Duygu Demiroz Aslan, Ayse Gul Ferlengez, Neslihan Altunkaya Yagci

Evaluation of monitorization in anesthesia applications outside the operating room, compatibility of standard infrastructure and equipment : A survey study

We aimed to evaluate the suitability of monitoring, standard infrastructure and equipment in anesthesia applications of anesthesiology reanimation specialists and resident physicians working in Istanbul and increase the awareness of them. 106 anesthesiology reanimation specialists and resident physicians working in Istanbul and Malatya included in the study. The results of the survey consisted of 31 questions were obtained by collecting data via electronic data form on the web. Statistical analysis was used. In our study, the presence of oxygen supply, aspirator and probes in the areas of anesthesia outside the operating room, the presence of light source is sufficient, the most commonly used respiratory parameters of the monitoring methods and cardiovascular monitoring was followed. In these areas it was seen that 94% of the emergency trolleys were found and in the emergency boxes it was seen that the drugs used for cardiac arrhythmia and arrest treatment were usually found. There was a 40% defibrillator and a 60% support team for emergency situations and 56% of the system that could communicate for assistance. 74% of the recovery unit and 37% of the waste gas system were found outside the operating room. We believe that monitoring, compliance of standard infrastructure and equipment are effective to prevent complications in anesthesia outside the operating room applications.

PDF

___

1. Kotob F, Twersky RS. Anesthesia outside the operating room: General overview and monitoring standards. Int Anesthesiol Clin. 2003;41:1-15.
2. Meloni C. Morbidity and mortality related to anesthesia outside the operating room. Minerva Anesthesiol. 2005;71:325-34.
3. Bell C, Sequeira PM. Nonoperating room anesthesia for children. Curr Opin Anesthesiol. 2005;18:271-6.
4. Turkish Society of Anesthesiology and Reanimation 2005. Anesthesia Practice Guides. Non-Operating Room Anesthesia Applications.
5. Silber JH, Kennedy SK, Even-Shoshan O. et al. Anesthesiologist direction and patient outcomes. Anesthesiology. 2000;93:152-63.
6. Aydın A. Our Non-Operating Room Anesthesia Applications. for 3 months. Evaluation of 2268 Patients in the Period. Adıyaman University Health J Sciences. 2018;4:850-63.
7. Berkow L.C. Anesthetic management and human factors in the intraoperative MRI environment. Curr Opin Anaesthesiol. 2016;29:563-7.
8. Robbertze R, Posner KL, Domino KB. Closed claims review of anesthesia for procedures outside the operating room. Curr Opin Anaestesiol 2006;19:436-42.
9. Applegate RL , Lenart J, Malkin M. et al. Advanced monitoring is associated with fewer alarm events during planned moderate procedurerelated sedation: A 2-part pilot trial. Anesth Analg. 2016;122:1070-8.
10. Froehlich F, Harris JK, Wietlisbach V. et al. EPAGE Study Group, Current sedation and monitoring practice for colonoscopy: an International Observational Study (EPAGE), Endoscopy. 2006;38:461-9.
11. Mehmet Yildiz, Leyla Iyilikci, Seden Duru et al. The attitudes and behaviors of anaesthesiology and reanimation specialists in anaesthesia care applications outside the operating room in Turkey: A survey investigation. Turk J Anaesthesiol Reanim. 2014;42:196-213.
12. Karamnov S , Sarkisian N, Grammer R, et al. Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. J Patient Saf. 2017;13:111-21.
13. ASA. Statement on nonoperating room anesthetizing locations: committee of origin: standards and practice parameters (approved by the ASA house of delegates on October 19, 1994, and last amended on October 16, 2013). ASA; 2013.
14. SIAARTI Study Group For Safety in Anesthesia and Intensive Care. Recommendations for anesthesia and sedation in nonoperating room locations. Minerva Anesthesiol. 2005;71:11-20.
15. Practice guidelines for postanesthetic care: A Report by the American Society of Anesthesiologists task force on postanesthetic care. Anesthesiology. 2002;96:742–52.