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PubMed · 6869763

[Development and use of a computerized anesthesia protocol].

H J Hartung·H J Bender·P M Osswald·H Lutz·S G Olsson
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Abstract

The real-time anaesthetic record allows the continuous on-line monitoring and the informative graphical presentation of important anaesthetic parameters; in this respect it is superior on the conventional made record. Preoperative findings and personal data of the patient are documented and presented by the aid of formulas on the terminal screen in addition to the on-line parameters and intraoperative off-line data e.g. drugs infusions, urine production, blood loss. The concept of the system is based on a microprocessor which is linked to daily used monitors by an analog-digital-converter. The wide use of the automatic record requires a relative high standard of monitors (e.g. mass spectrography), such that the applicability is limited to very extensive procedures of high risk patients.

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AnesthesiologyComputersHumansPostoperative CareRespiratory Function TestsEnglish AbstractJournal Article

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H J Hartung, H J Bender, P M Osswald, H Lutz, S G Olsson. 1983. [Development and use of a computerized anesthesia protocol].. https://pubmed.ncbi.nlm.nih.gov/6869763/

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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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