Surgery­General

Detection of Patient Awareness During General Anesthesia

International Standards for the Safe Practice of Anaesthesia

Patient Safety During Laparoscopic Electrosurgery

Safety in the Operating Room

Wound Management

 


Detection of Patient Awareness During General Anesthesia

Awareness during anesthesia may occur in up to 150,000 patients who undergo general anesthesia in the U.S. each year. Patients may suffer severe physical and psychological trauma from such an experience, which not surprisingly can also lead to significant malpractice claims. New EEG technology can greatly improve the accuracy of patient awareness monitoring during anesthesia.

Some related materials produced by Communicore:

White Paper
Patient Awareness During Anesthesia

Article
Stack, JF. Patient awareness during general anesthesia poses risks. QRC Advisor. 1997; 13(3):1,6­8.

 

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International Standards for the Safe Practice of Anaesthesia

Following its work in the development of anesthesia standards of care in the United States in the mid-1980s, Communicore conceived and subsequently coordinated the activities of the International Task Force on Anaesthesia Safety. With representation from leading anesthesiologists from ten countries, the Task Force developed a set of standards that could be applied worldwide, regardless of medical and economic resource circumstances. These standards were later adopted by the World Federation of Societies of Anaesthesiologists as their own and subsequently published in more than twenty languages worldwide.

Some related materials produced by Communicore:

Symposium Proceedings
International Task Force on Anaesthesia Safety

Article
International Task Force on Anesthesia Safety. International standards for a safe practice of anesthesia. European Journal of Anesthesiology. 1993;10(7):12­15.

 

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Patient Safety During Laparoscopic Electrosurgery

The dramatic increase in the number of minimally invasive surgeries performed in the US each year has lead to a corresponding increase in iatrogenic complications, especially those associated with electrosurgical procedures. These complications generally result from unintentional and usually undetected burns to otherwise normal tissues, with consequent tissue trauma, necrosis, infection, and even death. Available technology, including active electrode monitoring, can effectively protect patients from this entirely avoidable negative outcome.

Some related materials produced by Communicore:

White Paper
Avoiding Electrosurgical Injury During Laparoscopy:

Issues Video
Avoiding Electrosurgical Injury During Laparoscopy

Newsletter
Laparoscopy Risk Report

 

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Safety in the Operating Room

Prior to the mid-1980s, the medical literature had documented 5,000-10,000 unexpected deaths from anesthesia in the U.S. alone, primarily due to undetected hypoxemia--inadequate oxygenation of the blood. The advent of pulse oximetry along with capnometry and halometry as newly enhanced clinical monitoring technologies that continuously and non-invasively monitored the patient's oxygen, carbon dioxide and anesthetic agent levels promised to dramatically improve patient safety in the operating room. [With the adoption of standards of care in 1986 in the U.S., intraoperative unexpected death rapidly became a rare event].

Some related materials produced by Communicore:

Issues Video
Safety in Anesthesia

 

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