non-surgical or non-obstetrical medical care, including the responsibility of monitoring the patient's vital signs, and is available to administer anesthetics or provide other medical care as appropriate. Facilities to secure the airway should always be immediately available.
The aim of conscious sedation is to alleviate pain or discomfort, anxiolysis, and help the patient to lie still. Many procedures can be performed easily with minimal pain; however, the procedure may be stressful to the patient. The patient may experience discomfort from long periods of lying still on a hard cold table or claustrophobia from the confines of the room, these patients need sedation.
Services are requested at many different locations for a diverse range of procedures. These may be elective or emergency, diagnostic or potentially lifesaving interventions, and may last from seconds (e.g. cardioversion) through to all-day affairs in the electrophysiology laboratory. The patient group is equally diverse, covering all ages and co-morbidities.
Risk related to sedation and anesthesia outside the OR can be broken down into inadequate sedation, oversedation/adverse response to sedatives, and failure to rescue. This may lead to unscheduled admissions to the hospital, or unplanned admission to an intensive care unit as a direct result of the sedation or anesthesia (ie, because of protracted emesis, prolonged sedation, or respiratory or cardiac complication).
Other data
| Title | Patient Safety for Anesthesia in Remote Areas | Other Titles | سلامة المرضى أثناء التخدير بالمناطق النائية | Authors | Eman Elsaeed Ibrahim Ahmed | Issue Date | 2015 |
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