RESUMO
This article describes an airway management system designed to reduce the incidence of maternal and neonatal mortality and morbidity during cesarean section. This system was developed from a comprehensive topical review of the literature and implemented in a midwestern community hospital. The key features of the system include a strategy of early assessment and recognition of patients at risk for difficult intubation, and the establishment of management protocols designed to reduce the maternal risk associated with failed intubation.
Assuntos
Anestesia Obstétrica/enfermagem , Cesárea/enfermagem , Intubação Intratraqueal/enfermagem , Avaliação em Enfermagem , Protocolos Clínicos , Árvores de Decisões , Feminino , Humanos , Intubação Intratraqueal/instrumentação , Enfermeiros Anestesistas , Gravidez , Cuidados Pré-OperatóriosRESUMO
This article describes the perceived benefits of a quality improvement program, briefly discusses the steps involved in the establishment of such a program, and describes the implementation of a computer database for data collection and retrieval. The outcome of 4,500 anesthesia cases, representing 30 months of casework, is included. This article concludes with a discussion of the strengths and weaknesses of the program as well as a suggestion for future quality improvement endeavors.
