Nonobstetric Surgery during Pregnancy: An Overview for Anesthesia Providers

2021 ◽  
Author(s):  
Rebecca L Hamilton ◽  
Elizabeth Young Han ◽  
Dan M Drzymalski
Keyword(s):  
Anesthesia Providers

Illuminating the decision-making strategies of anesthesia providers in challenging cases

2020 ◽  
Vol 64 (1) ◽  
pp. 653-657
Author(s):  
Joshua Biro ◽  
David M. Neyens ◽  
Candace Jaruzel ◽  
Catherine D. Tobin ◽  
Myrtede Alfred ◽  
...  
Keyword(s):  
Decision Making ◽  
Work Environment ◽  
Medication Errors ◽  
Information Seeking ◽  
Best Practice ◽  
Practice Recommendations ◽  
Medication Delivery ◽  
Anesthesia Providers ◽  
Healthcare Work ◽  
Realistic View

Medication errors and error-related scenarios in anesthesia remain an important area of research. Interventions and best practice recommendations in anesthesia are often based in the work-as-imagined healthcare system, remaining under-used due to a range of unforeseen complexities in healthcare work-as- done. In order to design adaptable anesthesia medication delivery systems, a better understanding of clinical cognition within the context of anesthesia work is needed. Fourteen interviews probing anesthesia providers’ decision making were performed. The results revealed three overarching themes: (1) anesthesia providers find cases challenging when they have incomplete information, (2) decision-making begins with information seeking, and (3) attributes such as expertise, experience, and work environment influence anesthesia providers’ information seeking and synthesis of tasks. These themes and the context within this data help create a more realistic view of work-as-done and generate insights into what potential medication error reducing interventions should look to avoid and what they could help facilitate.

scholarly journals Trends in Central Venous Catheter Insertions by Anesthesia Providers

2020 ◽  
Vol 130 (4) ◽  
pp. 1026-1034
Author(s):  
Daniel S. Rubin ◽  
Jeffrey L. Apfelbaum ◽  
Avery Tung
Keyword(s):  
Central Venous Catheter ◽  
Venous Catheter ◽  
Central Venous ◽  
Anesthesia Providers

P26 Anesthesia providers perspectives on abortion provision: A qualitative study

Contraception ◽  
2020 ◽  
Vol 102 (4) ◽  
pp. 285
Author(s):  
J. Reeves ◽  
P. Goedken ◽  
K.S. Hall ◽  
S. Lee ◽  
C. Cwiak
Keyword(s):  
Qualitative Study ◽  
Anesthesia Providers

The potential for addiction in anesthesia providers

2012 ◽  
pp. 1118-1120
Author(s):  
Ethan O. Bryson ◽  
Jeffrey H. Silverstein
Keyword(s):  
Anesthesia Providers

Investigating Intraoperative and Intraprofessional Handoffs in Anesthesia

2018 ◽  
Vol 62 (1) ◽  
pp. 469-473
Author(s):  
Katherina Jurewicz ◽  
Myrtede Alfred ◽  
David M. Neyens ◽  
Ken Catchpole ◽  
Anjali Joseph ◽  
...  
Keyword(s):  
International Organizations ◽  
Medical Errors ◽  
Maintenance Phase ◽  
Healthcare Systems ◽  
Surgical Team ◽  
High Quality ◽  
Effective Strategies ◽  
Surgical Case ◽  
Anesthesia Providers ◽  
Contextual Elements

Handoffs occur frequently in healthcare systems, and miscommunications and critical omissions within handoffs have been linked to serious medical errors. Handoff quality is a priority of patient safety initiatives across several international organizations. The majority of previous research in handoffs have focused on postoperative handoffs; yet, there is a need to specifically investigate intraoperative handoffs, especially within individual professions or subspecialties. Each subspecialty within a surgical team may approach handoffs differently. The anesthesia team is especially unique as they take a team-based approach to patient care where multiple anesthesia providers may be involved in one surgical case. We describe an observational study of intraoperative and intraprofessional handoffs in anesthesia. Temporary and permanent handoffs were investigated as well as the contextual elements that influenced handoff procedures. In a sample of 35 video recorded surgeries, a total of 16 handoffs were identified for the maintenance phase of surgery. These handoffs ranged between 33 seconds and 7.42 minutes in duration. Our study revealed variability in intraoperative handoffs during the maintenance phase of anesthesia and emphasizes that intraoperative and intraprofessional handoffs warrant more in-depth examination in order to develop effective strategies or tools for high quality handoffs in anesthesia.

scholarly journals CME Article: Perceptions of Acupuncture and Acupressure by Anesthesia Providers: A Quantitative Descriptive Study

2016 ◽  
Vol 28 (2) ◽  
pp. 79-86 ◽  
Author(s):  
Amanda C. Faircloth ◽  
Arkadiy Dubovoy ◽  
Chuck Biddle ◽  
Diane Dodd-McCue ◽  
John F. Butterworth
Keyword(s):  
Descriptive Study ◽  
Anesthesia Providers ◽  
Quantitative Descriptive Study ◽  
Quantitative Descriptive

scholarly journals Clinical Knowledge and Practice of “Ketofol” at University of Gondar Comprehensive Specialized Hospital

2021 ◽  
Vol 8 ◽  
Author(s):  
Nigist Alemayehu Woldekidan ◽  
Ammas Siraj Mohammed
Keyword(s):  
Undergraduate Students ◽  
Binary Logistic Regression ◽  
Clinical Knowledge ◽  
Cross Sectional ◽  
Postgraduate Students ◽  
Anesthesia Providers ◽  
Specialized Hospital ◽  
Combined Use ◽  
Knowledge And Practice ◽  
The University

Background: Ketamine and propofol in a single syringe are reported to create an admixture used for balancing cardiorespiratory effects during induction of general anesthesia. This study aimed to assess the clinical practice and knowledge of “ketofol” among anesthesia providers.Methods: A cross-sectional institutional-based study was conducted among anesthesia providers. Data abstracted format was prepared and distributed to senior anesthetists, junior anesthetist postgraduate students, and undergraduate students. The study was conducted from January 1, 2019, to January 30, 2019. Descriptive statistics and binary logistic regression were performed for frequency distribution and to determine the association, respectively.Result: From a total of 133 participants included in the study, the majority, 88 (66.2%), were men and 75 (56.9%) had 0–2 years of experience. More than two-thirds of participants, 105 (78.9%), have never had a seminar or educational session about combined use. Lack of experience among 11 participants (8.3%) was one of the reasons for not using “ketofol” followed by lack of knowledge among three (2.3%) participants. The majority of participants, 112 (84.2%), prefer ketamine and propofol to be administered one right after the other with separate syringes and the ratio to be 1:2, 64 (48.2). There was no significant association observed between sociodemographic and other characteristics and the practice of “ketofol.”Conclusion: In this study, nearly half of the participants rated their knowledge at the average level, and the study identifies that there is clinical knowledge and practice gap among anesthesia providers working in the University of Gondar Comprehensive Specialized Hospital (UOGCSH). Preparing educational sessions regarding “ketofol” for addressing identified barriers is among the recommendations forwarded to UOGCSH.

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