Optimal care for mother and child: safety in obstetric anaesthesia

Anaesthetists play a major role in the perioperative treatment of patients, sharing responsibility for quality and safety in anaesthesia, intensive care, emergency and pain medicine. Several aspects lead to the fact that these issues are particularly important in obstetric anaesthesia. As morbidity...

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Bibliographic Details
Main Authors: Chappell, Daniel (Author) , Neuhaus, Christopher (Author) , Kranke, Peter (Author)
Format: Article (Journal)
Language:English
Published: 2021
In: Best practice & research. Clinical anaesthesiology
Year: 2020, Volume: 35, Issue: 1, Pages: 41-51
ISSN:1878-1608
DOI:10.1016/j.bpa.2020.04.001
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.bpa.2020.04.001
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1521689620300203
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Author Notes:Daniel Chappell, Christopher Neuhaus, Peter Kranke
Description
Summary:Anaesthetists play a major role in the perioperative treatment of patients, sharing responsibility for quality and safety in anaesthesia, intensive care, emergency and pain medicine. Several aspects lead to the fact that these issues are particularly important in obstetric anaesthesia. As morbidity and mortality are dramatically higher than in a nonpregnant population in this age, there is room for improvement even in regions with a well-developed healthcare system. Adverse events and complications during birth often hit fast, hard and unexpectedly and require immediate patient-centred care. This mostly involves an interdisciplinary and interprofessional approach that includes obstetricians, neonatologists, anaesthetists, intensivists and of course midwives and nurses. In this article, established standards and emerging possibilities to improve patient safety by developing a culture of awareness for safety aspects, education, establishing safety and communication strategies and performing teamwork- and simulation training are discussed. Apart from these issues, self-care of clinicians is vital in the prevention of adverse events, because fatigue and burnout are associated with increased rates of complications.
Item Description:Available online 22 April 2020
Gesehen am 17.06.2021
Physical Description:Online Resource
ISSN:1878-1608
DOI:10.1016/j.bpa.2020.04.001