Emergency surgery and American Society of Anesthesiologists physical status score are the most influential risk factors of death in nonagenarian surgical patients

2019 ◽  
Vol 19 (4) ◽  
pp. 293-298 ◽  
Author(s):  
Roberto Fariña‐Castro ◽  
Cristina Roque‐Castellano ◽  
Manuel Artiles‐Armas ◽  
Joaquín Marchena‐Gómez
Keyword(s):  
Risk Factors ◽  
Emergency Surgery ◽  
Surgical Patients ◽  
Physical Status ◽  
Status Score ◽  
American Society ◽  
American Society Of Anesthesiologists

The Pediatric-Specific American Society of Anesthesiologists Physical Status Score

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lynne Ferrari ◽  
Izabela Leahy ◽  
Steven J. Staffa ◽  
Jay G. Berry
Keyword(s):  
Physical Status ◽  
Status Score ◽  
American Society ◽  
American Society Of Anesthesiologists

scholarly journals Performance Improvement System and Postoperative Corneal Injuries

2009 ◽  
Vol 111 (2) ◽  
pp. 320-326 ◽  
Author(s):  
David P. Martin ◽  
Toby N. Weingarten ◽  
Paul W. Gunn ◽  
KunMoo Lee ◽  
Michael A. Mahr ◽  
...  
Keyword(s):  
Risk Factors ◽  
Performance Improvement ◽  
Odds Ratio ◽  
Injury Rate ◽  
Student Nurse ◽  
Perioperative Outcomes ◽  
Physical Status ◽  
Corneal Injury ◽  
American Society ◽  
American Society Of Anesthesiologists

Background The authors' department conducted a performance improvement initiative aimed to reduce the rate of perioperative corneal injuries. This study reports the effects of the initiative and examines the risk factors for corneal injury. Method The rate of corneal injuries during nonophthalmologic procedures under anesthesia was compared between the two time periods: preinitiative baseline (August 1, 2005-December 31, 2005) and initiative period (January 1, 2006-April 30, 2007). To examine the risk factors for corneal injury, a nested case-control study with a 2:1 matched-set design was separately performed and included cases between January 1, 2006 and July 31, 2008. Results During the baseline period, the corneal injury rate was 1.51 per 1,000, and it decreased to 0.79 per 1,000 during the performance initiative (P = 0.008). Independent risk factors were longer anesthetics (odds ratio = 1.2, 95% confidence interval (CI) 1.1-1.3 per 30 min), lower American Society of Anesthesiologists physical status (odds ratio 0.5, 95% CI 0.3-0.8 for American Society of Anesthesiologists physical status 3-4 vs. 1-2), and student nurse anesthetist as a primary anesthesia provider (odds ratio 2.6, 95% CI 1.3-5.0). Conclusion Corneal injury rate in our institution was significantly reduced and remains at low levels long after initiation of perioperative eye care improvement initiative. The higher rate of corneal injuries among student nurse anesthetists highlights the importance of standardizing education and supervision among all anesthesia providers. We believe that our model of performance improvement initiative can be used to improve other perioperative outcomes.

Pulmonary Aspiration

2018 ◽  
pp. 168-173
Keyword(s):  
Clinical Significance ◽  
Postoperative Period ◽  
Perioperative Period ◽  
Clinical Findings ◽  
Pulmonary Aspiration ◽  
Surgical Patients ◽  
Physical Status ◽  
Emergency Procedures ◽  
American Society ◽  
American Society Of Anesthesiologists

This case focuses on pulmonary aspirations during the perioperative period by asking the question: What is the incidence and clinical significance of pulmonary aspiration during the perioperative period based on the predictive potential of common clinical findings? This study showed that pulmonary aspiration among surgical patients was associated with increasing American Society of Anesthesiologists (ASA) physical status and emergency procedures. Patient with clinically apparent pulmonary aspiration who do not develop signs or symptoms within 2 hours in the immediate postoperative period are unlikely to have respiratory sequelae.

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