Asa Score Essay

This Anaesthetic case study would describes and discussed the scenario of a patient through the anaesthetic role of their surgical procedure. It will include and discuss the anaesthetic safety procedures equipment and drug interventions used to ensure this particular patients maximum safety and comfort before and during the procedure. The case study will include pre and peri-operative assessment in order to describe the involvement contribution of various specialties in the holistic care of the critical care patient. This assignment will focus only on the anaesthetics side of the procedure but will also highlight the importance of the triad of anaesthesia and discuss the administration, maintenance and reversal of

Multiple studies demonstrate a relationship between lower patient-to-nurse ratios and improved patient outcomes (Garrett, 2008; Penoyer, 2010; Unruh, 2008). Patient outcomes addressed in the various studies included falls, infections, length of stay, mortality, patient safety, patient satisfaction, postoperative complications, pressure ulcers, quality of care and unplanned extubation with reintubation. A 2004 report from the Agency for Healthcare Research and Quality (AHRQ) stated that adverse events can increase the cost of a total treatment by 84%, length of stay by 5.1 to 5.4 days and probability of death by 4.67% to 5.5% (Garrett, 2008).

This is a mix of qualitative and quantitative research that uses descriptive and cross-sectional survey design methods to evaluate the patient’s anxiety level and discomfort preoperatively and postoperatively. The level of evidence in this study is III, with controlled trial without randomization (LoBiondo-Wood, 2013). Methods used to collect data are logical, as it corresponds to the phenomenon of interest in this research as listed in the critiquing guideline table in appendix A. This study was conducted in the general surgery unit of a university hospital in 2011 with a sample size of ninety-nine patients. Definitive features, visual analogue scale (VAS) and State and Trait Anxiety Inventory (STAI) tools were used to collect data, refer to appendix A for details. The fasting protocol reported by the nurses in the surgical unit was no solid food on the day before surgery after 10:00 p.m. and no liquid after 12:00 a.m. In the meantime, the patients were on isotonic sodium chloride from beginning of anaesthesia until the 24th hour postoperatively. The result shows that patients who fasted for more than twelve hours has significant increase in anxiety level according to the STAI score, and higher hunger, thirst, nausea, and pain as shown in VAS scores compared to the patients whom fasted for less than twelve

The American Association of School Administrators has information that is pertinent to the professional advancement of administrators, and educators. The AASA also, has resources that promote the well being of children and their families. The AASA has information on alternative breakfast, professional development, nutrition/childhood obesity, school discipline, health insurance, leadership services, resources, and educational exchange programs.

Before surgery, the anesthesiologist will evaluate the patient’s current and past health to create an anesthetic plan fit for the patient. During surgery, he/she will diagnose and treat any issues that might come up. This is considered a dangerous job because giving too much anesthetic can easily kill a patient and not giving enough can create a risk of the patient waking up or feeling some parts of the

Per the study, the “findings have a few important implications. A substantial minority of patients aged 80 and older who have major noncardiac surgery die or suffer a postoperative complication, but the majority have good outcomes, and for many operations, mortality rates were low (>2%).” The

In previous literature, patients have demonstrated and expressed feelings of helplessness, powerlessness and anxiety (6,9). Surgical interventions and procedures invoke strong reactions around pain, complication risk and death for the patient and their families (5). Additionally, in the preoperative phase of waiting to be transferred to the operating room, previous studies have shown that this can be the most frightening time for many patients (5,6,9). When this preoperative waiting time is compounded with the sudden cancellation or postponement of a patient’s surgery, many patients experience heightened negative effects (5,9).

Before further examining the perioperative surgical home model, we need to understand what perioperative care is. The three phases of surgery is usually referred to perioperative care. It consists of preoperative (care before the surgery), intraoperative (care during the surgery phase), and postoperative (care received after the surgery). The primary goal of perioperative care is to make the conditions for patients better during all three phases. The first stage is usually when diagnostic tests are conducted. The intraoperative phase is the time from when a patient goes into an operating room, to when they are transferred

In 2010 and 2011 inclusive, approximately 2.4 million hospitalisations within Australia were for the purpose of surgery. Of the approximated 2.4 million, 1.9 million of these were classified as elective admissions (Australian Institute of Health and Welfare 2010-11). Australia is shown to have an ageing population, (Australian Bureau of Statistics. 2006) which indicates an increasing percentage of patients undertaking surgery are elderly with numerous comorbidities. In considering these it pre-operative assessment as a means of risk management prior to surgery seeks to reduce the potential probability of perioperative complications.

Specific perioperative risk factors include greater intraoperative blood loss, more postoperative transfusions, and postoperative haematocrit of 30%.Severe acute pain regardless of the method of analgesia (opioid type, method, and dose) is associated with post-operative delirium (Fong et al.,2006).

Evaluation of Rates and Perioperative Complications." Principal Investigator: Allison Giddings Jackson, M.D., Assistant Professor of

Various literatures have debated and proven that preoperative education intervention can and has improved the overall patient satisfaction. Preoperative education is necessary to all patients undergoing surgical procedures regardless of their settings. Office base anesthesia, a new trend that is favorable to all parties; however it seems to increased patients’ anxiety due to some unforeseen events.

Local anesthesia is used when a patient is undergoing a minimally invasive procedure like a port placement, or some carpal injections. The most common forms of local anesthesia are: infiltration anesthesia; nerve blocks; haematoma blocks; intravenous regional block; and extradural and spinal anesthesia. These procedures are relatively quick and rarely take longer than a few

The patients were assessed in the Pre –anaesthetic clinic. Data collected was entered in a pre-structured questionnaire.

As Fig.1 reveals, median postoperative hospital length of stay reduced through the series, in addition, the ratio of patients demanding readmission had no increase. The incidence of complications kept unchanged throughout the study(Fig.1). Univariate analysis showed 3 elements as statistically significant in defining postoperative hospital length of stay. On multivariate analysis, no factors stayed as