Cost consciousness among anaesthetic staff

Abstract Introduction GS related disease account for almost 1/3rd admissions and referrals in EGS 1. Rate of early cholecystectomy, as mandated by NICE guidelines, in a recent RCS annual report was only 0-30% of eligible patients.2 Aims The aim was to determine if an improved rate of acute cholecystectomy (AC) had been achieved by; increasing elective capacity for emergency general surgeons (EGS), ring fencing hot lists for AC, increased use of NCEPOD list and campaign of awareness among theatre and anaesthetic staff. Material and Methods A retrospective study of rates of AC before and after implementation of changes in working practice was conducted using hospital episode data. All patients eligible for early cholecystectomy were included. AC rate, Intra and post -operative complications, length of stay and number of referrals to the elective upper gastrointestinal (UGI) service were determined. Results Conclusion Acute cholecystectomy during acute admission by emergency surgical had been significantly improved. It is safe and does not increase post-operative LOS.

Download Full-text

Anaesthesia for Caesarean Section. A Medical Audit of Junior Anaesthetic Staff Practice

Survey of Anesthesiology ◽

10.1097/00132586-198406000-00061 ◽

1984 ◽

Vol 28 (3) ◽

pp. 214

Author(s):

B. M. MORGAN ◽

J. M. AULAKH ◽

J. P. BARKER ◽

T. GOROSZENIUK ◽

A. TROJANOWSKI ◽

...

Keyword(s):

Caesarean Section ◽

Medical Audit ◽

Anaesthetic Staff ◽

Staff Practice

Download Full-text

The Scope for Computerisation in Anaesthesia

Anaesthesia and Intensive Care ◽

10.1177/0310057x8201000302 ◽

1982 ◽

Vol 10 (3) ◽

pp. 185-187 ◽

Cited By ~ 2

Author(s):

R. Holland

Keyword(s):

Computer Technology ◽

Slowing Down ◽

Staff Allocation ◽

Anaesthetic Record ◽

Anaesthetic Staff ◽

Health Authorities ◽

On Line ◽

Manual Input ◽

Administrative Tasks ◽

Logical Extension

It is possible for computers to substitute for, add to, and enhance the function of the anaesthetic apparatus. Already computerised accounting is available. To have the computer print out the anaesthetic record with input derived from manual input and on-line monitors is a logical extension of this technology. Computerisation can assist in such administrative tasks as theatre and anaesthetic staff allocation. Regret ably health authorities tend to regard computer technology as a specialised area, only capable of being applied by experts. This is slowing down the application of computer technology in the field of anaesthesia.

Download Full-text

Intrapartum management of twin gestations

Fetal and Maternal Medicine Review ◽

10.1017/s0965539598000436 ◽

1998 ◽

Vol 10 (4) ◽

pp. 207-212 ◽

Cited By ~ 5

Author(s):

E Levinsky ◽

JFR Barrett

Keyword(s):

Gestational Age ◽

Twin Pregnancy ◽

Management Plan ◽

Multiple Factors ◽

Challenging Issue ◽

Anaesthetic Staff ◽

Fetal Complications ◽

Intrapartum Management

The intrapartum management of the twin pregnancy has remained a controversial and challenging issue in obstetrics. Development of a management plan for delivery of a twin gestation necessitates consideration of multiple factors including fetal presentations, gestational age, estimated fetal weights, the presence of maternal or fetal complications, and the experience of the attending obstetrician, anaesthetic staff and neonatologists. In twin gestations in which a trial of labour is possible, the major factor determining the intrapartum course is the relative presentations of twin A and twin B on admission to the delivery suite.

Download Full-text

A randomised crossover study to compare the user seal check and quantitative fit test between two types of duckbill N95 particulate respirator masks: The Halyard Fluidshield® N95 and the BSN Medical ProShield® N-95 particulate respirator masks

Anaesthesia and Intensive Care ◽

10.1177/0310057x20974022 ◽

2021 ◽

pp. 0310057X2097402

Author(s):

Daryl L Williams ◽

Benjamin Kave ◽

Keat Lee ◽

Reny Segal ◽

Roni B Krieser ◽

...

Keyword(s):

Crossover Study ◽

Healthcare Workers ◽

Reliable Method ◽

East Asian ◽

Kappa Coefficient ◽

Pass Rates ◽

Asian Ethnicity ◽

Anaesthetic Staff ◽

Significant Difference

N95 particulate respirator masks are currently recommended for all healthcare workers who care for patients with suspected or confirmed coronavirus disease (COVID-19) when performing aerosol-generating procedures. The protection provided by N95 particulate respirator masks is dependent on the filter’s efficiency and seal quality. In this prospective randomised crossover study, we conducted the user seal check and the quantitative fit test on two readily available duckbill models of N95 masks, the Halyard Fluidshield® N95 (Halyard, Alpharetta, GA, USA) and the BSN Medical ProShield® N-95 (BSN Medical, Mount Waverley, Victoria) particulate respirator masks. We recruited a total of 96 anaesthetic staff, of whom 26% were of South-East Asian ethnicity. We found that both types of masks provided reasonably high fit test pass rates among our participants and there was no significant difference between the two brands (77% for the Fluidshield and 65% for the ProShield, P = 0.916). Ninety-two percent of the participants could find at least one well-fitted mask among these two types of masks. We also demonstrated that the user seal check had low accuracy and low concordance (kappa coefficient of 0.16 for the Fluidshield and 0.08 for the ProShield) when compared to the quantitative fit test, and hence was not a reliable method to test seal quality.

Download Full-text