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- W1559476391 abstract "We read with interest the article by Broom and colleagues measuring distractions during anaesthesia [1]. A recent study by Salvoldelli and colleagues used videotaped inductions of general anaesthesia for urgent surgical cases and analysed them using a scoring system [2]. They also found that distractions were frequent and disrupted anaesthetic tasks. Broom et al.’s finding that there is increased distraction during emergence is important, but we believe that splitting the process into induction, maintenance and emergence misses some critical times. Examples include drug preparation, where distraction can lead to error [3], and transfer of the anaesthetised patient from the induction room into the operating theatre [4]. The patient is disconnected from monitoring and breathing system before being moved into theatre, repositioned, monitoring re-attached and breathing system reconnected with gas supply re-established on a different anaesthetic machine. This occurs at a time of significant distractions, often from the competing needs of surgical and other theatre staff to complete various checklists and commence surgery promptly. We are currently conducting a study observing the entire anaesthetic process for distractions and interruptions. Broom and colleagues also noted increased noise and movement in theatre during emergence from anaesthesia, as staff relax after the end of the operation and preparations are being made for the next patient. However, not all noise is due to the theatre team; one of the studies from the Lancaster anaesthetic expertise project noted that anaesthetists contribute by talking to the patient in a loud voice [5]. The suggestion of applying the ‘sterile cockpit concept’ to anaesthesia has promise, but we feel that the emphasis on ‘take off’ and ‘landing’ should not distract from other critical phases and from maintenance where most critical incidents occur [6]." @default.
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- W1559476391 date "2011-07-13" @default.
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- W1559476391 title "Critical phase distractions during anaesthesia" @default.
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- W1559476391 doi "https://doi.org/10.1111/j.1365-2044.2011.06794.x" @default.
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