Evaluation of the utilization of the preanaesthetic clinics in a University teaching hospital

Subramanian, Hariharan; Chen, Deryk; Merritt-Charles, L

doi:10.1186/1472-6963-6-59

Cited by 14 publications

(9 citation statements)

References 24 publications

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“…The anesthesiologist's patient-care paradigm starts from the preoperative period, where evaluation and optimization of the physical status of the surgical patient is one of the core responsibilities to avoid adverse patient outcomes [7]. Patients primarily consult the surgeon for their illness and are then referred by the surgeon to the anesthesiologist.…”

Section: Preoperative Issuesmentioning

confidence: 99%

Ethical issues in anesthesia: the need for a more practical and contextual approach in teaching

Subramanian

2009

J Anesth

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Teaching ethics to medical students is one of the current topics of major interest. Issues of ethics pertaining to anesthesia are unique. This article reviews these issues with respect to the preoperative, intraoperative, and postoperative periods. The author shares the experience of incorporating ethical issues into every clinical scenario in the problem-based learning sessions of both undergraduate and postgraduate students. In addition to separate modules in didactic and clinical formats, incorporating the ethical aspects into every clinical problem has many advantages. This approach will stimulate students to ponder over the ethical dimension of every clinical scenario, and the reinforcement of this approach during teaching in the clinical setting may help in inculcating these qualities in the students. Additionally, this approach contextualizes these issues to the local and regional perspective, instead of lecturing on the ethical codes developed elsewhere.

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Section: Preoperative Issuesmentioning

confidence: 99%

Ethical issues in anesthesia: the need for a more practical and contextual approach in teaching

Subramanian

2009

J Anesth

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“…The room turn over time may also be reduced if more recovery room beds were made available (26) . In a recent study it was found that only 7% of the surgical procedures were started on time (27) . Training and delegation of responsibilities to young motivated qualified nurses as 'Sisterin-charge' to take over the administrative responsibility of the operating theater might help to overcome this problem.…”

Section: Original Article Cancelled Elective General Surgical Operatimentioning

confidence: 99%

Magnitude of Cancelled Elective General Surgical Operations at Omdurman Teaching Hospital , 2012 - 2013 = حجم إلغاء عمليات الجراحة العامة المخططة في مستشفى أم درمان التعليمي 2012 - 2013

Elrahman¹,

Hamza²,

El-haj³

2014

SMJ

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“… 2 Thus, it is essential for secure anaesthetic practice since it detects anaesthesia-related risk factors and high-risk patients, improves patient outcomes, prepares the patient physically and psychologically for anaesthesia, and ensures the patient’s most favourable condition for surgery and anaesthesia. 11–13 This is primarily performed by interviewing and examining the patient; reviewing previous medical, surgical and anaesthesia issues; evaluating current medication; and obtaining and reviewing preoperative tests. 10 PACs also allow increased communication between healthcare providers and coordination with postoperative care.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of pre-anaesthetic assessment clinic: a systematic review of randomised and non-randomised prospective controlled studies

et al. 2022

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ObjectivesThe aim of this systematic review was to examine the effectiveness of pre-anaesthesia assessment clinics (PACs) in improving the quality and safety of perioperative patient care.DesignSystematic review.Data sourcesThe electronic databases CINAHL Plus with Full Text (EBSCOhost), Medline and Embase (OvidSP) were systematically searched on 11 September 2018 and updated on 3 February 2020 and 4 February 2021.Eligibility criteriaThe inclusion criteria for this study were studies published in English or Scandinavian language and scientific original research that included randomised or non-randomised prospective controlled studies. Additionally, studies that reported the outcomes from a PAC consultation with the patient present were included.Data extraction and synthesisTitles, abstracts and full texts were screened by a team of three authors. Risk of bias was assessed using the Joanna Briggs Institute critical appraisal checklist for quasi-experimental studies. Data extraction was performed by one author and checked by four other authors. Results were synthesised narratively owing to the heterogeneity of the included studies.ResultsSeven prospective controlled studies on the effectiveness of PACs were included. Three studies reported a significant reduction in the length of hospital stay and two studies reported a significant reduction in cancellation of surgery for medical reasons when patients were seen in the PAC. In addition, the included studies presented mixed results regarding anxiety in patients. Most studies had a high risk of bias.ConclusionThis systematic review demonstrated a reduction in the length of hospital stay and cancellation of surgery when the patients had been assessed in the PAC. There is a need for high-quality prospective studies to gain a deeper understanding of the effectiveness of PACs.PROSPERO registration numberCRD42019137724.

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Evaluation of the utilization of the preanaesthetic clinics in a University teaching hospital

Cited by 14 publications

References 24 publications

Ethical issues in anesthesia: the need for a more practical and contextual approach in teaching

Ethical issues in anesthesia: the need for a more practical and contextual approach in teaching

Magnitude of Cancelled Elective General Surgical Operations at Omdurman Teaching Hospital , 2012 - 2013 = حجم إلغاء عمليات الجراحة العامة المخططة في مستشفى أم درمان التعليمي 2012 - 2013

Effectiveness of pre-anaesthetic assessment clinic: a systematic review of randomised and non-randomised prospective controlled studies

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