Prozessoptimierung in der Kinderanästhesie - Fast-track: Was ist möglich - was macht Sinn?
Process optimization offers the opportunity to improve the quality and efficiency of medical care. Various approaches are possible in a pre-, peri- and postoperative care setting: It is almost always possible to prepare the children for surgery on an outpatient basis. This allows for hospital admiss...
| Publicado en: | AINS - Anästhesiologie Intensivmedizin Notfallmedizin Schmerztherapie Vol. 47; no. 2; pp. 72 - 78 |
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| Autores principales: | , , , |
| Formato: | review Journal Article |
| Publicado: |
Georg Thieme Verlag Stuttgart
2012 Feb
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108168252&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 108168252 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09392661 50HN jtl: AINS - Anästhesiologie Intensivmedizin Notfallmedizin Schmerztherapie issn: 09392661 maglogo: N pubinfo: dt: 2012 Feb vid: 47 iid: 2 pid: 4536 pub: Georg Thieme Verlag Stuttgart artinfo: ui: 108168252 108168252 NLM22402845 2011490397 10.1055/s-0032-1304509 NLM22402845 108168252 ppf: 72 ppct: 6 formats: tig: atl: Prozessoptimierung in der Kinderanästhesie - Fast-track: Was ist möglich - was macht Sinn? aug: au: Wöhler P Kellermann W Wöhler, Patrick Kellermann, Wolfgang sug: subj: Anesthesia Methods Surgery, Operative Ambulatory Surgery Anesthesia, Conduction Appointments and Schedules Blood Vessels Ultrasonography Catheters Child Child, Preschool Early Ambulation Eating Postoperative Pain Drug Therapy Perioperative Care Postoperative Care Anesthesia Preoperative Care Child: 6-12 years Child, Preschool: 2-5 years ab: Process optimization offers the opportunity to improve the quality and efficiency of medical care. Various approaches are possible in a pre-, peri- and postoperative care setting: It is almost always possible to prepare the children for surgery on an outpatient basis. This allows for hospital admission the same day or the evening before the procedure. But a schedule needs to be established that includes a certain leeway for admission and preoperative fasting in order to cater for a flexible response to delays or cancelations on the surgical list. An efficient use of theatre time can only be assured if several anesthetists can work in parallel. This applies in particular to complex anesthetic inductions. Sufficient staff and facilities are a prerequisite for this. The use of ultrasound for vascular access and regional anesthesia raises the success rate and saves time. In the postoperative period good analgesia with a fixed therapeutic regime, immediate postoperative feeding and mobilization improve the care. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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