SlideShare a Scribd company logo
  What Must I Consider to Safely Anesthetize Someone in the Office Setting?   Chapter 47:  Evidence based practice of anaesthesiology Dr.ANVAR SADATH.A.E.
INTRODUCTION   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMPONENTS OF OFFICE SAFETY   ,[object Object],[object Object],[object Object]
Physical Considerations   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physician Qualifications   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient and Procedure Selection   ,[object Object],[object Object],[object Object],[object Object]
EVIDENCE   ,[object Object],[object Object],[object Object],[object Object]
Evidences  ,[object Object],[object Object],[object Object],[object Object],[object Object],9.2 /100000 66 /100000 Office surgery 0.78/ 100000 5.3 /100000 Ambulatory surgery Death rate Adverse events
Evidences, DVT, PE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors for the Development of Deep Vein Thrombosis (DVT   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preoperative hematology consultation with consideration of perioperative antithrombotic therapy  Procedure >30 min  Treatment as per patients with moderate risk  Age >40 with concomitant risk factors  High risk Frequent alterations of the operating room table Oral contraceptive use Intermittent pneumatic compression of calf or ankle (before sedation and continued until patient is awake and moving)  Procedure >30 min Proper positioning  Age >40 with no other risks Moderate risk Avoid constriction and external pressure  Short duration Knees flexed at 5 degrees  Uncomplicated surgery Comfortable position  No risk factors Low risk   Treatment   Cohort
GUIDELINES   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OSA ,[object Object],[object Object],[object Object],[object Object]
Duration of procedure   ,[object Object],[object Object],[object Object],[object Object]
AREAS OF UNCERTAINTY   ,[object Object],[object Object],[object Object]
AUTHORS' RECOMMENDATIONS   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
thank you

More Related Content

What's hot

Human errors in surgery by dr dinesh bhu
Human errors in surgery by dr dinesh bhuHuman errors in surgery by dr dinesh bhu
Human errors in surgery by dr dinesh bhu
Dinesh Singh
 
Implementation manual who surgical safety checklist 2009
Implementation manual who surgical safety checklist 2009Implementation manual who surgical safety checklist 2009
Implementation manual who surgical safety checklist 2009
Paul Mark Pilar
 
Anaesthesia outside operating room
Anaesthesia outside operating roomAnaesthesia outside operating room
Anaesthesia outside operating room
narasimha reddy
 

What's hot (20)

Surgical safety checklist
Surgical safety checklistSurgical safety checklist
Surgical safety checklist
 
Safety in Anesthesia
Safety in AnesthesiaSafety in Anesthesia
Safety in Anesthesia
 
Who Surgical Checklist: Principles and Procedures
Who Surgical Checklist: Principles and ProceduresWho Surgical Checklist: Principles and Procedures
Who Surgical Checklist: Principles and Procedures
 
Ambulatory anaesthesia
Ambulatory anaesthesiaAmbulatory anaesthesia
Ambulatory anaesthesia
 
Office-based & Ambulatory Anesthesia
Office-based & Ambulatory Anesthesia Office-based & Ambulatory Anesthesia
Office-based & Ambulatory Anesthesia
 
Preoperative managment
Preoperative managment Preoperative managment
Preoperative managment
 
Ambulatory Surgery by Dr. Kenneth Dickie
Ambulatory Surgery by Dr. Kenneth DickieAmbulatory Surgery by Dr. Kenneth Dickie
Ambulatory Surgery by Dr. Kenneth Dickie
 
Anaesthesia safe practice
Anaesthesia safe practiceAnaesthesia safe practice
Anaesthesia safe practice
 
Human errors in surgery by dr dinesh bhu
Human errors in surgery by dr dinesh bhuHuman errors in surgery by dr dinesh bhu
Human errors in surgery by dr dinesh bhu
 
OT Check List
OT Check ListOT Check List
OT Check List
 
Surgical safety checklist
Surgical safety checklistSurgical safety checklist
Surgical safety checklist
 
Penetrating thoracic injuries treatment options
Penetrating thoracic injuries treatment optionsPenetrating thoracic injuries treatment options
Penetrating thoracic injuries treatment options
 
Organization and guidelines for angloitalian meeting roma 010 on non operati...
Organization and guidelines for  angloitalian meeting roma 010 on non operati...Organization and guidelines for  angloitalian meeting roma 010 on non operati...
Organization and guidelines for angloitalian meeting roma 010 on non operati...
 
Never events - anesthesia
Never events - anesthesiaNever events - anesthesia
Never events - anesthesia
 
Anesthesia in day care surgery
Anesthesia in day care surgeryAnesthesia in day care surgery
Anesthesia in day care surgery
 
Fast Tracking Ambulatory Surgery Patients
Fast Tracking Ambulatory Surgery PatientsFast Tracking Ambulatory Surgery Patients
Fast Tracking Ambulatory Surgery Patients
 
Implementation manual who surgical safety checklist 2009
Implementation manual who surgical safety checklist 2009Implementation manual who surgical safety checklist 2009
Implementation manual who surgical safety checklist 2009
 
Anaesthesia outside operating room
Anaesthesia outside operating roomAnaesthesia outside operating room
Anaesthesia outside operating room
 
Case day surgery
Case day surgeryCase day surgery
Case day surgery
 
Day case for web
Day case for webDay case for web
Day case for web
 

Viewers also liked

Bone forming tumors
Bone forming tumorsBone forming tumors
Bone forming tumors
KemUnited
 
Pathophysiology of Metastatic Bone Disease and the Role of Bisphosphonates
Pathophysiology of Metastatic Bone Disease and the Role of BisphosphonatesPathophysiology of Metastatic Bone Disease and the Role of Bisphosphonates
Pathophysiology of Metastatic Bone Disease and the Role of Bisphosphonates
shabeel pn
 
Fracture compli & mx
Fracture compli & mxFracture compli & mx
Fracture compli & mx
orthoprince
 
Ehlers-Danlos syndromes(EDS)
Ehlers-Danlos syndromes(EDS)Ehlers-Danlos syndromes(EDS)
Ehlers-Danlos syndromes(EDS)
Fiona X. Li
 

Viewers also liked (20)

Osgood-Schlatter Disease
Osgood-Schlatter DiseaseOsgood-Schlatter Disease
Osgood-Schlatter Disease
 
Bone forming tumors
Bone forming tumorsBone forming tumors
Bone forming tumors
 
Operative treatment of osteoporotic spinal fractures
Operative treatment of osteoporotic spinal fracturesOperative treatment of osteoporotic spinal fractures
Operative treatment of osteoporotic spinal fractures
 
G08 biomechanics
G08 biomechanicsG08 biomechanics
G08 biomechanics
 
Complication of traumatology theme lecture
Complication of traumatology theme lectureComplication of traumatology theme lecture
Complication of traumatology theme lecture
 
Osteochondroses
OsteochondrosesOsteochondroses
Osteochondroses
 
Approach to a case of motor and sensory disorders
Approach to a case of motor and sensory disordersApproach to a case of motor and sensory disorders
Approach to a case of motor and sensory disorders
 
tension band wiring
tension band wiringtension band wiring
tension band wiring
 
Anticoagulant and regional anaesthesia
Anticoagulant and regional anaesthesiaAnticoagulant and regional anaesthesia
Anticoagulant and regional anaesthesia
 
Limb length discrepancy evaluation
Limb length discrepancy evaluationLimb length discrepancy evaluation
Limb length discrepancy evaluation
 
Pathophysiology of Metastatic Bone Disease and the Role of Bisphosphonates
Pathophysiology of Metastatic Bone Disease and the Role of BisphosphonatesPathophysiology of Metastatic Bone Disease and the Role of Bisphosphonates
Pathophysiology of Metastatic Bone Disease and the Role of Bisphosphonates
 
Fracture compli & mx
Fracture compli & mxFracture compli & mx
Fracture compli & mx
 
Metastatic bone disease: An old dogma and a new insight
Metastatic bone disease: An old dogma and a new insightMetastatic bone disease: An old dogma and a new insight
Metastatic bone disease: An old dogma and a new insight
 
Blounts disease
Blounts diseaseBlounts disease
Blounts disease
 
Bone biology, healing and biomechanics
Bone biology, healing and biomechanicsBone biology, healing and biomechanics
Bone biology, healing and biomechanics
 
Osteochondrosis
OsteochondrosisOsteochondrosis
Osteochondrosis
 
Management of patients on long term anticoagulant therapy.
Management of patients on long term anticoagulant  therapy.Management of patients on long term anticoagulant  therapy.
Management of patients on long term anticoagulant therapy.
 
Ehlers-Danlos syndromes(EDS)
Ehlers-Danlos syndromes(EDS)Ehlers-Danlos syndromes(EDS)
Ehlers-Danlos syndromes(EDS)
 
Ehlers Danlos Syndrome
Ehlers Danlos SyndromeEhlers Danlos Syndrome
Ehlers Danlos Syndrome
 
Complications of fractures
Complications of fracturesComplications of fractures
Complications of fractures
 

Similar to What must i consider to safely anesthetize someone

Day case anesthesia
 Day case anesthesia Day case anesthesia
Day case anesthesia
Omar Danfour
 

Similar to What must i consider to safely anesthetize someone (20)

Surgical safety
Surgical safetySurgical safety
Surgical safety
 
Managing complications v4
Managing complications v4Managing complications v4
Managing complications v4
 
MONITORING THE PT DURING SURGICAL PROCEDURE AND LEGAL ASPECTS OF OT
MONITORING THE PT DURING SURGICAL PROCEDURE AND LEGAL ASPECTS OF OTMONITORING THE PT DURING SURGICAL PROCEDURE AND LEGAL ASPECTS OF OT
MONITORING THE PT DURING SURGICAL PROCEDURE AND LEGAL ASPECTS OF OT
 
ERECTILE RESTORATION: SURGICAL Peri-operative management and guidelines
ERECTILE RESTORATION: SURGICAL Peri-operative management and guidelinesERECTILE RESTORATION: SURGICAL Peri-operative management and guidelines
ERECTILE RESTORATION: SURGICAL Peri-operative management and guidelines
 
Principles of preoperative and operative surgery
Principles of preoperative and operative surgeryPrinciples of preoperative and operative surgery
Principles of preoperative and operative surgery
 
preoperativemanagment2018-180620135518 (2).pdf
preoperativemanagment2018-180620135518 (2).pdfpreoperativemanagment2018-180620135518 (2).pdf
preoperativemanagment2018-180620135518 (2).pdf
 
Raghu nath.pdf
Raghu nath.pdfRaghu nath.pdf
Raghu nath.pdf
 
preoperative preparation of surgical patient
preoperative preparation of surgical patient preoperative preparation of surgical patient
preoperative preparation of surgical patient
 
Who safe surgical practice guidelines
Who safe surgical practice guidelinesWho safe surgical practice guidelines
Who safe surgical practice guidelines
 
Surgical safety checklist
Surgical safety checklistSurgical safety checklist
Surgical safety checklist
 
cjms-5-171-En.pdf
cjms-5-171-En.pdfcjms-5-171-En.pdf
cjms-5-171-En.pdf
 
Surgical Risk Assessment is an Important Factor in any Surgical Treatment
Surgical Risk Assessment is an Important Factor in any Surgical TreatmentSurgical Risk Assessment is an Important Factor in any Surgical Treatment
Surgical Risk Assessment is an Important Factor in any Surgical Treatment
 
Surgical Risk Assessment is an Important Factor in any Surgical Treatment
Surgical Risk Assessment is an Important Factor in any Surgical TreatmentSurgical Risk Assessment is an Important Factor in any Surgical Treatment
Surgical Risk Assessment is an Important Factor in any Surgical Treatment
 
Preoperative Surgical Preparation
Preoperative Surgical PreparationPreoperative Surgical Preparation
Preoperative Surgical Preparation
 
Recent advances in safer surgery
Recent advances in safer surgeryRecent advances in safer surgery
Recent advances in safer surgery
 
Day case anesthesia
 Day case anesthesia Day case anesthesia
Day case anesthesia
 
Saif Presentation (2)_102514.pptx low pressure pneumoperitoneum
Saif Presentation (2)_102514.pptx low pressure pneumoperitoneumSaif Presentation (2)_102514.pptx low pressure pneumoperitoneum
Saif Presentation (2)_102514.pptx low pressure pneumoperitoneum
 
QUALITY AND SAFETY IMPROVEMENT EFFORTS OUTSIDE OPERATING ROOM
QUALITY AND SAFETY IMPROVEMENT EFFORTS OUTSIDE OPERATING ROOMQUALITY AND SAFETY IMPROVEMENT EFFORTS OUTSIDE OPERATING ROOM
QUALITY AND SAFETY IMPROVEMENT EFFORTS OUTSIDE OPERATING ROOM
 
Patient safety During Anesthesia
Patient safety During AnesthesiaPatient safety During Anesthesia
Patient safety During Anesthesia
 
CLINICAL INDICATORS.pptx
CLINICAL INDICATORS.pptxCLINICAL INDICATORS.pptx
CLINICAL INDICATORS.pptx
 

Recently uploaded

New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
i3 Health
 
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdfAlcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Dr Jeenal Mistry
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Oleg Kshivets
 

Recently uploaded (20)

The Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of IIThe Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of II
 
Prix Galien International 2024 Forum Program
Prix Galien International 2024 Forum ProgramPrix Galien International 2024 Forum Program
Prix Galien International 2024 Forum Program
 
"Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t...
"Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t..."Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t...
"Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t...
 
Evaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animalsEvaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animals
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
 
Final CAPNOCYTOPHAGA INFECTION by Gauri Gawande.pptx
Final CAPNOCYTOPHAGA INFECTION by Gauri Gawande.pptxFinal CAPNOCYTOPHAGA INFECTION by Gauri Gawande.pptx
Final CAPNOCYTOPHAGA INFECTION by Gauri Gawande.pptx
 
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #GirlsFor Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
 
TEST BANK For Timby's Introductory Medical-Surgical Nursing, 13th American Ed...
TEST BANK For Timby's Introductory Medical-Surgical Nursing, 13th American Ed...TEST BANK For Timby's Introductory Medical-Surgical Nursing, 13th American Ed...
TEST BANK For Timby's Introductory Medical-Surgical Nursing, 13th American Ed...
 
Retinal consideration in cataract surgery
Retinal consideration in cataract surgeryRetinal consideration in cataract surgery
Retinal consideration in cataract surgery
 
Aptopadesha Pramana / Pariksha: The Verbal Testimony
Aptopadesha Pramana / Pariksha: The Verbal TestimonyAptopadesha Pramana / Pariksha: The Verbal Testimony
Aptopadesha Pramana / Pariksha: The Verbal Testimony
 
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
 
Gauri Gawande(9) Constipation Final.pptx
Gauri Gawande(9) Constipation Final.pptxGauri Gawande(9) Constipation Final.pptx
Gauri Gawande(9) Constipation Final.pptx
 
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
 
Fundamental of Radiobiology -SABBU.pptx
Fundamental of Radiobiology  -SABBU.pptxFundamental of Radiobiology  -SABBU.pptx
Fundamental of Radiobiology -SABBU.pptx
 
Arterial health throughout cancer treatment and exercise rehabilitation in wo...
Arterial health throughout cancer treatment and exercise rehabilitation in wo...Arterial health throughout cancer treatment and exercise rehabilitation in wo...
Arterial health throughout cancer treatment and exercise rehabilitation in wo...
 
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdfAlcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
 
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
 
Antiplatelets in IHD, Dose Duration, DAPT vs SAPT
Antiplatelets in IHD, Dose Duration, DAPT vs SAPTAntiplatelets in IHD, Dose Duration, DAPT vs SAPT
Antiplatelets in IHD, Dose Duration, DAPT vs SAPT
 
PT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptxPT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptx
 

What must i consider to safely anesthetize someone

  • 1.   What Must I Consider to Safely Anesthetize Someone in the Office Setting? Chapter 47: Evidence based practice of anaesthesiology Dr.ANVAR SADATH.A.E.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Preoperative hematology consultation with consideration of perioperative antithrombotic therapy Procedure >30 min Treatment as per patients with moderate risk Age >40 with concomitant risk factors High risk Frequent alterations of the operating room table Oral contraceptive use Intermittent pneumatic compression of calf or ankle (before sedation and continued until patient is awake and moving) Procedure >30 min Proper positioning Age >40 with no other risks Moderate risk Avoid constriction and external pressure Short duration Knees flexed at 5 degrees Uncomplicated surgery Comfortable position No risk factors Low risk Treatment Cohort
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.