ABSTRACT
Los problemas asociados con el tratamiento farmacológico en el entorno hospitalario son frecuentes y se asocian, en ocasiones, a daño para el paciente y mayores costes. La Declaración de Helsinki sobre seguridad del paciente en anestesiología incluye, entre otras recomendaciones, que todos los servicios de anestesia tengan protocolos para el adecuado etiquetado de las jeringas que contienen la medicación necesaria durante la anestesia. Recientemente, el Sistema Español de Notificación de Seguridad en Anestesia y Reanimación y la Sociedad Española de Anestesiología y Reanimación, junto al Instituto para el Uso Seguro de los Medicamentos-España, han publicado las recomendaciones de etiquetado de jeringas, líneas y envases de acuerdo a dichas normas. En este trabajo se revisan brevemente los errores de medicación en anestesia y el papel del etiquetado de la medicación en la seguridad del paciente (AU)
Drug-related problems are frequent in the hospital setting and sometimes lead to patient harm and increased costs. The Helsinki Declaration on Patient Safety in Anesthesiology includes, among other recommendations, that all anesthesia departments have protocols for the correct labelling of syringes containing the medication required for anesthesia. In accordance with this document, the Spanish System of Safety Reporting in Anesthesia and Resuscitation and the Spanish Society of Anesthesiology and Resuscitation, together with the Institute for Safe Medication Practices in Spain have recently published their recommendations on the labelling of syringes, lines and bags. The present article briefly reviews medication errors in anesthesia and the role of medication labelling in patient safety (AU)
Subject(s)
Female , Humans , Male , Medication Errors/ethics , Medication Errors/prevention & control , Syringes/standards , Syringes , Patient Safety/standards , Helsinki Declaration , Anesthesia/standards , Equipment and Supplies Labeling , Syringes/supply & distribution , Hospitals, University/standardsABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Drug Labeling/methods , Drug Labeling/trends , Anesthesia/methods , Societies, Medical/organization & administration , Societies, Medical/standards , Societies, Medical , Pharmaceutical Preparations/administration & dosage , Drug Labeling/statistics & numerical data , Drug Labeling/standards , Anesthesiology/legislation & jurisprudence , Anesthesiology/organization & administration , Pain/drug therapy , NotificationSubject(s)
Humans , Male , Female , Drug Labeling/methods , Drug Labeling/standards , Societies, Medical/organization & administration , Societies, Medical/standards , Anesthesiology/legislation & jurisprudence , Anesthesiology/methods , Pain/drug therapy , Pain/epidemiology , Societies, Medical/ethics , Societies, Medical/legislation & jurisprudence , Anesthesiology/instrumentation , Anesthesiology/organization & administration , Anesthesiology/standards , Cardiopulmonary Resuscitation/instrumentationABSTRACT
No disponible
Subject(s)
Female , Humans , Hernia, Diaphragmatic , Hernia, Diaphragmatic/congenital , Hernia, Diaphragmatic/complications , Hernia, Diaphragmatic/surgery , Intraoperative Complications/etiology , Intraoperative Complications , Intraoperative Complications/therapy , Lung/pathology , Postoperative Complications/etiology , Postoperative Complications , Postoperative Complications/therapy , Respiration Disorders/etiology , Respiration Disorders , Respiration Disorders/therapy , Respiration, ArtificialSubject(s)
Hernia, Diaphragmatic/diagnostic imaging , Female , Hernia, Diaphragmatic/complications , Hernia, Diaphragmatic/surgery , Hernias, Diaphragmatic, Congenital , Humans , Intraoperative Complications/diagnostic imaging , Intraoperative Complications/etiology , Intraoperative Complications/therapy , Lung/pathology , Middle Aged , Postoperative Complications/diagnostic imaging , Postoperative Complications/etiology , Postoperative Complications/therapy , Radiography , Respiration Disorders/diagnostic imaging , Respiration Disorders/etiology , Respiration Disorders/therapy , Respiration, ArtificialABSTRACT
No disponible
Subject(s)
Adult , Male , Humans , Bardet-Biedl Syndrome , Propofol , Esophagectomy , Preanesthetic Medication , Pancuronium , Adenocarcinoma , Anesthetics , Anesthesia , Fentanyl , Esophageal NeoplasmsABSTRACT
A 44-year-old man underwent surgery requiring medial sternotomy of resection of a tracheal carcina tumor. High frequency jet ventilation was used during tumor resection and reconstruction of the carina in order to shorten the time of surgery and to provide a nearly immobile and unobstructed surgical field. The only noteworthy complication was a tendency to respiratory acidosis that resolved without sequelae in the operating room once the trachea was closed. The anesthetic challenges presented by the various techniques used throughout history for such an interesting and complex type of surgery are briefly summarized. We also discuss the role of high frequency jet ventilation on surgery involving the major airways.
Subject(s)
High-Frequency Jet Ventilation/methods , Tracheal Neoplasms/surgery , Adult , High-Frequency Jet Ventilation/instrumentation , Humans , Male , Preanesthetic Medication , Sternum/surgeryABSTRACT
We report the cases of 3 patients with Marfan's syndrome with a wide range of clinical signs and severe cardiovascular involvement. The first case was an 18-year-old man who received general anesthesia during laparotomy for acute abdomen. Surgery was uneventful, even though emergency conditions precluded a full preoperative workup. In the second case (herniorrhaphy in a 36-year-old man) and the third (total hip replacement in a 23-year-old woman), surgery was scheduled, permitting heart function testing, assessment of previous treatment, premedication and adjustment of length of the surgical table. Surgery was likewise uneventful in the second and third cases.
