与既存病症有关的麻醉责任

Q2 Medicine Anesthesiology Clinics Pub Date : 2023-09-15 DOI:10.1016/j.anclin.2023.08.003
Alan D. Kaye MD, PhD , Sonnah Barrie DO , Rucha A. Kelkar BS , Sahar Shekoohi PhD
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引用次数: 0

摘要

1985年,美国麻醉医师协会发起了一项关于麻醉损伤的质量改进封闭式索赔分析项目,以提高患者的安全。到目前为止,共有8954起记录在案的索赔,描述了在镇静、区域麻醉或未能照顾患者术后需求的情况下发生的伤害。封闭索赔数据库显示,记录最多的医疗保健并发症是2%的生命损失,2%的神经损伤和9%的大脑损伤。记录在案的麻醉损害病例中,区域阻滞相关事件占20%,其次是呼吸相关不良反应占17%,心血管相关事件占13%,器械相关事件占10%。伤害可能由几种原因引起。首先,在手术过程中使用多种技术和干预措施,所有这些都有潜在的不良影响。此外,许多计划手术的患者有广泛的既往病史和医疗合并症,从而增加了他们受伤的基线风险。从封闭索赔数据库中,改进了与气道处理、镇静、非手术室位置、产科麻醉以及慢性疼痛管理中受伤相关的临床相关影响的评估。总而言之,麻醉部门应该在常规的基础上检查病人的预后。当不良结果发生时,对相关因素进行评估,可以考虑改变手术技术或其他麻醉措施,以帮助减少或预防未来的并发症。
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
Anesthesiology Clinics
Anesthesiology Clinics Medicine-Anesthesiology and Pain Medicine
CiteScore
3.10
自引率
0.00%
发文量
85
期刊介绍: Anesthesiology Clinics updates you on the latest trends in patient management; keeps you up to date on the newest advances; and provides a sound basis for choosing treatment options. Each issue focuses on a single topic in anesthesiology and is presented under the direction of an experienced guest editor.
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