• Users Online: 148
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
REVIEW ARTICLE
Year : 2020  |  Volume : 21  |  Issue : 2  |  Page : 85-91

Practical tips on making regional anesthesia safer


Department of Anaesthesia, Queen Elizabeth Hospital, Gateshead NHS Foundation Trust, Gateshead, England

Correspondence Address:
Dr. Ashwani Gupta
Queen Elizabeth Hospital, Gateshead NHS Foundation Trust, Gateshead
England
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/TheIAForum.TheIAForum_97_20

Rights and Permissions

There have been many advances in regional anesthesia to make it safer since its inception. The purpose of the review is to make the readers aware of the latest developments in the approach to patient safety and its application to regional anesthesia. We have emphasized particularly the importance of human factors in addition to the technical expertise. Besides the conventional topics of local anesthetic toxicity and nerve injuries, we have also touched on novel developments such as point-of-care ultrasound. Anesthetists should bear in mind that guidelines are designed to encourage safe and quality patient care, but they cannot guarantee a specific outcome. So where possible safety protocols like pre-procedure dedicated checklist, vigilance and enhancements in monitoring, early evaluation and intervention, engagement with simulation based team training, advancements in technology, learning from safety incidents and positive patient pathways should be used to re-enforce safety. Regional anesthesia-based nontechnical skills (cognitive, social, and personal resource skills that complement technical skills) contribute to safe and efficient task performance and are also important in improving patient experience. The most practical safety approach is multidisciplinary, which keeps clinical judgment and patient-centric decision-making at its core. A literature search was done using the library search engine called discovery, which accesses Ovid, open access, evidence-based medicine, and nursing databases. Individual complications were also searched, and appropriate secondary citations were used accordingly.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1375    
    Printed28    
    Emailed0    
    PDF Downloaded186    
    Comments [Add]    

Recommend this journal