Posts

Making Regional Anaesthesia Safe

Vol 4 | Issue 2 | July-December 2023 | Page 21-26 | Ashish A. Bartakke

DOI: https://doi.org/10.13107/ijra.2023.v04i02.079

Submitted: 12-11-2023; Reviewed: 18-11-2023; Accepted: 25-11-2023; Published: 10-12-2023


Authors: Ashish A. Bartakke [1]

[1] Department of Anaesthesiology and Perioperative Medicine, Hospital Valle de los Pedroches, Pozoblanco, Andalucia, Spain.

Address of Correspondence
Dr. Ashish A. Bartakke,
Senior Faculty Consultant, Department of Anaesthesiology and Perioperative Medicine, Hospital Valle de los Pedroches, Pozoblanco, Andalucia, Spain.
E-mail: ashishbartakke@gmail.com


Abstract

The complexity of current practice in anaesthesiology and perioperative medicine has resulted in employing complex regional anaesthesia techniques to improve patient outcomes in terms of better postoperative pain control and thus facilitate early mobilization and recuperation of patients. However, ensuring patient safety while performing these complex procedures is of paramount importance and all efforts need to be undertaken to minimise the possibility of harm to the patient. Quality improvement and patient safety go hand in hand. Ensuring safe practices in regional anaesthesia is not just an individual task but a collective responsibility of the perioperative team. It thus involves both technical skills as well as non-technical skills and human factors.
This article provides a brief discussion of the various measures involving technical and non-technical factors to improve patient safety in modern day regional anaesthesia practice.
Keywords: Regional Anaesthesia, Patient safety, Non-technical skills, Human factors


References


1. Mellin-Olsen J, Staender S, Whitaker DK, Smith AF. The Helsinki Declaration on Patient Safety in Anaesthesiology. Eur J Anaesthesiol. 2010;27(7):592-597. doi:10.1097/EJA.0b013e32833b1adf
2. Kettner SC, Willschke H, Marhofer P. Does regional anaesthesia really improve outcome?. Br J Anaesth. 2011;107 Suppl 1:i90-i95. doi:10.1093/bja/aer340
3. Jin Z, Hu J, Ma D. Postoperative delirium: perioperative assessment, risk reduction, and management. Br J Anaesth. 2020;125(4):492-504. doi:10.1016/j.bja.2020.06.063
4. Fanelli A, Balzani E, Memtsoudis S, Abdallah FW, Mariano ER. Regional anesthesia techniques and postoperative delirium: systematic review and meta-analysis. Minerva Anestesiol. 2022;88(6):499-507. doi:10.23736/S0375-9393.22.16076-1
5. Association of Anaesthetists of Great Britain and Ireland, Obstetric Anaesthetists’ Association, Regional Anaesthesia UK, Campbell J, Plaat F, Checketts M et al. Safety guideline: skin antisepsis for central neuraxial blockade. Anaesthesia 2014; 69: 1279e86
6. Dumville JC, McFarlane E, Edwards P, Lipp A, Holmes A. Preoperative skin antiseptics for preventing surgical wound infections after clean surgery. Cochrane Database Syst Rev. 2013;(3):CD003949. Published 2013 Mar 28. doi:10.1002/14651858.CD003949.pub3
7. Bomberg H, Bayer I, Wagenpfeil S et al. Prolonged catheter use and infection in regional anesthesia: a retrospective registry analysis. Anesthesiol J Am Soc Anesthesiol 2018; 128: 764e73
8. Keys M, Sim BZ, Thom O, Tunbridge MJ, Barnett AG, Fraser JF. Efforts to Attenuate the Spread of Infection (EASI): a prospective, observational multicentre survey of ultrasound equipment in Australian emergency departments and intensive care units. Crit Care Resusc J Australas Acad Crit Care Med 2015; 17: 43e6
9. Ecoffey C, Bosenberg A, Lonnqvist PA, Suresh S, Delbos A, Ivani G. Practice advisory on the prevention and management of complications of pediatric regional anesthesia. J Clin Anesth. 2022;79:110725. doi:10.1016/j.jclinane.2022.110725
10. Neal JM. Ultrasound-guided regional anesthesia and patient: update of an evidence-based analysis. Reg Anesth Pain Med 2016; 41: 195e204
11. Topor B, Oldman M, Nicholls B. Best practices for safety and quality in peripheral regional anaesthesia. BJA Educ. 2020;20(10):341-347. doi:10.1016/j.bjae.2020.04.007
12. Dohlman LE, Kwikiriza A, Ehie O. Benefits and Barriers to Increasing Regional Anesthesia in Resource-Limited Settings. Local Reg Anesth. 2020;13:147-158. Published 2020 Oct 22. doi:10.2147/LRA.S236550
13. Mulroy MF, Weller RS, Liguori GA. A checklist for performing regional nerve blocks [published correction appears in Reg Anesth Pain Med. 2014 Jul-Aug;39(4):357]. Reg Anesth Pain Med. 2014;39(3):195-199. doi:10.1097/AAP.0000000000000075
14. Stop before you block. Available from: https://www.ra-uk.org/index.php/stop-before-you-block. [Accessed 25 March 2020]


How to Cite this Article:   Bartakke AA | Making Regional Anaesthesia Safe | International Journal of Regional Anaesthesia | July-December 2023; 4(2): 21-26 | DOI: https://doi.org/10.13107/ijra.2023.v04i02.079


(Abstract Text HTML)    (Download PDF)