Intro to Safety

Question 1

APSF Critical Anesthesia Requirements**

Answer 1

Reliable delivery of oxygen at any appropriate concentration up to 100%, reliable means of positive pressure ventilation, backup ventilation equipment available & functioning, controlled release of positive pressure in the breathing circuit, anesthesia vapor delivery if intended as part of the anesthetic plan, adequate suction, means to conform to standards for patient monitoring.

Question 2

Why are there APSF Critical Anesthesia Requirements**

Answer 2

To avoid PREVENTABLE patient injury through execution of procedures designed to assure the proper function and presence of critical anesthesia requirements

Question 3

Bair’s Addition to APSF Requirements**

Answer 3

Meants to perform ACLS & PALS including presence of emergency airway equipment, emergency drugs & immediate availability of defibrillation

Question 4

AANA Patient Monitoring Standard**

Answer 4

Monitor ventilation continuously, Monitor oxygenation continuously, monitor cardiovascular status continuously, monitor body temperature continuously, monitor & assess patient positioning & protective measures

Question 5

How to monitor ventilation continuously

Answer 5

Verify intubation of trachea by auscultation, chest excursion & confirmation of carbon dioxide expired in gas, continuously monitor end-tidal carbon dioxide during controlled or assisted ventilation, including any anesthesia or sedation technique requiring artificial airway support, use spirometry & ventilatory pressure monitors as indicated

Question 6

How to monitor oxygenation continuously

Answer 6

Clinical observation, pulse oximetry & arterial blood gas analysis if indicated

Question 7

How to monitor CV status continuously

Answer 7

EKG, heart sounds, record BP & HR at least every 5 minutes

Question 8

When to monitor body temp continuously

Answer 8

Monitor all pediatric cases (risk of MH more prevalent) and when indicated on all other patients