Based on a survey relative to the practice of simultaneous anaesthesia in Latin-America

  • José Ricardo Navarro-Vargas a. School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia. b. Resuscitation Committee Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.), Bogotá, Colombia
  • Becket Arguello a. Resuscitation Committee CLASA, Nicaragua. b. PTC Director, Nicaragua
  • Alberto Scafati Anaesthesiology, Universidad Nacional de Cuyo, Mendoza, Argentina
Keywords: Ethics, Anesthesia, Reference standards, Legislation as topic, Patient safety

Abstract

Introduction: Despite the development of anaesthesia worldwide, not all operating rooms follow minimum stringent safety standards. One of the violations of patient safety standards is simultaneous anaesthesia, which threatens the life of the patient and compromises medical ethics and professionalism.

Objective: To describes the frequency of the practice of simultaneous anaesthesia among a group of anaesthetists and anaesthesia residents who attended a Latin-American Anaesthesiology Congress.

Materials and methods: Cross-sectional study of a universe of 954 participants who registered to the XXXII Congress of CLASA, held in Asunción, Paraguay (September 30th to October 3rd, 2013). Participation in the study was voluntary after verbal informed consent on the part of the respondents, and the questionnaire was answered anonymously. This study was approved by the Research Committee of the Colombian Society of Anaesthesiology and Resuscitation (Sociedad Colombiana de Anestesiología y Reanimación S.C.A.R.E).

Results: Of the 112 anaesthetists and 29 anaesthesia residents surveyed, 30% recognized that simultaneous anaesthesia is given habitually at their place of work; 26% do not apply the checklist; 24% consider that the practice is justified; and 84% are in favour of penalizing this behaviour.

Conclusion: There are places where simultaneous anaesthesia is still practiced and where the checklist is not used. A vast majority of the respondents agree that this breach must be penalized in order to improve patient safety.

References

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1. Pronunciamiento Comité de Seguridad S.C.A.R.E. Conceptos del Comité de Seguridad sobre anestesia simultánea [consultado Feb 2014. Disponible en: http://gruposcare.org.co/scare/files/comites/pronunciamiento_cs.pdf.
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3. Mala praxis: abandono de persona y omisión de auxilio [consultado Feb 2014. Disponible en: http://www.monografias.com/trabajos17/abandono-de-persona/abandono-de-persona.shtml.
4. Fajardo HA. Error humano: medicina y aviación. Cartas al Editor. Rev Fac Med. 2007;55:278-81.
5. Mayaudón C. No a las anestesia simultáneas [consultado Feb 2014. Disponible en: http://anestesiologia.fullblog.com.ar/no-a-las-anestesias-simultaneas-dr-carlos-mayaud-11246056790.html.
6. Manual de aplicación de la lista OMS de verificación de la seguridad de la cirugía 2009. La cirugía Segura, Salva vidas [consultado Ene 2014. Disponible en: http://whqlibdoc.who.int/publications/2009/9789243598598_spa.pdf.
7. Staender SEA. Patient safety in anesthesia. Minerva Anestesiol. 2010;76:45-50.
8. Gómez-Arnau JI, Bartolome Ruibal A, Santa Úrsula Tolosa JA, González Arévalo A, García del Valle Manzano S. Sistemas de comunicación de incidentes y seguridad del paciente en anestesia. Rev Esp Anestesiol Reanim. 2006;53:488-99.
9. Haller G, Laroche T, Clerque F. Morbidity in anesthesia: Today and tomorrow. Best Pract Res Clin Anaesthesiol. 2011;25:123-32.
10. Haller G. Improving patient safety in medicine: Is the model of anaesthesia care enough? Swiss Med Wkly. 2013;143:w13770.
11. Bent S, Padula A, Avins AL. Brief communication: Better ways to question patients about adverse medical events. Ann Intern Med. 2006;144:257-61.
12. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Eng J Med. 2009;360:491-9.
13. Peña LG. Rechacemos categóricamente la anestesia simultánea. InfoSCARE. 2013;4:10.
14. The Royal College of Anesthetists Guidelines for the provision of anesthetic Services 2009 [consultado Ene 2014. Disponible en: http://www.rcoa.ac.uk/system/files/CSQ-GPAS-2009_0.pdf.
15. Navarro-Vargas JR, Mora-Herrera JC. Carta al editor. La práctica de la anestesiología y la Ley Sexta de 1991. Rev Colomb Anestesiol. 2009;37:155-6.
16. Ministerio de Salud y Protección Social. Resolución No. 2003 de 2014 (28 de mayo de 2014) [consultado Jul 2014. Disponible en: http://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/Resoluci%C3%B3n%202003%20de%202014.pdf.
How to Cite
1.
Navarro-Vargas JR, Arguello B, Scafati A. Based on a survey relative to the practice of simultaneous anaesthesia in Latin-America. Colomb. J. Anesthesiol. [Internet]. 2014Oct.1 [cited 2021Dec.5];42(4):265-71. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/237

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Published
2014-10-01
How to Cite
1.
Navarro-Vargas JR, Arguello B, Scafati A. Based on a survey relative to the practice of simultaneous anaesthesia in Latin-America. Colomb. J. Anesthesiol. [Internet]. 2014Oct.1 [cited 2021Dec.5];42(4):265-71. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/237
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