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PubMed · 3755012

[NAPROS--a semiautomatic, user-friendly anesthesia protocol system].

D Winter·P M Osswald
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Abstract

NAPROS is a semiautomatic inexpensive and easy to use anaesthetic record system. It is based on an ACORN (BBC-Model B) micro-computer that is linked to an non-invasive arterial pressure monitor (DINAMAP 845a) and an inhalation narcotic monitor (Engstroem EMMA) for automatic collection of the measured data. The following functions have been implemented: automatic registration of cardiovascular data and concentration of narcotic inhalation agents; input of drugs, fluid input or fluid output, laboratory values, events and comments of the anaesthetist; collection of administrative data and data concerning the preoperative state of the patient; graphic or numeric representation of fluid-balances; survey of all or selected drugs that have been administered up to that time; possibility for recalling dosage information for drugs and infusions; parallel printing of all collected data as a preliminary anaesthetic record; printing of a final anaesthetic report at the end of anaesthesia.

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AnesthesiologyComputersDocumentationHumansMicrocomputersMonitoring, PhysiologicSoftwareEnglish AbstractJournal Article

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D Winter, P M Osswald. 1986. [NAPROS--a semiautomatic, user-friendly anesthesia protocol system].. https://pubmed.ncbi.nlm.nih.gov/3755012/

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PubMed2007

Perception of training needs and opportunities in advanced airway skills: a survey of British and Irish trainees.

BACKGROUND AND OBJECTIVE: We surveyed delegates at the Group of Anaesthetists in Training (UK) meeting to investigate evidence of a training-gap (number of fibreoptic intubations believed to bestow competence vs. number actually performed). METHODS: Questionnaires were distributed to and collected from delegates in person. Questions covered six areas, including experience of fibreoptic intubation and cricothyrotomy, fibreoptic intubation as a specialist skill and ethical issues. RESULTS: We received 221 replies (76%). All trainees believed competence to be achievable with 10 intubations (interquartile range (IQR) 10-20); the median number performed was 2 (IQR 0-4). This was statistically significant for the groups' senior house officers, 1st and 2nd year registrars and 3rd and 4th year registrars; P < 0.0001. Many final year trainees (12/20, 60%) also failed to achieve their competency target. Few trainees had seen or performed any cricothyrotomies (medians 0, IQRs 0-1 and 0-0). Most (195/208, 94%) believed that fibreoptic intubation was a core skill and 199/212 (94%) believed that all should be competent by completion of training. Ten percent (n = 208) felt it unethical to perform an awake training intubation with full consent and 10% believed it acceptable without explanation. Most (82.7%) would fibreoptically intubate an asleep patient (requiring intubation) without consent. CONCLUSION: Trainees reported a gap between their perception of competence and achievement in awake fibreoptic intubation. Simple and complex simulations and structured training programmes may help. Anaesthetists must address the ethics of clinical training in advanced airway management.

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