—Featured Article—

Emergency Manuals: The Time Has Come


Sample Safety Checklist Manual

It was a “standard” interscalene block for shoulder surgery, a single injection of a ropivacaine/tetracaine mixture under ultrasound guidance. But then the convulsion started; the patient lost consciousness and stopped breathing. The blood pressure dropped, but sinus rhythm was maintained. The anesthesiologist reported: "I sort of froze: Four people were doing a lot of things at once, it was chaotic, but I remembered to get the checklist." The checklist he remembered was the ASRA guideline for managing local anesthetic toxicity (LAST) that he had just simulated at a meeting, and which was now posted on the operating room wall. The checklist was read out loud; administration of a large dose of propofol (drawn up and being connected to the IV) was immediately stopped and Intralipid™ given instead in the correct dose. After following the steps on the list, the patient awakened with no permanent complications, and received surgery at a later date. .... [more]

APSF Survey Helps To Establish Pre-Induction Checklist

The Anesthesia Patient Safety Foundation (APSF) Executive Committee believes that a Pre-anesthetic Induction Patient Safety (PIPS) checklist offers an opportunity to pursue the foundation’s vision that “no patient shall be harmed by anesthesia.”
In this regard, the APSF created a 22-question survey (www.surveymonkey.com/s/3VHDTJY) to determine anesthesia professionals’ views on the perceived value of a PIPS checklist and the observations that should be part of the checklist.....[more]

Sample Safety Checklist Manual

Merck Supports APSF




Announcing Guidelines for Grant Applications to be selected on Saturday, October 12, 2013 (ASA Annual Meeting) and Scheduled for Funding Starting January 1, 2014

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Request for Applications (RFA) for the

Application deadline: November 1, 2013

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Request for Proposals (RFP) to study the implementation and performance of the APSF Pre-anesthetic Induction Patient Safety Checklist (PIPS)

The deadline for receipt of a proposal is November 1, 2013 for a grant scheduled for funding to begin May 1, 2014.

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Anesthesia Patient Safety Foundation
APSF Sponsored Conference on Wednesday, September 18, 2013

Anesthesia Professionals and the Use of Advanced Medical Technologies: Recommendations for Education, Training, and Documentation
Royal Palms Resort and Spa, Phoenix, AZ

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The Fire Prevention Algorithm is now available as a downloadable poster or handout size:
On the APSF website (www.apsf.org) under Resource Center/Clinical Safety Tools:


Fire Video Announcement



The Official Journal of the Anesthesia Patient Safety Foundation

The Anesthesia Patient Safety Foundation Newsletter is the official publication of the nonprofit Anesthesia Patient Safety Foundation and is published quarterly in Wilmington, Delaware. Annual contributor cost: Individual–$100, Corporate–$500. This and any additional contributions to the Foundation are tax deductible.  © Copyright, Anesthesia Patient Safety Foundation, 2013.

The opinions expressed in this Newsletter are not necessarily those of the Anesthesia Patient Safety Foundation. The APSF neither writes nor promulgates standards, and the opinions expressed herein should not be construed to constitute practice standards or practice parameters. Validity of opinions presented, drug dosages, accuracy, and completeness of content are not guaranteed by the APSF.

APSF Executive Committee:
Robert K. Stoelting, MD, President; Steven R. Sanford, JD, Vice President; Jeffrey B. Cooper, PhD, Executive Vice President; George A. Schapiro, Executive Vice President; Matthew B. Weinger, MD, Secretary; Casey D. Blitt, MD, Treasurer; Steven K. Howard, MD; Robert A. Caplan, MD; David M. Gaba, MD; Patricia A. Kapur, MD; Lorri A. Lee, MD; Maria Magro van Pelt, CRNA; Robert C. Morell, MD; A. William Paulsen, PhD; Richard C. Prielipp, MD; Steven R. Sanford, JD; Mark A. Warner, MD. Consultants to the Executive Committee: Sorin J. Brull, MD; John H. Eichhorn, MD; Bruce P. Hallbert, PhD.

Newsletter Editorial Board:

Robert C. Morell, MD, Co-Editor; Lorri A. Lee, MD, Co-Editor; Sorin J. Brull, MD; Joan Christie, MD; Jan Ehrenwerth, MD; John H. Eichhorn, MD; Steven B. Greenberg, MD; Glenn S. Murphy, MD; John O’Donnell, DrPH, CRNA; Karen Posner, PhD; Andrew F. Smith, MRCP, FRCA; Wilson Somerville, PhD; Jeffery Vender, MD.

Address all general, contributor, and subscription correspondence to:

Administrator, Deanna Walker
Anesthesia Patient Safety Foundation
Building One, Suite Two
8007 South Meridian Street
Indianapolis, IN 46217-2922
e-mail address: walker@apsf.org
FAX: (317) 888-1482

Address Newsletter editorial comments, questions, letters, and suggestions to:

Robert C. Morell, MD
Senior Co-Editor, APSF Newsletter
c/o Addie Larimore, Editorial Assistant
Department of Anesthesiology
Wake Forest University School of Medicine
9th Floor CSB
Medical Center Boulevard
Winston-Salem, NC 27157-1009

e-mail: apsfeditor@yahoo.com