30/11/2019
Advancements in anaesthesia
Advancements in anaesthesia
1998 ,Bulgaria,Plovdiv,M BALPlovdiv
35 yearsold patient,bleeding ulcer,Hb-7,0, HR-130/m in,NIBP –80/40,O 2 Sat94% -RA
2019,Dublin,M M UH
65 yearsold patient,single lung transplant, HR-130/m in,NIBP –80/40,pre op ECM O insertion,O 2 Sat94% -High flow O 2,
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Advancements in anaesthesia
Advancem entsin anaesthesia
• Patient safety • Patient experience • Patient pain management • The new profile of the anesthesiologist
TenediosC,O ’LearyS and CapocciM etal.European JournalofAnaesthesiology 2018;35:158-164
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Advancements in anaesthesia
Advancements in anaesthesia
Patient safety
Patient safety New approaches to clinical airway management: • DAS airway algorithms • video laryngoscopy (including AFOI intubation) • extubation catheters • advanced supraglottic airway devices
• In 1980 pulse oximetry • In 1991 capnography – could have helped in prevention of 93 % of all anaesthesia related incidents • In 2008 WHO Surgical Safety Checklist and Implementation Manual
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