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PubMed · 7066742

A micro-computerized anaesthetic record system.

A Zissos·L Strunin
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Abstract

An anesthetic record system has been implemented using a micro-computer, rather than a larger computer system. The record system provides a wide range of functions, including record retrieval, random record processing, and the generation of graphical reports on the department's operating room performance. The steps taken in realizing this system are described, with emphasis on the preparatory decisions that must be made before computer programming can be undertaken. Adopting a modest straightforward design philosophy is shown to be an important pre-requisite to success.

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AnesthesiologyComputersData DisplayInformation SystemsMedical RecordsMicrocomputersJournal Article

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A Zissos, L Strunin. 1982. A micro-computerized anaesthetic record system.. https://doi.org/10.1007/bf03007998

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Perception of training needs and opportunities in advanced airway skills: a survey of British and Irish trainees.

BACKGROUND AND OBJECTIVE: We surveyed delegates at the Group of Anaesthetists in Training (UK) meeting to investigate evidence of a training-gap (number of fibreoptic intubations believed to bestow competence vs. number actually performed). METHODS: Questionnaires were distributed to and collected from delegates in person. Questions covered six areas, including experience of fibreoptic intubation and cricothyrotomy, fibreoptic intubation as a specialist skill and ethical issues. RESULTS: We received 221 replies (76%). All trainees believed competence to be achievable with 10 intubations (interquartile range (IQR) 10-20); the median number performed was 2 (IQR 0-4). This was statistically significant for the groups' senior house officers, 1st and 2nd year registrars and 3rd and 4th year registrars; P < 0.0001. Many final year trainees (12/20, 60%) also failed to achieve their competency target. Few trainees had seen or performed any cricothyrotomies (medians 0, IQRs 0-1 and 0-0). Most (195/208, 94%) believed that fibreoptic intubation was a core skill and 199/212 (94%) believed that all should be competent by completion of training. Ten percent (n = 208) felt it unethical to perform an awake training intubation with full consent and 10% believed it acceptable without explanation. Most (82.7%) would fibreoptically intubate an asleep patient (requiring intubation) without consent. CONCLUSION: Trainees reported a gap between their perception of competence and achievement in awake fibreoptic intubation. Simple and complex simulations and structured training programmes may help. Anaesthetists must address the ethics of clinical training in advanced airway management.

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