Anaesthesia data

2018 ◽  
Author(s):  
Charles Gibson ◽  
Fred Roberts
Keyword(s):  
Patient Outcome ◽  
Normal Values ◽  
Pulmonary Function Tests ◽  
Cardiovascular Physiology ◽  
Confidential Enquiry ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
Selection Of

This final chapter contains a selection of useful information for the anaesthetist, gathered together for convenience and for the aid of revision in examinations. It contains the American Society of Anesthesiologists classification, the (National) Confidential Enquiry into Patient Outcome and Death classification, the Mapleson classification of breathing systems, a discussion of pulmonary function tests and their normal values, cardiovascular physiology data, the Glasgow Coma Scale, and a series of useful anaesthetic equations and definitions. It concludes with a table of normal values, a list of useful websites, and a checklist for anaesthetic equipment.

scholarly journals Updated classification of the physical condition of patients of the american society of anesthesiologists

2021 ◽  
Vol 15 (2) ◽  
pp. 101-106
Author(s):  
Victor A. Koriachkin ◽  
Yaakov I. Levin ◽  
Dmitry V. Zabolotskii ◽  
Vladimir V. Khinovker ◽  
Rustam Р. Safin
Keyword(s):  
Significant Role ◽  
Physical Condition ◽  
Clinical Samples ◽  
Physical Status ◽  
Asa Classification ◽  
Preoperative Status ◽  
American Society ◽  
American Society Of Anesthesiologists

The American Society of Anesthesiologists (ASA) Classification of Physical Status is a widely used system for assessing the preoperative status of patients. The ASA class definitions have been amended several times since 1941, which caused some difficulties in using the classification. There are some difficulties in the assessments, especially between the III and IIIII classes of the ASA. To overcome this problem, clinical samples presented in the latest edition of the classification play a significant role. In this article, we have presented an updated classification of the physical condition of patients on the ASA scale before anesthesia and surgery, which is sufficiently simple, reproducible, and can be successfully used not only in adults, but also in pediatric and obstetric anesthesiology.

scholarly journals Surgeon’s physical and mental stress while performing laparoscopic cholecystectomy

2017 ◽  
Vol 4 (4) ◽  
pp. 111-117
Author(s):  
Mukund Raj Joshi ◽  
Tanka P Bohara ◽  
Anuj Parajuli ◽  
Shail Rupakheti
Keyword(s):  
Patient Outcome ◽  
Laparoscopic Cholecystectomy ◽  
Mental Stress ◽  
Analogue Scale ◽  
Laparoscopic Cholecystectomy Group ◽  
The Difference ◽  
Clinically Significant ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
Additional Port

Background: Laparoscopic cholecystectomy is performed either by four port or three port. Although the overall patient outcome has been studied with comparable results, surgeon’s stress level has not been addressed commonly.Objective: To compare the difference in surgeon’s physical and mental stress between three port and four port laparoscopic cholecystectomy.Methods: This prospective randomized comparative study was carried out from January 2014 to August 2014 in patients undergoing laparoscopic cholecystectomy with American technique. Patients were randomized into four port laparoscopic cholecystectomy group and three port laparoscopic cholecystectomy group. Surgery was performed by experienced laparoscopic surgeons. At the end of procedure, surgeons were given questionnaire to evaluate physical and mental stress faced by them based on Visual Analogue Scale. The results obtained were compared.Results: Total 60 cases were evaluated, 30 in each group. Mean age of patients and American society of Anesthesiologists score were not different. Surgeon’s perception regarding physical and mental stress while performing in two different groups was analyzed. The difference is not statistically significant. Neither any of the three port group needed to add additional port nor any of the patients were converted to open surgery. None of the patient in either group developed clinically significant complication.Conclusion: Both the four and three port laparoscopic cholecystectomy techniques are comparable in regards to patient outcome as well as to the physical and mental stress experienced by the surgeons.

Emergency Dental Clinic Patients in South Devon, their Anxiety Levels, Expressed Demand for Treatment under Sedation and Suitability for Management under Sedation

2006 ◽  
Vol os13 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Robert A Baker ◽  
Susan Farrer ◽  
Vanessa J Perkins ◽  
Hilary Sanders
Keyword(s):  
Dental Anxiety ◽  
Dental Service ◽  
Health Needs Assessment ◽  
Dental Clinics ◽  
Physical Status Classification ◽  
Anxiety Levels ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
Dental Emergency

Objective To assess the anxiety levels of patients attending two salaried dental service emergency clinics, their expressed demand for treatment under sedation, and their medical suitability for dental sedation. Design A questionnaire survey, incorporating the Modified Dental Anxiety Scale (MDAS) and assessment of American Society of Anesthesiologists’ (ASA) physical status classification, of all adult patients attending two emergency dental clinics in Torquay and Newton Abbot. Results 513 patients returned questionnaires. Only five declined to take part in the study. The mean MDAS for patients attending the two emergency dental clinics was 14.09 (SD 6.04) and 41.9% of patients were classified as dentally anxious (MDAS >15). A preference for treatment under sedation was expressed by 56.3%, of all patients, of whom 50.5% were classified as ASA 1 (without health problems) and would have been suitable for sedation in primary dental care. Conclusions The reported dental anxiety levels of patients attending the two emergency dental clinics were found to be much higher than those found by previous studies in general dental practice and at dental school emergency clinics. There was a high expressed demand for treatment under sedation. Further studies are needed to assess the levels of dental anxiety seen at other dental emergency clinics and a health needs assessment to determine need as opposed to expressed demand.

ASA classification – What is the real impact of the introduction of the new clinical examples?

2018 ◽  
Vol 29 (7-8) ◽  
pp. 203-209
Author(s):  
Pedro Godinho ◽  
Lúcia Gonçalves ◽  
Paulo Muendane ◽  
Maria dos Anjos Dixe ◽  
Elisabete Valente
Keyword(s):  
Physical Status ◽  
Online Questionnaire ◽  
The Real ◽  
Asa Classification ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
Universal Scale ◽  
Level Of Agreement ◽  
High Diversity

Aim The American Society of Anesthesiologists scale is used worldwide for the assessment of the physical status of patients proposed for anaesthesia interventions. This study aims to assess the level of agreement of the last updated American Society of Anesthesiologists classification version, with the introduction of examples for each class, and search for variables that could promote inconsistency. Methods An online questionnaire was sent to anaesthesiology specialists and residents in Portugal, describing 10 fictitious clinical cases. Sociodemographic and labour data were also correlated. Results/findings: A total of 243 anaesthesiology physicians participated. There was a high diversity in responses. Years of practice influence this diversity (P < 0.05). Discussion and conclusions: The need for a universal scale for classification of patients proposed for anaesthesia is consensual. Despite the last update in 2014, the American Society of Anesthesiologists classification continues to present limitations regarding consistency and objectivity. Efforts should be made to reduce their interpersonal variability.

AMERICAN SOCIETY OF ANESTHESIOLOGISTS CLASSIFICATION OF PHYSICAL STATUS AS A PREDICTOR OF WOUND INFECTION

2007 ◽  
Vol 77 (9) ◽  
pp. 738-741 ◽  
Author(s):  
John C. Woodfield ◽  
Nagy M. Y. Beshay ◽  
Ross A. Pettigrew ◽  
Lindsay D Plank ◽  
Andre M. van Rij
Keyword(s):  
Wound Infection ◽  
Physical Status ◽  
American Society ◽  
American Society Of Anesthesiologists

Complications of Different Ventilation Strategies in Endoscopic Laryngeal Surgery

2006 ◽  
Vol 104 (1) ◽  
pp. 52-59 ◽  
Author(s):  
Yves Jaquet ◽  
Philippe Monnier ◽  
Guy Van Melle ◽  
Patrick Ravussin ◽  
Donat R. Spahn ◽  
...  
Keyword(s):  
Case Series ◽  
Jet Ventilation ◽  
Controlled Ventilation ◽  
Laryngeal Surgery ◽  
Physical Status Classification ◽  
Ventilation Strategies ◽  
Status Classification ◽  
American Society ◽  
American Society Of Anesthesiologists

Background Spontaneous ventilation, mechanical controlled ventilation, apneic intermittent ventilation, and jet ventilation are commonly used during interventional suspension microlaryngoscopy. The aim of this study was to investigate specific complications of each technique, with special emphasis on transtracheal and transglottal jet ventilation. Methods The authors performed a retrospective single-institution analysis of a case series of 1,093 microlaryngoscopies performed in 661 patients between January 1994 and January 2004. Data were collected from two separate prospective databases. Feasibility and complications encountered with each technique of ventilation were analyzed as main outcome measures. Results During 1,093 suspension microlaryngoscopies, ventilation was supplied by mechanical controlled ventilation via small endotracheal tubes (n = 200), intermittent apneic ventilation (n = 159), transtracheal jet ventilation (n = 265), or transglottal jet ventilation (n = 469). Twenty-nine minor and 4 major complications occurred. Seventy-five percent of the patients with major events had an American Society of Anesthesiologists physical status classification of III. Five laryngospasms were observed with apneic intermittent ventilation. All other 24 complications (including 7 barotrauma) occurred during jet ventilation. Transtracheal jet ventilation was associated with a significantly higher complication rate than transglottal jet ventilation (P &lt; 0.0001; odds ratio, 4.3 [95% confidence interval, 1.9-10.0]). All severe complications were related to barotraumas resulting from airway outflow obstruction during jet ventilation, most often laryngospasms. Conclusions The use of a transtracheal cannula was the major independent risk factor for complications during jet ventilation for interventional microlaryngoscopy. The anesthetist's vigilance in clinically detecting and preventing outflow airway obstruction remains the best prevention of barotrauma during subglottic jet ventilation.

scholarly journals Classification of Patients According to the Degree of Dependence on Nursing Care and Illness Severity in a Post-Anesthesia Care Unit

2010 ◽  
Vol 18 (5) ◽  
pp. 881-887 ◽  
Author(s):  
Luciana Bjorklund de Lima ◽  
Deise Borges ◽  
Samara da Costa ◽  
Eneida Rejane Rabelo
Keyword(s):  
Nursing Care ◽  
Cross Sectional Study ◽  
Anesthesia Care ◽  
Post Anesthesia Care Unit ◽  
Cross Sectional ◽  
Asa Classification ◽  
Anesthetic Risk ◽  
American Society ◽  
American Society Of Anesthesiologists

This study aimed to classify patients according to their degree of dependence on nursing care (Perroca Classification System) and correlate this with the anesthetic risk (American Society of Anesthesiologists - ASA classification) in a post-anesthesia care unit. A cross-sectional study was conducted, which included 402 patients, mean age 51.57 (±16.73) years, of which 216 (54%) were female. The results indicate that patients had a degree of dependence between intermediate and semi-intensive with an ASA classification of between two and three. There was a significant relationship between degree of dependence and ASA classification. The results indicate that the post-anesthesia care unit admits patients with semi-intensive care requirements and with moderate anesthetic risk.

Use of photodynamic therapy for photodamage skin (review of literature)

2019 ◽  
Vol 1 (7) ◽  
pp. 19-23
Author(s):  
S. I. Surkichin ◽  
N. V. Gryazeva ◽  
L. S. Kholupova ◽  
N. V. Bochkova
Keyword(s):  
Photodynamic Therapy ◽  
Comparative Evaluation ◽  
Clinical Manifestations ◽  
Light Sources ◽  
Review Of Literature ◽  
Photosensitizing Agents ◽  
Selection Of

The article provides an overview of the use of photodynamic therapy for photodamage of the skin. The causes, pathogenesis and clinical manifestations of skin photodamage are considered. The definition, principle of action of photodynamic therapy, including the sources of light used, the classification of photosensitizers and their main characteristics are given. Analyzed studies that show the effectiveness and comparative evaluation in the selection of various light sources and photosensitizing agents for photodynamic therapy in patients with clinical manifestations of photodamage.

Philosophcal review of h. white̕s tropological theory in the context of the new philosophy of history

2020 ◽  
Vol 3 (152) ◽  
pp. 92-99
Author(s):  
S. M. Geiko ◽  
◽  
O. D. Lauta
Keyword(s):  
Modern Science ◽  
Historical Knowledge ◽  
Text Organization ◽  
The Social ◽  
History Of ◽  
Actual Material ◽  
The Common ◽  
Historical Nature ◽  
Selection Of

The article provides a philosophical analysis of the tropological theory of the history of H. White. The researcher claims that history is a specific kind of literature, and the historical works is the connection of a certain set of research and narrative operations. The first type of operation answers the question of why the event happened this way and not the other. The second operation is the social description, the narrative of events, the intellectual act of organizing the actual material. According to H. White, this is where the set of ideas and preferences of the researcher begin to work, mainly of a literary and historical nature. Explanations are the main mechanism that becomes the common thread of the narrative. The are implemented through using plot (romantic, satire, comic and tragic) and trope systems – the main stylistic forms of text organization (metaphor, metonymy, synecdoche, irony). The latter decisively influenced for result of the work historians. Historiographical style follows the tropological model, the selection of which is determined by the historian’s individual language practice. When the choice is made, the imagination is ready to create a narrative. Therefore, the historical understanding, according to H. White, can only be tropological. H. White proposes a new methodology for historical research. During the discourse, adequate speech is created to analyze historical phenomena, which the philosopher defines as prefigurative tropological movement. This is how history is revealed through the art of anthropology. Thus, H. White’s tropical history theory offers modern science f meaningful and metatheoretically significant. The structure of concepts on which the classification of historiographical styles can be based and the predictive function of philosophy regarding historical knowledge can be refined.

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