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首页> 外文期刊>Current opinion in anaesthesiology >Wrong-site regional anesthesia: review and recommendations for prevention?
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Wrong-site regional anesthesia: review and recommendations for prevention?

机译：错误的区域麻醉：预防措施的回顾和建议？

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Purpose of reviewWrong-site regional anesthetic procedures are considered never events. The purpose of this review is to describe the phenomenon of wrong-site regional anesthetic blocks and identify preventive strategies.Recent findingsThe incidence of wrong-site block may be as frequent as 7.5 per 10,000 procedures. Factors contributing to wrong-site block include physician distraction, patient position change, scheduling changes, inadequate documentation, poor communication, lack of surgical consent, site marking not visible, inadequate supervision, reduced situational awareness, fatigue, cognitive overload, perceived time pressure, delay from World Health sign-in to block performance and omission of block time-out or block time-out occurring before final patient positioning. The American Society of Regional Anesthesia and Pain Medicine have created a 9-point checklist for regional anesthesia procedures.SummaryPreoperative site verification and surgical site marking are mandatory. A time-out should occur immediately before any invasive procedure. Confirming the correct patient and block site with a time-out should occur immediately before all regional anesthetic procedures. If more than one block is performed on one patient, it is recommended that time-out be repeated each time the patient position is changed or separated in time or performed by a different team. The anesthetic team should uniformly implement robust guidelines and checklists to reduce the occurrence of wrong-site regional anesthetic procedures.
机译：审查的目的错误部位的区域麻醉程序被视为永不发生。这篇综述的目的是描述错误部位的区域麻醉阻滞现象并确定预防策略。最新发现错误部位的阻滞发生率可能高达每10,000次手术7.5次。导致错误位置阻塞的因素包括医师分心，患者位置变化，日程安排更改，文档不足，沟通不畅，缺乏手术同意书，部位标记不可见，监督不充分，处境意识下降，疲劳，认知超负荷，感知的时间压力，延迟从世界卫生区登录到阻止执行，以及在最终患者定位之前忽略阻止超时或阻止超时。美国区域麻醉和疼痛医学学会为区域麻醉程序创建了一个9点检查清单，总结必须进行术前部位验证和手术部位标记。任何侵入性手术之前应立即发生超时。在进行所有区域麻醉程序之前，应立即确认超时的正确患者和阻塞部位。如果对一名患者进行了一个以上的阻滞，建议每次改变或分离患者位置或由另一团队执行时，都应重复超时。麻醉小组应统一执行可靠的指南和检查表，以减少错误部位的区域麻醉程序的发生。

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