ABSTRACT
Introduction: The human brain, as efficient as it is, cannot remember everything.It is legally required by law that healthcare providers maintain a record for each of their patients. In anaesthesia, every aspect of the anaesthetic care from preoperative to postoperative care needs to be documented. It is, therefore, essential to review the efficiency of manual record keeping and explore possible ways of improving it. Materials and Methods: This was a retrospective study of all patients of obstetrics undergoing caesarean section between 1st July, 2013 and 30th June, 2014. Study participants were identified from Institutional Anaesthesia record books and clinical record (case notes). With the aid of a questionnaire, relevant information concerning patients' biodata, names of health personnel involved in the surgery and clinical information about vital signs and drug administration were documented from the records. Results: The chart completion rate was 63.88%. Emergency procedures had an average chart completion rate of 51.68% while the charts in elective procedures had a completion rate of 73.4%. The patients' name was the most frequently recorded item. The Apgar score was not recorded in any of the charts reviewed. Critical incidents were poorly charted with a chart completion rate of 36.59%. Conclusion: Manual recording of anaesthesia information is unreliable and results in incomplete anaesthesia records. It is poorer in emergency surgeries as compared to elective ones. A comprehensive approach that would include structured teaching on the importance of chart completion and the use of automated information systems in recording may correct this anomaly
Subject(s)
Anesthesia , Intraoperative Care , Manuals as Topic , Nigeria , Postoperative Care , Surgical Procedures, OperativeABSTRACT
A ten-year retrospective survey of the rate and pattern of death of patients within the operating theatre suites was carried out at the University of Benin Teaching Hospital; Benin City; Nigeria. Of the 12;743 patients who were admitted to the operating theatre suites in the period; excluding obstetric cases; 47 (i.e. 0.37) deaths were recorded; consisting of 24 males and 23 females; aged between 5 months and 72 years. Thirty-two (68) of the deaths were associated with emergency procedures; and fifteen (32) were elective. Thirty-six of the patients (76.6); had general anaesthesia. The patients' medical condition contributed to 51of the deaths; followed by anesthesia (38.3) and surgery (8.5). Twenty-four of the deceased (51.1); were booked for abdominal surgery; while head/neck procedures accounted for 14 (29.8). The death rate of 37 per 10;000 seems high; when compared to western values; but is akin to figures from similar institutions in developing countries like ours
Subject(s)
Death , Intraoperative Care/mortality , Perioperative Care/mortality , Risk FactorsABSTRACT
L'enorme reduction du nombre des patients causee par le taux seuil d'hematocrite fixe a 34;nous a pousse a initier cette etude;tandis que dans les pays developpes plusieurs etudes menees avec un taux d'hematocrite au voisinage de 30se passent sans probleme majeure. Les arguments theoriques et biocliniques de notre etude nous permettent aujourd'hui d'affirmer qu'en ce qui concerne les noirs et pour nos pays en voie de developpement un hematocrite a 32peut s'averer satisfaisant et benefique pour nos patients. La mesure de l'hematocrite reste une variable sure; et satisfaisante pour l'evaluation de cette technique d'epargne sanguine. Il permet d'evaluer les pertes sanguines et de surveiller l'evolution des patients hemodilues. Il fait partie integrante de l'hemogramme au meme titre que l'hemoglobine tel que defini par la nomenclature des actes de biologie