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Related Experiment Videos

Crisis management during anaesthesia: vascular access problems.

R J Singleton1, S B Kinnear, M Currie

  • 1Department of Anaesthesia and Intensive Care, Royal Adelaide Hospital and University of Adelaide, Adelaide, South Australia, Australia.

Quality & Safety in Health Care
|June 4, 2005
PubMed
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This summary is machine-generated.

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A structured approach effectively manages vascular access problems during anesthesia. This method systematically checks the entire vascular access system, aiding early crisis resolution.

Area of Science:

  • Anesthesiology
  • Patient Safety
  • Clinical Algorithms

Background:

  • Vascular catheters are potential causes of anesthetic crises.
  • Assumptions about device placement and function can be dangerous.

Purpose of the Study:

  • To evaluate a core algorithm, "COVER ABCD-A SWIFT CHECK," with a vascular access sub-algorithm.
  • To assess its role in managing anesthesia-related crises.

Main Methods:

  • A structured approach was tested on 4000 incidents from the Australian Incident Monitoring Study (AIMS).
  • The evaluation focused on problems related to vascular access.

Main Results:

  • 128 incidents involved vascular access issues.
  • The structured approach systematically addressed problems from distal to proximal, including infusion devices, lines, catheter-skin interface, vascular tree, central venous space, and staff interface.

Related Experiment Videos

  • The algorithm successfully managed all identified vascular access problems.

    • Conclusions:

    • The structured approach is a valuable clinical tool for anesthesia.
    • It is easily remembered and applied for prompt resolution of vascular access issues.