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Related Concept Videos

General Anesthesia: Overview01:24

General Anesthesia: Overview

Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Stages of General Anesthesia01:22

Stages of General Anesthesia

Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia01:30

Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
Local Anesthetics: Common Agents and Their Applications01:23

Local Anesthetics: Common Agents and Their Applications

Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...

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Non-Intubated Video-Assisted Thoracoscopic Surgery
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Focused anesthesia interview resource to improve efficiency and quality.

Virginia C Muckler1, Charles A Vacchiano, Edward G Sanders

  • 1Duke University School of Nursing, DUMC, Durham, NC 27710, USA. chris.muckler@duke.edu

Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
|November 21, 2012
PubMed
Summary
This summary is machine-generated.

Registered nurses (RNs) using the Focused Anesthesia Interview Resource (FAIR) tool improved preoperative anesthesia interviews, leading to fewer surgical cancellations. This process enhancement boosts perioperative quality and efficiency.

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Published on: January 13, 2017

Area of Science:

  • Perioperative Medicine
  • Healthcare Quality Improvement
  • Nursing Education

Background:

  • Hospitals may use RNs without specialized training for anesthesia preoperative interviews (APIs), potentially causing delays and cancellations due to inadequate patient preparation.
  • Lack of standardized training for RNs performing APIs can compromise patient assessment for anesthesia and surgical risks.

Purpose of the Study:

  • To evaluate if adherence to the Focused Anesthesia Interview Resource (FAIR) tool improves RNs' ability to conduct APIs.
  • To determine if implementing FAIR reduces day-of-surgery cancellations and delays.

Main Methods:

  • A quasi-experimental pre-/post-design assessed training completion and record quality before and after FAIR implementation.
  • RNs (n=33) completed FAIR training modules, with high fidelity (91%).
  • 500 anesthesia preoperative records were reviewed for completion rates, comparing pre- and post-FAIR implementation.

Main Results:

  • FAIR implementation significantly improved the identification of patients with hypertension (P<.01) and cardiac disease (P<.05).
  • Surgical cancellation rates decreased from 3.33% to 2.31% (P<.05).
  • First case delays showed a non-significant decrease from 7.54% to 6.99%.

Conclusions:

  • The FAIR tool enhances RNs' performance in preoperative anesthesia interviews, improving the identification of critical comorbidities.
  • Implementation of FAIR led to a significant reduction in surgical cancellations, enhancing perioperative efficiency and quality.