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Rischio in anestesia

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Riassunto

Il blocco operatorio, per la complessità delle procedure che vengono effettuate, è uno degli ambienti più rischiosi e imprevedibili nell’ambito delle strutture ospedaliere. Nonostante i significativi progressi delle tecniche, sia chirurgiche sia anestesiologiche, negli ultimi anni, esistono aree di criticità dell’intero processo chirurgico che mettono in pericolo la sicurezza del paziente. L’attività della sala operatoria è caratterizzata da interventi complessi, staff multidisciplinari con differente preparazione tecnico-professionale, apparecchiature e dotazioni tecnologiche sofisticate.

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Bibliografia

  1. Weiser TG, Regenbogen SE, Thompson KD et al (2008) An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 372:139–144

    Article  PubMed  Google Scholar 

  2. World Health Organization (WHO) (25 June 2008) World Alliance for patient safety: 10 facts on safe surgery. http.//www.who.int/patientsafety/en/index.html

  3. Snow J (1858) On cloroformio and other anesthetics. John Churchill, London

    Google Scholar 

  4. Ruth SH (1945) Anesthesia study commission. JAMA 127:514

    Article  Google Scholar 

  5. Dripps RD, Lamont A, Eckenhoff JE (1961) The role of anesthesia in surgical mortality. JAMA 178:261–266

    Article  PubMed  CAS  Google Scholar 

  6. Bodlander FMS (1975) Deaths associated with anaesthesia. Br J Anaesth 47:36–40

    Article  PubMed  CAS  Google Scholar 

  7. Clifton BS, Hotten WIT (1963) Deaths associated with anesthesia. Br J Anaesth 35:250–259

    Article  PubMed  CAS  Google Scholar 

  8. Harrison GG (1978) Deaths attributable to anaesthesia: a 10-years survey (1967–1976). Br J Anaesth 50:1041–1046

    Article  PubMed  CAS  Google Scholar 

  9. Tiret L, Desmonts JM, Hatton F et al (1986) Complications associated with anaesthesia: a prospective survey in France. Can Anaesth Soc 33:336–344

    Article  CAS  Google Scholar 

  10. Buck N, Devlin HB, Lunn JL (1987) Report of a confidential enquiry into perioperative deaths. Nuffield Provincial hospitals trust. The King’s Fund Publishing House, London

    Google Scholar 

  11. Charuluxananan S, Chinachoti T, Pulnitiporn A et al (2005) The THAI Anesthesia Incidents Study (THAI study) of perioperative death: analysis of risk factors. J Med Assic Thai 88(Suppl 7):S30–S40

    Google Scholar 

  12. Bosma E, Veen EJ, Roukema J (2011) A incidence, nature and impact of error in surgery. Br J Surg 98:1654–1659

    Article  PubMed  CAS  Google Scholar 

  13. de Vries EN, Ramrattan MA, Smorenburg SM et al (2008) The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care 17:216–223

    Article  PubMed  Google Scholar 

  14. Olsson GL, Hallen B (1988) Cardiac arrest during anaesthesia. A computer-aided study in 250,543 anaesthetics. Acta Anaesthesiol Scand 32:653–664

    Article  PubMed  CAS  Google Scholar 

  15. Sprung J, Warner ME, Contreras MG et al (2003) Prediction of survival following cardiac arrest in patients undergoing non cardiac surgery: a study of 518,294 patients at a tertiary referral center. Anesthesiology 99:259–269

    Article  PubMed  Google Scholar 

  16. Braz LG, Módolo NS, do Nascimento P Jr et al (2006) Perioperative cardiac arrest: a study of 53,718 anaesthetics over 9 yr from a Brazilian teaching hospital. Br J Anaesth 96:569–575

    Article  PubMed  CAS  Google Scholar 

  17. Caplan RA, Ward RJ, Posner K et al (1988) Unexpected cardiac arrest during spinal anesthesia: a closed claim analysis of predisposing factors. Anesthesiology 68:5–11

    Article  PubMed  CAS  Google Scholar 

  18. Jimenez N, Posner KL, Cheney FW et al (2007) An update on pediatric anesthesia liability: a closed claims analysis. Anesth Analg 104:147–153

    Article  PubMed  Google Scholar 

  19. Cheney FW, Posner KL, Lee LA et al (2006) Trends in anesthesia-related death and brain damage: a closed claims analysis. Anesthesiology 105:1081–1086

    Article  PubMed  Google Scholar 

  20. Gurusamy K, Junnarkar S, Farouk M et al (2008) Meta-analysis of randomized controlled trials on the safety and effectiveness of day-case laparoscopic cholecystectomy. Br J Surg 95:161–168

    Article  PubMed  CAS  Google Scholar 

  21. Ecoffey B (2002) Recovery and outcome after minor pediatric surgery. Minerva Anestesiol 68:392–395

    PubMed  CAS  Google Scholar 

  22. Flin R, Maran N (2004) Identifying and training non technical skills for teams in acute medicine. Qual Saf Health Care 13:80–84

    Article  Google Scholar 

  23. The Non-Technical Skills for Surgeons (NOTSS) (2006) System handbook v 1.2. www.abdn.ac.uk./iprc/notss

  24. Mishra A, Catchpole K, McCulloch P (2009) The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operative theatre. Qual Sf Health Care 18:104–108

    Article  CAS  Google Scholar 

  25. Regione Lombardia (2011) Progetto Ministeriale “Sicurezza in ambito chirurgico”. Manuale didattico per la sicurezza in chirurgia

    Google Scholar 

  26. World Health Organization (2009) Guidelines for safe surgery http://whqlibdoc.who.int/publications/2009/9789241598552_eng.pdf

  27. Ministero del Lavoro, della Salute e delle Politiche Sociali (2009) Manuale per la Sicurezza in sala operatoria: Raccomandazioni e Checklist. http://www.salute.gov.it

  28. Pederse T (1994) Complications and death following anaesthesia: a prospective study with special reference to the influence of patient, anaesthesia and surgery-related risk factors. Dan Med Bull 41:319

    Google Scholar 

  29. Wolters U, Wolf T, Stützer H et al (1996) ASA classification and perioperative variables as predictors of postoperative outcome. Br J Anaesth 77:217–222

    Article  PubMed  CAS  Google Scholar 

  30. Cohen MM, Duncan PG, Tate RB (1988) Does anesthesia contribute to operative mortality? JAMA 260:2859–2863

    Article  PubMed  CAS  Google Scholar 

  31. Fleisher LA, Beckman JA, Brown KA et al (2007) ACC/AHA Guidelines on perioperative cardiovascular evalutation and care for noncardiac surgery. Circulation 116:e418–e499

    Article  PubMed  Google Scholar 

  32. Hawkins JL, Koonin LM, Palmer SK et al (1997) Anesthesia-related deaths during obstetric delivery in USA, 1979–1990. Anesthesiology 86:277–284

    Article  PubMed  CAS  Google Scholar 

  33. Saving mothers’ lives: reviewing maternal deaths to make motherhood safer: 2006–2008 (march 2011) BJOG 118:1–203. http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2010.02847.x/pdf

  34. 34. World Health Organization. Trend in Maternal mortality: 1990–2008. Estimates developed by WHO, UNICEF, UNFP and the World Bank. http://www.who.reproductivehealth/publications/monitoring/9789241500265/en/index.html

  35. Hogan MC, Foreman KJ, Naghavi M et al (2010) Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium development goal 5. Lancet 375:1609–1623

    Article  PubMed  Google Scholar 

  36. Mhyre JM, Riesner MN, Polley LS et al (2007) A series of anaesthesia-related maternal deaths in Michigan, 1985–2003. Anesthesiology 106:1096–1104

    Article  PubMed  Google Scholar 

  37. Cheesman K, Brady JE, Flood P et al (2009) Epidemiology of anesthesia-related complications in labor and delivery, New York State, 2002–2005. Anesth Analg 109:1174–1181

    Article  PubMed  Google Scholar 

  38. Morray JP, Geiduschek JM, Caplan RA et al (1993) A comparison of pediatric and adult anesthesia closed malpractice claims. Anesthesiology 78:461–467

    Article  PubMed  CAS  Google Scholar 

  39. Bhananker SM, Ramamoorthy C, Geiduschek JM et al (2007) Anesthesia-related cardiac arrest in children: Update from the Pediatric Perioperative Cardiac Arrest Registry. Anesth Analg 105:344–350

    Article  PubMed  Google Scholar 

  40. Edomwonyi NP, Ekwere IT, Egbekun R et al (2006) Anesthesia-related complication in children. Middle East J Anesthesiol 18:915–927

    PubMed  CAS  Google Scholar 

  41. Li G, Warner M, Lang BH et al (2009) Epidemiology of anesthesia-related mortality in the United States, 1999–2005. Anesthesiology 110:759–765

    Article  PubMed  Google Scholar 

  42. Lee C, Mason L (2006) Complications in paediatric anaesthesia. Curr Opin Anaesthesiol 19:262–267

    Article  PubMed  Google Scholar 

  43. Ragg P (2011) Critical incidents and mortality reporting in pediatric anesthesia: the Australian experience. Paediatr Anaesth Feb 10.doi: 10.1111/j.1460-9592.2010.03512.x

    Google Scholar 

  44. Paterson N, Waterhouse P (2011) Risk in paediatric anesthesia. Paediatr Anaesth 21:848–857

    Article  PubMed  Google Scholar 

  45. Jin F, Chung F (2001) Minimizing perioperative adverse events in the elderly. Br J Anaesth 87:608–624

    Article  PubMed  CAS  Google Scholar 

  46. Devereaux PJ, Yang H, Yusuf S et al (2008) Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial. Lancet 371:1839–1847

    Article  PubMed  CAS  Google Scholar 

  47. Seymour DG, Vaz FG (1989) A prospective study of elderly general surgical patients, II: post-operative complications. Age Ageing 18:316–326

    Article  PubMed  CAS  Google Scholar 

  48. Goldman L (2010) The revised cardiac risk index delivers what it promised. Ann Intern Med 152:57–58

    PubMed  Google Scholar 

  49. Birkmeyer JD, Stukel TA, Siewers AE et al (2003) Surgeon volume and operative mortality in the United State. N Engl J Med 349:2117–2127

    Article  PubMed  CAS  Google Scholar 

  50. Birkmeyer JD, Siewers AE, Finlayson EV et al (2002) Hospital volume and surgical mortality in the United States. N Engl J Med 346:1128–1137

    Article  PubMed  Google Scholar 

  51. Buergler JM, Kim R, Thisted RA et al (1992) Risk of human immunodeficiency virus in surgeons, anesthesiologists and medical students. Anesth Analg 75:118–124

    Article  PubMed  CAS  Google Scholar 

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Landi, L., Losappio, S., Calderini, E. (2012). Rischio in anestesia. In: Gullo, A., Murabito, P. (eds) Governo clinico e medicina perioperatoria. Springer, Milano. https://doi.org/10.1007/978-88-470-2793-0_13

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  • DOI: https://doi.org/10.1007/978-88-470-2793-0_13

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2792-3

  • Online ISBN: 978-88-470-2793-0

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