Associationofanaesthetists-publications.onlinelibrary.wiley.com
A review of ASA physical status
WebThe birth of an international standard. In 1941, the American Society of Anesthesiologists (ASA) tasked Meyer Saklad, Emery Rovenstine and Ivan Taylor with devising a method with which they could collect and tabulate outcomes from anaesthesia.
Actived: 4 days ago
URL: https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.14569
Human factors and the safety of surgical and anaesthetic care
WebIntroduction. A review of the United Nations and World Health Organization data found that, globally, over 234 million operations are carried out annually 1.Sadly, up to 3% of these procedures will have a major complication, and 1 million people will die during, or within the following days after, an operation.
Postoperative recovery: the importance of the team
WebIntroduction. More than 320 million people undergo major surgery each year globally 1, and a growing proportion of these are elderly or have comorbidities that increase the need for comprehensive peri-operative care.There is no doubt that advances in anaesthesia, antisepsis, technology and training have dramatically improved outcomes …
Guidelines for day-case surgery 2019
WebGuidelines for day-case surgery 2019. Guidelines from the Association of Anaesthetists and the British Association of Day Surgery. This is a consensus document produced by expert members of a working party established by the Association of Anaesthetists of Great Britain and Ireland and the British Association of Day Surgery …
Pre‐operative nutrition and the elective surgical patient: why, how …
WebPre-operative nutrition therapy is increasingly recognised as an essential component of surgical care. The present review has been formatted using Simon Sinek's Golden Circle approach to explain ‘why’ avoiding pre-operative malnutrition and supporting protein anabolism are important goals for the elective surgical patient, ‘how’ peri …
Psychological factors, prehabilitation and surgical outcomes: …
WebTwo recent systematic reviews have evaluated the effect of psychological factors on short-term physiological surgical outcomes 4, 9.Mavros et al. summarised the association between psychological factors and physiological outcomes affecting the site of surgery, namely wound healing and postoperative complications in the first month after …
Guideline on anaesthesia and sedation in breastfeeding women 2020
WebBreastfeeding has many health benefits for the mother and infant. Women who are breastfeeding may require anaesthesia or sedation. Concerns regarding the passage of drugs into breast milk may lead to inconsistent advice from professionals.
Sustainability in healthcare: patient and public perspectives
WebThe sustainable healthcare agenda has become increasingly prominent in recent years. But what does this mean for patients? In this article, we draw on our personal views and experiences as patients, carers and patient advocates, and consider the effects that efforts to improve the sustainability of healthcare may have on care quality and …
Fatigue management in healthcare: it is a risky business
WebIn this issue, McClelland et al. provide data on self-reported fatigue in a large cohort (n = 3847) of anaesthetic consultants and paediatric intensivists in the UK and Republic of Ireland 1.Although much has been written on fatigue in junior doctors and trainees, this is one of the first studies to report systematically on working time …
Postoperative recovery and outcomes – what are we measuring …
WebThe summation of different variables into a composite recovery score suffers from the generic problems faced by any composite score. For instance, different recovery characteristics are treated as mathematically equivalent, with the resolution of nausea being considered as important as the recovery of cognitive function.
Guideline for the management of hip fractures 2020
WebThe Working Party endorses the International Fragility Fracture Network's consensus statement on the principles of anaesthesia for older patients with fragility hip fracture []: 1 Anaesthesia is integral to the multidisciplinary care of hip fracture patients.; 2 Anaesthesia (and surgery) for hip fracture should be undertaken by an appropriately …
People, systems and safety: resilience and excellence in healthcare
WebHowever, within 10 years or so (towards the end of the 1980s) it became clear that although the inclusion of human elements was necessary, it was not in itself sufficient to give form to a model that could explain accidents in …
Global health inequality and women – beyond maternal health
WebGlobal health, or the health of populations in a global context, seeks to transcend borders, eliminating inequalities in disease prevention and healthcare worldwide [].The concept of global health first appeared in the 1970–80s but gained prominence when it assumed centre stage at the 2000 United Nations summit.
The NHS Improvement report on operating theatres: really …
WebWith a foreword written by the Chair of the Getting It Right First Time (GIRFT) programme, the NHS Improvement (NHSI) report on theatre productivity, Operating Theatres: Opportunities to Reduce Waiting Lists, would seem to be the final word 1.Yet, despite being based on an extensive dataset of some 1.7 million cases, the report is …
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