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Keywords Anesthesia crisis resource man...

Anesthesia crisis resource management

https://read.qxmd.com/read/34268150/strategies-to-offer-uninterrupted-neurosurgical-care-at-a-tertiary-center-in-makka-amid-covid-19-pandemic
#21
JOURNAL ARTICLE
Mohammed A Azab
Background: Globally, there is a shooting pandemic that affected many healthcare systems. Healthcare facilities had to set up logistics to avoid being drained while facing a catastrophic health problem. There are currently no available vaccines or perfect therapies and also no certified immunity against that disease. Therefore, it is probable that healthcare systems will face it for an exceptionally long period. That will have a grave effect on the strategy of daily practice of different specialties' services at healthcare centers...
April 2021: Asian Journal of Neurosurgery
https://read.qxmd.com/read/33997845/implementation-of-crisis-resource-management-based-team-training-in-lower-austria
#22
JOURNAL ARTICLE
Helmut Trimmel, Daniel Csomor, Martina Seedoch, Evelyn Drach, Andrea Trimmel
Objective: Sequelae of medical errors are a significant problem in acute care. Human-factor-based events are frequent but avoidable causes. Thus, non-technical skills are crucial. In 2008, crisis-resource-management (CRM)-based simulation training was established for the medical staff of the Lower Austria Regional Hospitals, one of the largest hospital operators in Europe. Methods: Implementation and development of simulation training from 2008 until today are described, costs and performance data retrospectively analysed over a 10-year period...
April 2021: Turkish Journal of Anaesthesiology and Reanimation
https://read.qxmd.com/read/33950591/-training-in-reconstructive-surgery-in-sub-saharan-africa-the-%C3%A2-2nd-chance-%C3%A2-model
#23
JOURNAL ARTICLE
Lionel Dumont, Marc Péchère, Benjamin Gold, Ali Modarressi, Anne Zeidan, Pierre Quinodoz
Based in Geneva since 2010, 2nd Chance's mission is the development of reconstructive surgery care in resource-limited countries with a focus on sub-Saharan Africa, through teaching and advocacy activities. We develop the surgical management of patients on the one hand, providing training for African surgical teams. On the other hand, we support surgical procedures for patients, in the areas of reconstructive surgery, giant goiters, obstetric fistulas and anesthesia so that quality care is guaranteed for the long term...
May 5, 2021: Revue Médicale Suisse
https://read.qxmd.com/read/33679254/high-flow-nasal-cannula-a-boon-or-a-bane-for-covid-19-patients-an-evidence-based-review
#24
REVIEW
Abhishek Singh, Puneet Khanna, Soumya Sarkar
PURPOSE OF REVIEW: This review instantiates the efficacy and safety of HFNC in the context of COVID-19 pandemic. RECENT FINDINGS: Globally, the healthcare system is facing an unprecedented crisis of resources due to the 2019 novel coronavirus disease (COVID-19) pandemic. Fever, cough, dyspnea, myalgia, fatigue, and pneumonia are the most common symptoms associated with it. The incidence of invasive mechanical ventilation in ICU patients ranges from 29.1 to 89.9%...
2021: Current Anesthesiology Reports
https://read.qxmd.com/read/33516750/understanding-barriers-and-facilitators-to-behavior-change-after-implementation-of-an-interdisciplinary-surgical-non-technical-skills-training-program-in-rwanda
#25
JOURNAL ARTICLE
Egide Abahuje, Andrew Bartuska, Rachel Koch, George Youngson, George Ntakiyiruta, Wendy Williams, Roger D Dias, Claudia Rosu, Steven Yule, Robert Riviello
OBJECTIVE: Nontechnical skills, such as situation awareness, decision making, leadership, communication, and teamwork play a crucial role on the quality of care and patient safety in the operating room (OR). In our previous work, we developed an interdisciplinary training program, based on the NOTSS (Non-Technical Skills for Surgeons) taxonomy. The aim of this study was to understand the challenges faced by Rwandan surgical providers, who had undergone NOTSS training, to apply these nontechnical skills during subsequent operative surgery...
January 27, 2021: Journal of Surgical Education
https://read.qxmd.com/read/33487899/impact-of-the-covid-19-pandemic-on-anesthesiologists-in-india-a-cross-sectional-online-survey-of-the-practices-preparedness-and-mind-set
#26
JOURNAL ARTICLE
Gauri Raman Gangakhedkar, Sohan Lal Solanki
Background and Aims: India is one of the five worst hit countries in the world due to COVID-19, by the fourth week of June 2020. The impact of COVID-19 on the health practices is well-documented but there are no studies assessing its impact on anesthesiologists in India. This study aims at assessment of the impact of COVID-19 on the practices followed, the preparedness, and mindset of anesthesiologists in India. Material and Methods: Using Google forms, a cross-sectional, questionnaire-based survey was conducted between the 5th and 22nd of May, 2020, among trainees and practicing anesthesiologists, in India...
July 2020: Journal of Anaesthesiology, Clinical Pharmacology
https://read.qxmd.com/read/33427914/-the-disaster-task-force-medical-officer-as-a-pivotal-decision-maker-in-the-superordinate-pandemic-hospital-capacity-management-a-field-report-covering-the-initial-covid-19-surge-in-a-bavarian-district
#27
JOURNAL ARTICLE
Michael S Dittmar, Jürgen Altmeppen, Marc U Bigalke, Florian Niedermirtl, Markus Zimmermann
BACKGROUND AND OBJECTIVE: During the initial phase of the COVID-19 pandemic the government of the state of Bavaria, Germany, declared a state of emergency for its entire territory for the first time in history. Some areas in eastern Bavaria were among the most severely affected communities in Germany, prompting authorities and hospitals to build up capacities for a surge of COVID-19 patients. In some areas, intensive care unit (ICU) capacities were heavily engaged, which occasionally made a redistribution of patients necessary...
January 11, 2021: Der Anaesthesist
https://read.qxmd.com/read/33124109/not-a-first-world-problem-care-of-the-anesthetist-in-east-and-southern-africa
#28
JOURNAL ARTICLE
Rediet Shimeles Workneh, Eugene Tuyishime, Mbangu Mumbwe, Elizabeth Namugaya Igaga, M Dylan Bould
Burnout and related concepts such as resilience, wellness and taking care of healthcare professionals have become increasingly prevalent in the medical literature. Most of the work in this area comes from high-income countries, with the remainder from upper-middle income countries, and very little from lower-middle income or low-income countries. Sub-Saharan Africa is particularly poorly represented in this body of literature. Anglo-American concepts are often applied to different jurisdictions without consideration of cultural and societal differences, However, anesthesia providers in this region have unique challenges, with both the highest burden of "surgical" disease in the world and the least resources, both in terms of human resources for health and in essential drugs and equipment...
October 29, 2020: Paediatric Anaesthesia
https://read.qxmd.com/read/32891662/ketamine-for-pain-control-of-snake-envenomation-in-guinea-a-case-series
#29
JOURNAL ARTICLE
Nicklaus Brandehoff, Jordan Max Benjamin, Cellou Balde, Jean-Philippe Chippaux
Snakebite envenomation is a global health crisis and is classified as a Category A neglected tropical disease by the World Health Organization (WHO). Snakebite envenomations account for a significant amount of morbidity and morbidity in tropical and subtropical regions. Recently, publications have illustrated the potential for snake envenomations causing post-traumatic stress disorder (PTSD) in a significant number of patients. Ketamine is on the WHO's list of essential medications and is used for a variety of pharmacologic applications including anesthesia and acute pain management...
November 2020: Toxicon: Official Journal of the International Society on Toxinology
https://read.qxmd.com/read/32715050/data-and-debriefing-observations-on-healthcare-simulation-to-prepare-for-the-covid-19-pandemic
#30
JOURNAL ARTICLE
M H Andreae, A Dudak, V Cherian, P Dhar, P G Dalal, W Po, M Pilipovic, B Shah, W Hazard, D L Rodgers, E H Sinz
We report on data and debriefing observations in the context of an immersive simulation conducted to (a) train clinicians and (b) test new protocols and kits, developed in table-top exercises without prior clinical experience to fit anticipated clinical encounters in the setting of the rapidly expanding COVID-19 pandemic. We simulated scenarios with particular relevance for anesthesiology, perioperative and critical care, including (1) cardiac arrest, (2) emergency airway management, (3) tele-instruction for remote guidance and supervision, and (4) transporting an intubated patient...
August 2020: Data in Brief
https://read.qxmd.com/read/32377936/la-d%C3%A3-finition-des-moments-critiques-et-non-critiques-en-salle-d-op%C3%A3-ration-une-%C3%A3-tude-de-consensus-delphi-modifi%C3%A3-e
#31
JOURNAL ARTICLE
Sylvain Boet, Cole Etherington, Agnes Crnic, Julie Kenna, James Jung, Martin Cairns, Glen Posner, Teodor Grantcharov
BACKGROUND: While the operating room (OR) has significantly benefited from aviation strategies to improve safety, the rate of avoidable human errors remains relatively high. One key aviation strategy that has yet to be formally established in the OR is the "sterile cockpit" rule, which prohibits all non-essential behaviours during critical moments of a flight. Applying this rule to the OR may enhance patient safety, but the critical moments of surgery need to be defined first. METHODS: This study used a modified Delphi methodology to determine critical moments during surgery according to OR team members across institutions, professions, and specialties...
August 2020: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/31743185/development-and-usability-testing-of-the-society-for-pediatric-anesthesia-pedi-crisis-mobile-application
#32
JOURNAL ARTICLE
Anna Clebone, Kim M Strupp, Gina Whitney, Michael R Anderson, Jeffrey Hottle, James Fehr, Myron Yaster, Laura E Schleelein, Barbara K Burian, Jorge A Galvez, Justin L Lockman, David Polaner, Natalie R Barnett, Michael J Keane, Shashikanth Manikappa, Stephen Gleich, Robert S Greenberg, Ariel Vincent, Sarah L Oswald, Red Starks, Scott Licata
When life-threatening, critical events occur in the operating room, the fast-paced, high-distraction atmosphere often leaves little time to think or deliberate about management options. Success depends on applying a team approach to quickly implement well-rehearsed, systematic, evidence-based assessment and treatment protocols. Mobile devices offer resources for readily accessible, easily updatable information that can be invaluable during perioperative critical events. We developed a mobile device version of the Society for Pediatric Anesthesia 26 Pediatric Crisis paper checklists-the Pedi Crisis 2...
December 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/30574565/improving-clinical-performance-of-an-interprofessional-emergency-medical-team-through-a-one-day-crisis-resource-management-training
#33
JOURNAL ARTICLE
Teodora Sorana Truta, Cristian Marius Boeriu, Marc Lazarovici, Irina Ban, Marius Petrişor, Sanda-Maria Copotoiu
Introduction: Errors are frequent in health care and Emergency Departments are one of the riskiest areas due to frequent changes of team composition, complexity and variety of the cases and difficulties encountered in managing multiple patients. As the majority of clinical errors are the results of human factors and not technical in nature or due to the lack of knowledge, a training focused on these factors appears to be necessary. Crisis resource management (CRM), a tool that was developed initially by the aviation industry and then adopted by different medical specialties as anesthesia and emergency medicine, has been associated with decreased error rates...
October 2018: Journal of Critical Care Medicine
https://read.qxmd.com/read/30540613/development-and-usability-testing-of-the-society-for-pediatric-anesthesia-pedi-crisis-mobile-application
#34
JOURNAL ARTICLE
Anna Clebone, Kim M Strupp, Gina Whitney, Michael R Anderson, Jeffrey Hottle, James Fehr, Myron Yaster, Laura E Schleelein, Barbara K Burian, Jorge A Galvez, Justin L Lockman, David Polaner, Natalie R Barnett, Michael J Keane, Shashikanth Manikappa, Stephen Gleich, Robert S Greenberg, Ariel Vincent, Sarah L Oswald, Red Starks, Scott Licata
When life-threatening, critical events occur in the operating room, the fast-paced, high-distraction atmosphere often leaves little time to think or deliberate about management options. Success depends on applying a team approach to quickly implement well-rehearsed, systematic, evidence-based assessment and treatment protocols. Mobile devices offer resources for readily accessible, easily updatable information that can be invaluable during perioperative critical events. We developed a mobile device version of the Society for Pediatric Anesthesia 26 Pediatric Crisis paper checklists-the Pedi Crisis 2...
December 11, 2018: Anesthesia and Analgesia
https://read.qxmd.com/read/30341014/bringing-perioperative-emergency-manuals-to-your-institution-a-how-to-from-concept-to-implementation-in-10-steps
#35
JOURNAL ARTICLE
Aalok V Agarwala, L Kelsey McRichards, Vanessa Rao, Vanessa Kurzweil, Sara N Goldhaber-Fiebert
BACKGROUND: Emergency manuals (EMs) are context-relevant sets of crisis checklists or cognitive aids designed to enable professional teams to deliver optimal care during critical events. Evidence from simulation and other high-risk industries have proven that use of these types of checklists can significantly improve event management and decrease omissions of key steps. However, simply printing and placing tools in operating rooms (ORs) is unlikely to be effective. How interventions are implemented influences whether clinicians actually change practice and whether patient care is affected...
March 2019: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/30095658/improving-nontechnical-skills-of-an-interprofessional-emergency-medical-team-through-a-one-day-crisis-resource-management-training
#36
JOURNAL ARTICLE
Teodora Sorana Truta, Cristian Marius Boeriu, Sanda-Maria Copotoiu, Marius Petrisor, Emilia Turucz, Dan Vatau, Marc Lazarovici
Errors are frequent in healthcare, but Emergency Departments are among the highest risk areas due to frequent changes in team composition, complexity and variety of cases, and difficulties encountered in managing multiple patients simultaneously.Crisis resource management (CRM) training has been associated with decreased error rates in the aviation industry as well as in certain areas of acute medical care, such as anesthesia and emergency medicine. In this study, we assessed whether a single day CRM training, combining didactic and simulation sessions, improves nontechnical skills (NTS) of interprofessional emergency medical teams...
August 2018: Medicine (Baltimore)
https://read.qxmd.com/read/30057932/development-of-a-multiple-choice-test-for-novice-anesthesia-residents-to-evaluate-knowledge-related-to-management-of-general-anesthesia-for-urgent-cesarean-delivery
#37
JOURNAL ARTICLE
Allison J Lee, Stephanie R Goodman, Shawn E Banks, Meiko Lin, Ruth Landau
Background: Teaching trainees the knowledge and skills to perform general anesthesia (GA) for cesarean delivery (CD) requires innovative strategies, as they may never manage such cases in training. We used a multistage design process to create a criterion-referenced multiple-choice test as an assessment tool to evaluate CA1's knowledge related to this scenario. Methods: Three faculty created 33 questions, categorized as: (1) physiologic changes of pregnancy (PCP), (2) pharmacology (PHA), (3) anesthetic implications of pregnancy (AIP), and (4) crisis resource management principles (CRM)...
April 2018: Journal of Education in Perioperative Medicine: JEPM
https://read.qxmd.com/read/29680811/does-the-age-of-acute-care-physicians-impact-their-1-crisis-management-performance-and-2-learning-after-simulation-based-education-a-protocol-for-a-multicentre-prospective-cohort-study-in-toronto-and-ottawa-canada
#38
MULTICENTER STUDY
Fahad Alam, Vicki R LeBlanc, Alan Baxter, Jordan Tarshis, Dominique Piquette, Yuqi Gu, Caroline Filipowska, Ashley Krywenky, Nicole Kester-Greene, Pierre Cardinal, Shelly Au, Sandy Lam, Sylvain Boet, Perioperative Anesthesia Clinical Trials Group
INTRODUCTION: The proportion of older acute care physicians (ACPs) has been steadily increasing. Ageing is associated with physiological changes and prospective research investigating how such age-related physiological changes affect clinical performance, including crisis resource management (CRM) skills, is lacking. There is a gap in the literature on whether physician's age influences baseline CRM performance and also learning from simulation. We aim to investigate whether ageing is associated with baseline CRM skills of ACPs (emergency, critical care and anaesthesia) using simulated crisis scenarios and to assess whether ageing influences learning from simulation-based education...
April 21, 2018: BMJ Open
https://read.qxmd.com/read/29622308/oral-and-maxillofacial-surgery-team-anesthesia-model-and-anesthesia-assistant-training
#39
REVIEW
Stephanie J Drew
The model for oral and maxillofacial surgery (OMFS) delivery of office-based, open airway anesthesia has morphed from the operator-anesthetist to the delivery of team anesthesia, supporting a widespread focus on organizational aspects of the delivery of care. The training, continuing education, and coordination of a diverse anesthesia team provides a system to improve the safety and efficacy of anesthesia delivery. The hallmarks of this system include communication, checks and balances, monitoring, team dynamics, protocols, emergency scenario preparation and rehearsal, and crisis resource management during an emergent situation...
May 2018: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/29547423/strengthening-the-anesthesia-workforce-in-low-and-middle-income-countries
#40
JOURNAL ARTICLE
Søren Kudsk-Iversen, Naomi Shamambo, M Dylan Bould
The majority of the world's population lacks access to safe, timely, and affordable surgical care. Although there is a health workforce crisis across the board in the poorest countries in the world, anesthesia is disproportionally affected. This article explores some of the key issues that must be tackled to strengthen the anesthesia workforce in low- and lower-middle-income countries. First, we need to increase the overall number of safe anesthesia providers to match a huge burden of disease, particularly in the poorest countries in the world and in remote and rural areas...
April 2018: Anesthesia and Analgesia
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