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    This document discusses adverse anesthesia events and how to prevent them. It outlines major and minor events and risk factors to consider. It emphasizes the importance of evidence-based guidelines, anesthetist skill, safe drug usage, monitoring equipment, and advanced airway management in making anesthesia safe. It also describes the mandatory steps of planning anesthesia, safe administration, monitoring during the procedure, and post-anesthesia care. Finally, it provides guidance on managing adverse events, conducting root cause analysis, and implementing corrective and preventative actions.

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    This document discusses adverse anesthesia events and how to prevent them. It outlines major and minor events and risk factors to consider. It emphasizes the importance of evidence-based guidelines, anesthetist skill, safe drug usage, monitoring equipment, and advanced airway management in making anesthesia safe. It also describes the mandatory steps of planning anesthesia, safe administration, monitoring during the procedure, and post-anesthesia care. Finally, it provides guidance on managing adverse events, conducting root cause analysis, and implementing corrective and preventative actions.

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    12 views12 pages

    Adverse Anesthesia Events

    Uploaded by

    uraza.octavo
    This document discusses adverse anesthesia events and how to prevent them. It outlines major and minor events and risk factors to consider. It emphasizes the importance of evidence-based guidelines, anesthetist skill, safe drug usage, monitoring equipment, and advanced airway management in making anesthesia safe. It also describes the mandatory steps of planning anesthesia, safe administration, monitoring during the procedure, and post-anesthesia care. Finally, it provides guidance on managing adverse events, conducting root cause analysis, and implementing corrective and preventative actions.

    Copyright:

    © All Rights Reserved
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    of 12

    Adverse Anesthesia

    Events
    GROUP 1
    24.02.2019
    Dr. Lallu Joseph Secretary
    Reviewed by: General CAHO
    Faculty
    Dr. Anna George
    Dr.
    Umashanka
    r Raju Ms.
    Jyoti
    Ramesh
    Ms.
    Krishnaprabha
    Madhu
    Team Members and Responsibilities
    • Content:
    Dr Shivaraj
    • Content correction and Slide Preparation
    Ms Swathi
    • Review and Final outlook
    Ms Thankamma
    Ms Sandra
    Ms Hrishika
    Ms Kavitha
    Ms Fairila
    Target Audience
    • Anesthetists/ Surgeons
    • Duty Doctors/ PGs
    • OT Technicians
    • Nurses POR (Wards to an

    extend) Frequency: Every 3 months


    What is an Adverse
    Anesthesia Event?
    • An event that may result in the development of
    complications and is caused by human error,
    failure of the apparatus, the
    selected anesthetic techniques and individual
    reaction of the patient.
    List of events
    Major Minor
    • Cardiac Arrest • Airway obstruction
    • Peri-operative MI • Post-op Nausea
    • Aspiration • Sore throat
    • Anaphylaxis • Persistent Sedation
    • Drug Over Dose/ Toxicity • Hemodynamic instability
    • Awareness • Pneumonia
    • Convulsion • Delirium
    • Nerve Palsies • Shivering
    • Organ Injury • Headache
    • Hyperthermia • Back pain
    What makes anesthesia safe?
    • Evidence based guidelines/ protocols
    • Anesthetist Skill and Knowledge
    • Safer drug usage; Equipments
    • Monitoring equipments
    • Advance airway management
    Risk Factors to note:
    • Patient’s Condition: Age, Co-morbidities
    (if any)
    • Procedure: Planned/ Emergency
    • Facility: Resources, Equipments, Monitoring
    • Skill and Expertise
    What is mandatory?
    • PAC; Plan, Associated risks,
    complications, Counseling; Documentation
    • Safe Administration of anesthesia;
    Check resources, Medications
    • Monitoring during the process
    • Post Anesthesia Care: Monitor for
    Adverse reactions or events
    Incase of Adverse anesthesia event
    • Do not panic
    • Manage the situation (Active response /
    resuscitation)
    • Check whether revertible or not
    • Comfort and truthful counseling to the patient
    relatives
    • Document and report to the respective
    authorities
    RCA & CAPA
    • Analyze the drawbacks/ short comings in the
    process
    • Correct and Implement the same
    Thank you

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