September 1989

Monitoring for All Phases of Care

September 10, 1989

The AAGBI document addresses the provision of standards of monitoring in the anesthetic room, the operating room, the recovery room, and during transfer of patients under the care of the...

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Recommendations for Monitoring Standards in the U.K. and Ireland

September 10, 1989

The Association of Anaesthetists of Great Britain & Ireland (AAGOD published recommendations for Standards of Monitoring during Anaesthesia and Recovery in July, 1988. This was followed by a long debate...

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Current Questions in Patient Safety: ET Tubes for Laser to Larynx?

September 10, 1989

Question: “What are the safest endotracheal tubes for use during ND-YAG and C02 laser treatment of the upper airway?” Answer: This question, like many apparently simple questions, must receive a...

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Difference in Mask Capnogram Questioned, Explained

September 10, 1989

Recently, two colleagues wrote to the APSF that they had observed a discrepancy between end-tidal and arterial carbon dioxide tensions (PETC02 and PaCO2) in children during inhalation anesthesia. The table...

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Central Venous Catheter Safety Guidelines Issued by Task Force

September 10, 1989

The Food and Drug Administration (FDA), as well as the Canadian Health Protection Branch (HPB) have become aware of an appreciable increase in the number of complications associated with the...

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Anesthesia Care Team Concept Questioned; Aviation Analogy Faulted

September 10, 1989

To the Editor Dr. Rauscher employed the aviation/anesthesia analogy in a recent letter (March 1989 Newsletter) to argue in favor of the Care Team approach in anesthesia. As an active...

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Australian Anesthesia Assistants Well Trained; Benefits to Care Noted, Appreciated

September 10, 1989

Editor’s note: The September issue contained a discussion of the suggestion that an assistant is essential during administration of anesthesia and a listing of the Australian policy on minimum assistance...

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Swiss Check Lists Suggested

September 10, 1989

To the Editor While reading the December, 1988 issue of the Anesthesia Patient Safety Foundation Newsletter, I saw your offer for the APSF Clipboard. I would like to share with...

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Radiation Hazards; Protocols

September 10, 1989

To the Editor The June 1988, APSF Newsletter contained a question concerning conduct during x-ray or fluoroscopy. Dr. Jene notes ….. protected area a few feet from the patient.” Please...

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Drug Accident Shows Need for Label Standards

September 10, 1989

To the Editor “The best laid schemes o’ mice and men gang aft a-gley.” In the December, 1987 issue of the Anesthesia Patient Safety Foundation Newsletter an article entitled “Better...

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‘Abandoning’ PACU Patients to Do Next Case

September 10, 1989

To the Editor I have been following the correspondence on “briefly leaving the patient” with increasing dismay. It seems to me that your correspondents have totally missed an important point....

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Foreign Correspondence: “Wrong Gas” Disaster in Hong Kong

September 10, 1989

On 14th January, 1989, the 55 year-old owner of a popular Hong Kong night-spot was administered general anaesthesia for open reduction of a tarsometatarsal fracture She was also the wife...

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Definition of Terms

September 10, 1989

For the record, editorial policy of the APSF Newsletter is to use the traditional (British) understanding that the term “anaesthetist” or “anesthetist” means any practitioner who administers anesthesia: physician, nurse,...

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Safety Spotlighted at October ASA Meeting

September 10, 1989

Patient safety in anesthesia will once again be a major focus at the American Society of Anesthesiologist’s annual meeting in New Orleans, October 14-18. Safety and related subjects have grown...

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Older Anesthesia Machines Targeted for Component Replacement

September 10, 1989

Editor’s Note: Members of the APSF Education Committee recently discussed a number of issues relative to making older anesthesia machines safer without necessarily incurring the cost of entirely new equipment....

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June 1989

Medical Decisions Asked of PACU Nurses

June 10, 1989

To the Editor: Please let us refocus not so much on the issue of a litigious society, but rather on the safety of patient care when talking about whether PACU...

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Falsely Elevated Oximeter Reading Dangerous on One Lung

June 10, 1989

To the Editor Use of the Pulse oximeter has been suggested as the standard of care for general anesthetics 1. It is well recognized that continuous assessment of arterial oxygenation...

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FDA Study Organized to Validate Pre-Operative Checkout Recommendations

June 10, 1989

The failure to perform a thorough pre-use check of the anesthesia equipment has been cited as the most frequently noted single factor associated with intra-operative anesthesia critical incidents(1,2). The consistent,...

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The Society for Technology in Anesthesia

June 10, 1989

In the last APSF Newsletter and in the April issue of the journal of Clinical Monitoring (page 148), we described the origin and background of the Society for Technology in...

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Dr. David Lees, APSF Director, Named to Prestigious FDA Post

June 10, 1989

David Eric Lees, M.D. a Director of the Anesthesia Patient Safety Foundation, was recently honored with an appointment as a member of the Anesthesiology and Respiratory Therapy Devices Panel of...

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