The way towards ethical anesthesia care: no aim - no game - no fame or blame?

IF 2.3 3区医学 Q2 ANESTHESIOLOGY Current Opinion in Anesthesiology Pub Date : 2024-08-01 Epub Date: 2024-06-03 DOI:10.1097/ACO.0000000000001391

Basak Ceyda Meco, Cigdem Yildirim Guclu, Joana Berger-Estilita, Finn M Radtke

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Abstract

Purpose of review: This review explores the intricacies of ethical anesthesia, exploring the necessity for precision anesthesia and its impact on patient-reported outcomes. The primary objective is to advocate for a defined aim, promoting the implementation of rules and feedback systems. The ultimate goal is to enhance precision anesthesia care, ensuring patient safety through the implementation of a teamwork and the integration of feedback mechanisms.

Recent findings: Recent strategies in the field of anesthesia have evolved from intraoperative monitorization to a wider perioperative patient-centered precision care. Nonetheless, implementing this approach encounters significant obstacles. The article explores the evidence supporting the need for a defined aim and applicable rules for precision anesthesia's effectiveness. The implementation of the safety culture is underlined. The review delves into the teamwork description with structured feedback systems.

Summary: Anesthesia is a multifaceted discipline that involves various stakeholders. The primary focus is delivering personalized precision care. This review underscores the importance of establishing clear aims, defined rules, and fostering effective and well tolerated teamwork with accurate feedback for improving patient-reported outcomes. The Safe Brain Initiative approach, emphasizing algorithmic monitoring and systematic follow-up, is crucial in implementing a fundamental and standardized reporting approach within patient-centered anesthesia care practice.

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实现道德麻醉护理的途径：无目的-无游戏-无名誉或指责？

综述的目的：本综述探讨了伦理麻醉的复杂性，探讨了精确麻醉的必要性及其对患者报告结果的影响。主要目的是倡导一个明确的目标，促进规则和反馈系统的实施。最终目标是加强精准麻醉护理，通过实施团队合作和整合反馈机制确保患者安全：麻醉领域的最新战略已经从术中监测发展到更广泛的围手术期以患者为中心的精准护理。然而，这种方法的实施遇到了巨大障碍。文章探讨了支持精确麻醉有效性需要明确目标和适用规则的证据。文章强调了安全文化的实施。摘要：麻醉是一门涉及多方利益相关者的学科。首要重点是提供个性化的精准护理。本综述强调了建立明确的目标、界定的规则、促进有效和良好的团队合作以及准确的反馈对于改善患者报告结果的重要性。安全用脑倡议 "强调算法监测和系统跟踪，对于在以患者为中心的麻醉护理实践中实施基本的标准化报告方法至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Anesthesiology 医学-麻醉学

CiteScore

4.90

自引率

8.00%

发文量

207

审稿时长

12 months

期刊介绍： Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Anesthesiology features hand-picked review articles from our team of expert editors. With fifteen disciplines published across the year – including cardiovascular anesthesiology, neuroanesthesia and pain medicine – every issue also contains annotated references detailing the merits of the most important papers.

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