Anaesthesia, safety

E.S. Ransom, and R.A. Mueller, Safety consideration in the use of drug combinations during general anaesthesia. Drug Safety 16 88-103, 1997. 

Regional anaesthesia requires considerable knowledge of anatomy and attention to detail for both success and safety. 

Mimoz O, Incagnoli P, Josse C, GiUon MC, Kuhlman L, Mirand A, SoiUeux H, Fletcher D. Analgesic efficacy and safety of nefopam vs. propacetamol following hepatic resection. Anaesthesia 2001 56(6) 520-5. 

Knibbe CA, Voortman HJ, Aarts LP, Kuks PF, Lange R, Langemeijer HJ, Danhof M. Pharmacokinetics, induction of anaesthesia and safety characteristics of propofol 6% SAZN vs propofol 1% SAZN and Diprivan-10 after bolus injection. Br J Clin Pharmacol 1999 47(6) 653-60. 

Marrocco-Trischitta MM, Bandiera G, Camilli S, Stillo F, CirielU C, Guerrini P. Remifentanil conscious sedation during regional anaesthesia for carotid endarterectomy rationale and safety. Eur J Vase Endovasc Surg 2001 22(5) 405-9. 

Medicines, which are defined as any products or preparations used to prevent, treat or diagnose disease (including anaesthesia). All new medicines must satisfy the MHRA in terms of safety, quality and efficacy. 

Committee on Safety of Medicines. Propofol - convulsions, anaphylaxis and delayed recovery from anaesthesia. Current Problems (1989) 26. 

Perovic J, TerzicM, TodorovicL. Safety of local anaesthesia induced by prilocaine with felypressin in patients on tricyclic antidepressants. Bull Group IntRech Sci Stcmatol Odontol... 

Cooper, J.B. (1994) Towards patient safety in anaesthesia. Annals Academy of Medicine, 23... 

We interpret this as support for our notion that expertise in anaesthesia brings with it the authority to define the boundaries between routine and critical but also between acceptable and unacceptable practice. However, we suggest that such variability in what is considered critical, reportable and acceptable is a product of the culture of medicine. In other safety-critical industries, professional experience and judgement are not allowed to dictate reporting behaviour. In aviation, for instance, all pilots, regardless of rank or experience, are expected and required to describe and report even the most subtle and minor events, not just those deemed critical or serious by individual pilots. 

Beatty, P.C. and Beatty, S.F. (2004) Anaesthetists intentions to violate safety guidelines. Anaesthesia, 59(6), 528-540. 

Saint Maurice, G., Auroy, Y., Vincent, C. and Amalberti, R. (2010) The natural lifespan of a safety policy violations and system migration in anaesthesia. Quality and Sctfety in Health Care, vol. in press. 

In the rest of the chapter, we will draw heavily on the pioneering work of Rhona Flin and colleagues (Flin, O Connor and Crichton, 2008), who have stndied, analysed and been involved in developing training for non-technical skills in surgery, anaesthesia, aviation, oil and gas indnstry, nuclear power and the military. Non-technical skills are very similar to the safety skills attitudes and behaviours discussed above, but focused more on skills and behaviours that can be identified and trained. Flin, O Connor and Crichton (2008) define nontechnical skills as ... 

Catchpole, K.R., de Leval, M.R., McEwan, A. etai. (2007) Patient handover from surgery to intensive care using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatric Anaesthesia, 17(5), 470-478. 

Haugen, A.S., Softeland, E., Eide, G.E., Sevdalis, N., Vincent, C.A., Nortvedt, M.W. and Harthug, S. 2013. Impact of the World Health Orgarrization s Smgical Safety Checklist on safety crrltime in the operating theatre A controlled intervention study in Norway . British Journal of Anaesthesia, 110(10), 807-15. 

Gaba, D. M, Human Performance Issues in Anaesthesia Patient Safety, Problems in Anaesthesia, Vol. 5,1991, pp. 329-330. 

Grant, L. J., Regulations and Safety in Medical Equipment Design, Anaesthesia, Vol. 

Ludbrook, G. L., Webb, R. K., Fox, M. A., The Australian Incident Monitoring Study Physical Injuries and Environmental Safety in Anaesthesia An Analysis of 2000 Incident Reports, Anaesthesia and Intensive Care, Vol. 21, No. 5, 1993, pp. 659-663. 

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