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Anaesthesia equipment and monitoring in day surgery anaesthesia 

Anaesthesia equipment and monitoring in day surgery anaesthesia

Chapter:
Anaesthesia equipment and monitoring in day surgery anaesthesia
Author(s):

Jan Jakobsson

DOI:
10.1093/med/9780199652969.003.0002
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date: 23 June 2017

• Day case anaesthesia and office-based anaesthesia should be performed with adequate delivery and monitoring equipment in accordance with national guidelines. • All equipment and monitoring devices should be checked on a regular basis and control of function is mandatory before administration of each anaesthetic. • A simple checklist should be followed before each procedure, ensuring proper function of equipment, control of patient identification and procedure (site of surgery should be marked by the responsible surgeon). • Day case anaesthesia should have the same form of safety and risk management system as in-hospital care. • Control of equipment, preoperative assessment, intraoperative, and postoperative observations should be documented and stored in accordance to regulations. • Ventilation of the operating theatre should be in accordance with national regulations and adjusted in order to minimize the risk for contamination. Scavenging of waste gas should also adhere to national guidelines. Work-place air quality, concentrations of trace concentration of waste anaesthetics, pollutants from diathermia or use of chemicals in the wound, and measured colony forming units (CFU) should be in accordance with national guidelines. • There should be a system in place for incident and failure reporting. Failures and incidents should be analyzed and the analysis should communicated within the unit in order to avoid reoccurrence.

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