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Safety in Anesthesia   Dr Lin Cao Department of Anesthesia, 2 nd  affiliated hospital, Sun Yat-Sen University
 
 
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The risk of anesthesia ,[object Object],[object Object]
[object Object],[object Object]
There are many factors threatening patient safety in the operation rooms
Equipment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anesthetist and Surgeon ,[object Object]
Causes for Accidents  ,[object Object]
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Emergency ventilation equipment
 
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[object Object],[object Object]
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II. General safety strategies
A. Prepare a preoperative plan ,[object Object]
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[object Object],[object Object]
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B. Develop situational awareness
[object Object]
[object Object]
C. Verify observations   ,[object Object],[object Object],[object Object]
D. Implement compensatory responses   ,[object Object],[object Object]
E. Prepare for crisis ,[object Object]
F. Enhance teamwork; communicate   ,[object Object]
G. Compensate for stressors ,[object Object],[object Object]
H. Recognize and address production pressures   ,[object Object],[object Object]
I. Learn from close calls ,[object Object],[object Object]
III.  Crucial errors to know and avoid
A.  Airway errors ,[object Object]
prone position
How to avoid ,[object Object],[object Object],[object Object],[object Object]
Verify an endotracheal tube
B. Medication errors ,[object Object],[object Object],[object Object]
[object Object],[object Object]
How to avoid  ,[object Object],[object Object],[object Object],[object Object]
C. Procedure errors ,[object Object],[object Object],[object Object]
How to avoid ,[object Object],[object Object],[object Object]
IV.  Quality assurance ,[object Object]
A. Documentation ,[object Object]
B. Standards and guidelines ,[object Object]
C. Safety training ,[object Object]
V.  Standards and protocols
Standards for basic anesthetic monitoring   ,[object Object]
[object Object]
2.1  Respiratory monitor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2.2  Cardiacvascular monitor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2.3 Temperature monitor ,[object Object]
Handoffs  ,[object Object],[object Object]
a. Prior clinical details ,[object Object]
b. Intraoperative management ,[object Object]
Guidelines for action after an adverse anesthesia event
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
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2 safety in anesthesia