World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia
World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia
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DOI：
10.1007/s12630-018-1111-5
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发表时间：
2018-06-01
影响因子：
4.2
通讯作者：
Merry, Alan F.
中科院分区：
文献类型：
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作者：
Gelb, Adrian W.;Morriss, Wayne W.;Merry, Alan F.
麻醉安全实践国际标准是代表世界麻醉学家学会联合会(WFSA)和世界卫生组织(WHO)制定的，WFSA是代表150个国家的麻醉师的非营利性组织。这些建议已得到世卫组织和WFSA成员的批准。这些标准适用于世界各地的所有麻醉供应商。它们旨在为麻醉提供者、他们的专业组织、医院和设施管理人员以及政府提供指导和帮助，以维持和提高麻醉护理的质量和安全性。这些标准涵盖专业方面；设施和设备；药物和静脉输液；监测；以及麻醉的进行。强烈推荐的标准在功能上相当于强制性标准，包括(除其他事项外)：训练有素和警惕的麻醉提供者的持续存在；通过临床观察和脉搏血氧仪持续监测组织氧合和灌注；间歇性监测血压；通过听诊和二氧化碳检测确认气管内导管(如果使用)正确放置；使用世卫组织安全手术检查表；以及麻醉结束时的护理移交制度。国际标准代表最低标准，目标应始终是实践尽可能高的标准，最好是超过本文件中概述的标准。
The International Standards for a Safe Practice of Anesthesia were developed on behalf of the World Federation of Societies of Anaesthesiologists (WFSA), a non-profit organization representing anesthesiologists in 150 countries, and the World Health Organization (WHO). The recommendations have been approved by WHO and the membership of WFSA. These Standards are applicable to all anesthesia providers throughout the world. They are intended to provide guidance and assistance to anesthesia providers, their professional organizations, hospital and facility administrators, and governments for maintaining and improving the quality and safety of anesthesia care. The Standards cover professional aspects; facilities and equipment; medications and intravenous fluids; monitoring; and the conduct of anesthesia. HIGHLY RECOMMENDED standards, the functional equivalent of mandatory standards, include (amongst other things): the continuous presence of a trained and vigilant anesthesia provider; continuous monitoring of tissue oxygenation and perfusion by clinical observation and a pulse oximeter; intermittent monitoring of blood pressure; confirmation of correct placement of an endotracheal tube (if used) by auscultation and carbon dioxide detection; the use of the WHO Safe Surgery Checklist; and a system for transfer of care at the end of an anesthetic. The International Standards represent minimum standards and the goal should always be to practice to the highest possible standards, preferably exceeding the standards outlined in this document.