Establishing a new national standard for the documentation of regional anaesthesia in Ireland

Moran, Peter; Fennessy, Paul; Johnson, Mark

doi:10.1136/bmjoq-2017-000210

Cited by 11 publications

(14 citation statements)

References 4 publications

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“…4,5,15,16 Also adequate documentation of perioperative anaesthetic events will be valuable to subsequent anaesthetists who required to provide anaesthetic services to a patient for the future. 15,17,18 Conclusions This audit identified that there were significant improvements of post intervention documentation. We recommend having a regular lecturing method and re auditing of documentation trends of our third year anaesthesia students.…”

Section: Discussionmentioning

confidence: 88%

Improving the completeness of anaesthesia record charts for obstetric subarachnoid block among third year anaesthesia students in University of Gondar

Chekol

Mersha

Arefaynie

et al. 2020

Sri Lankan J Anaesthesiol

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Documentation during obstetrics spinal anaesthesia will demand accuracy and completeness for maternal and neonatal safety. Third year anaesthesia students are the pioneer participants in documentation of perioperative information. This audit aimed to improve the documentation trends of third year anaesthesia students after subarachnoid obstetric anaesthesia. Methods: It was conducted from April to May 13, 2019 in University of Gondar Referral Hospital at maternity wards. Data were analyzed with SPSS version 20. Categorical variables were analyzed with chisquare test. Results: Documentation completion was 58.2% before interventions and 81.13% after interventions. Documentation completion of hospital number, name of the surgeon and urine output significantly improved after interventions Conclusions: This audit identified significant improvements of post intervention documentation of patient's data such as patient height, preoperative blood pressure and baseline saturation. So, we recommend having regular lecturing and re-auditing of documentation trends of our third year anaesthesia students.

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Section: Discussionmentioning

confidence: 88%

Improving the completeness of anaesthesia record charts for obstetric subarachnoid block among third year anaesthesia students in University of Gondar

Chekol

Mersha

Arefaynie

et al. 2020

Sri Lankan J Anaesthesiol

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“…Once regional nerve block is performed ,it is vital to accurately document the procedure in detail by using a number of safety measures such as obtaining patient consent, ensuring appropriate monitoring, checking all equipments, drugs and performance of the correct surgical site. 4 According to our clinical audit most of the factors that audited by the standard was below 50% such as signature of service provider, consent, attempting of the technique, length of the procedure, approach of the nerve block, size of the needle, site of the block, time out period, level of sedation and indication of the nerve block. The possible reason for inadequate documentation might be there are no specified protocols which should be recorded for each individual nerve block, less adequate documentation form, interpersonal variations, lack of reassessment of the chart after nerve block and inadequate training of practitioners.…”

Section: Discussionmentioning

confidence: 92%

“…1,2 Regional nerve blocks are increasingly used as a component of multimodal analgesia and may be administered as single injection, catheter placement techniques or nerve stimulator technique. 3,4 One excellent means of postoperative pain management with nerve block is that recording its conduct in the chart in a location separate from the anaesthetic record sheet. 1,2,5 However, lack of adequate perioperative documentation has legal implications and can potentially affect the quality and safety of patient care.…”

Section: Introductionmentioning

confidence: 99%

Audit on documentation completeness after regional nerve blocks at University of Gondar referral hospital, 2018

Chekol¹,

Denu²,

Tawuye³

et al. 2018

JACCOA

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“…In recent years, with the wide application of anesthetic drugs, the anesthetic complications have been increased annually [23]. Notably, the role of anesthetic drugs in the central nervous system, especially in the ability of learning and memory for infants and children, has been widely reported [24,25]. Recently, there is an increasing focus on neuron injury-induced by isoflurane.…”

Section: Discussionmentioning

confidence: 99%

Neuroprotective effects of miR-142-5p downregulation against isoflurane-induced neurological impairment

2020

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Background: Isoflurane can lead to neuron damage to the developing brain, resulting in learning and memory disability. The aim of this study was to investigate the role of miR-142-5p on isoflurane-induced neurological impairment. Methods: The Morris water maze (MWM) test was performed to evaluate spatial learning and memory of rats. The expression level of miR-142-5p was measured using qRT-PCR. MTT assay was used to calculate the viability of hippocampal neuronal cells. The cell apoptosis was analyzed using Flow cytometric assay. Results: Isoflurane treatment led to the increase of neurological function score and escape latency, and the reduction of time spent in the original quadrant in rats. The expression level of miR-142-5p was increased significantly in isoflurane-treated rats. MiR-142-5p downregulation protected against isoflurane-induced neurological impairment, which was reflected by the decrease of neurological function score and escape latency, and the increase of time spent in the original quadrant. In vitro, downregulation of miR-142-5p alleviated isoflurane-induced neuron cell viability inhibition, and relieved isoflurane-induced cell apoptosis. Conclusions: MiR-142-5p downregulation plays a neuroprotective role in protecting against isoflurane-induced neurological impairment through regulating neuron cell viability and apoptosis. It provides a theoretical basis for the investigation of the mechanism underlying the effect on isoflurane-induced neurological impairment.

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Establishing a new national standard for the documentation of regional anaesthesia in Ireland

Cited by 11 publications

References 4 publications

Improving the completeness of anaesthesia record charts for obstetric subarachnoid block among third year anaesthesia students in University of Gondar

Improving the completeness of anaesthesia record charts for obstetric subarachnoid block among third year anaesthesia students in University of Gondar

Audit on documentation completeness after regional nerve blocks at University of Gondar referral hospital, 2018

Neuroprotective effects of miR-142-5p downregulation against isoflurane-induced neurological impairment

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