Case Study Of ASA Physical Status And The Duration Of Surgery

All the p-values are greater than 0.05, therefore there is a statistical difference between each transect.

While there was a policy in place for conscious sedation, even good policies rely on the vigilance of staff to adhere to them. Often times, working conditions allow for distractions, and even the best of practitioners, with the best of intentions, make errors. There were several areas presented in this scenario that require examination and improvement.

Primary goals of conscious sedation include he alteration of mood, the maintenance of consciousness, cooperation, elevation of the pain threshold, a minor variation of vital signs, and the production of some degree

Original research related to sedation management occurred in the year 2000 by Kress, Pohlman, O ' Connor, and Hall. Their findings served as a landmark study and initiated the impetus related to improving our sedation practices. According to Kress et al. (2000), daily interruption of sedation led to a decrease in the number of days on the ventilator in the intensive care unit. Several studies since this time have focused on the influence of sedation protocols, and outcomes. This paper will review the synthesis of the discovered studies and highlight the noted contraindications and inconsistencies. Also, explanations including a preliminary conclusion will be discussed.

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

After obtaining approval from our Institutional Ethics Committee, a prospective double-blind, randomized, controlled study was conducted in El-Minia University Hospital. Ninety patients of both sex undergoing lower extremities surgery their age ranging from 17- 60 years old, ASA physical status I or II. This study was done from December 2010 to December 2011. All patients gave written informed

Many factors have contributed to the sentinel event, specifically the current conscious sedation policy. The improvement plan would include revising the conscious sedation policy to ensure the patient is properly monitored post procedure and to intervene when issues arise. The sedated patient should be monitored one on one post procedure by an RN, who is educated on the conscious sedation protocol, for thirty minutes or until the patient reaches his baseline. Also, mandatory monitoring will include EKG, pulse oximetry, blood pressure, heart rate, respirations and level of consciousness. A list of appropriate medications and the dosages should be included in the conscious sedation policy. In addition, reversal agents should be readily

In order to decrease the likelihood that such sentinel event will occur again, a change must be put into place. In this case, the change should involve the process in which conscious sedation is carried out as well as the knowledge of those providing care for those patients. The registered nurse in this case is most likely very good at her job, she probably felt that she had everything under control and has most likely provided conscious sedation many times in the past. As an experienced nurse, however, it is wise to understand that one should never become complacent and it is okay to ask for additional help, especially when a change in patient’s status can occur so quickly. And while this nurse is up to date on her sedation modules

The discharge criteria in the policy states the patient will be fully awake, vital signs stable, no nausea or vomiting, and the patient is able to void. All practitioners that provide moderate sedation must complete a training module prior to providing moderate sedation, this includes personnel assisting with the procedure. The first process failure was not meeting the required monitoring of the patient as mandated by the moderate sedation policy. In the absence of ECG or respiratory monitoring the sedation administered produced apnea then asystole without ED personnel being aware of acute changes in the patient’s condition. There is no explanation for why the patient was not on continuous ECG monitoring. Equipment was found to be in good working order.

* Answer the following questions using your selected research article: * 1. Is this qualitative or quantitative? What is the study design? What criteria did you use to determine the study design? * * My article is a quantitative research. The researchers used an experimental research design which includes a total of 130 patients who had total knee replacements. The controlled group of 65 patients received general or spinal anesthesia with conventional narcotic management postoperatively, while the intervention group of 65 patients received general or spinal anesthesia with femoral/sciatic nerve block post-operatively. *

Nurse administered conscious sedation is a somewhat controversial topic when it comes to the nursing profession and scope of practice. It is becoming more and more popular for RNs to be able to administer IV medications to sedate patients for procedures as the demand increases. Many say that this is a safe practice but there are studies that show this may increase the risk of complications, such as over sedation. One thing that everyone seems to agree on is that the patient’s safety and positive outcome is key.

Does the compliance with a sedation protocol improve after nurses receive a sedation competency over a three month period? The available data supported the hypothesis that nursing education and competency can lead to consistent best practices and positive outcomes for patients. The answers to this research question can help develop interventions that support best practices for patients who are mechanically ventilated and receiving intravenous sedation.

The management of postoperative pain has received much interest nowadays. The intensity of postoperative pain depends on many factors such as type and duration of the surgery, type of anesthesia and analgesia used, and the patient’s mental and emotional status (11).

An assessment of the level of consciousness (LOC) should be carried out during the primary survey of all patients, using the ABCDE approach Cole (2009: 28). Any initial or subsequent reduction in the LOC of the patient may be caused by hypoxia; hypovolaemia; head injury; drug or medicine use; hypoglycaemia; hypothermia or alcohol ingestion (Cole, 2009:44).

The patient’s respiratory reflexes are also lost under general anesthesia. Since the patient is not able to protect the airway on his own, it is the duty of the personnel monitoring the patient to protect him from aspiration. For patients with existing health conditions that are at a higher risk of complications under general anesthesia, further monitoring of vital signs may be required to ensure patient’s