International Standards for a Safe Practice of Anesthesia 2010.

International Standards for a Safe Practice of Anesthesia 2010.
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DOI:
10.1007/s12630-010-9381-6
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发表时间:
2010-11
影响因子:
4.2
通讯作者:
Eichhorn, John H.
Eichhorn, John H.
中科院分区:
医学3区
文献类型:
--
作者:
Merry, Alan F.;Cooper, Jeffrey B.;Soyannwo, Olaitan;Wilson, Iain H.;Eichhorn, John H.

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这些标准被推荐给全世界的麻醉专业人员。它们旨在为麻醉专业人员、其专业协会、医院和设施管理人员以及政府提供指导和帮助,以改善和保持麻醉护理的质量和安全。1992年6月13日由世界麻醉师协会联合会通过,并于2008年3月5日和2010年3月19日批准了修订。对于一些麻醉服务机构、团体和部门来说,这些标准将代表一个未来的目标,而对于另一些人来说,这些标准可能已经实施并被视为强制性的。人们认识到,在面临资源和组织方面的挑战的某些情况下,目前甚至连那些被认为是强制性的标准也没有达到。在这种情况下提供麻醉应限于对紧急或紧急挽救生命或肢体绝对必要的程序,负责在这些地区和环境中提供医疗保健的人员应尽一切努力确保达到标准。提供麻醉护理的标准低于选择性外科手术麻醉的强制性标准,不能被解释为安全可接受的做法。最重要的标准与个人麻醉专业人员有关。监测设备作为人类感官和临床技能的延伸,而不是替代,在安全麻醉中发挥着重要作用。
These standardsA are recommended for anesthesia professionals throughout the world. They are intended to provide guidance and assistance to anesthesia professionals, their professional societies, hospital and facility administrators, and governments for improving and maintaining the quality and safety of anesthesia care. They were adopted by the World Federation of Societies of Anaesthesiologists on the 13th June 1992, and revisions were ratified on 5th March 2008 and on 19th March 2010. For some anesthesia services, groups, and departments these standards will represent a future goal, while for others they may already have been implemented and be regarded as mandatory. It is recognized that in some settings facing challenges in resources and organization, not even those standards regarded as mandatory are met at present. The provision of anesthesia under such circumstances should be restricted to procedures which are absolutely essential for the urgent or emergency saving of life or limb, and every effort should be made by those responsible for the provision of healthcare in these areas and settings to ensure that the standards are met. Provision of anesthesia care at standards lower than those outlined as mandatory for anesthesia for elective surgical procedures simply cannot be construed as safe acceptable practice. The most important standards relate to individual anesthesia professionals. Monitoring devices play an important part in safe anesthesia as extensions of human senses and clinical skills rather than their replacement.