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Do short breaks increase or decrease anesthetic risk?

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    Within emergency medicine, regularly scheduled breaks are not a widely accepted practice. Other specialties such as surgery and anesthesia also grapple with the tension between the wellness benefits of taking breaks and an ethical commitment to being physically present for the entirety of a patient encounter.39–42 Anesthesia, however, has embraced a team-based approach to supporting a culture of taking breaks regularly during patient encounters, timing that works well for their specialty, but that does necessitate a handoff of patient care.41,43

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  • Handovers in Perioperative Care

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    All of the currently available evidence focuses on the use of checklists to improve the handover process, primarily focusing on information transfer between providers. The first published proposal of a handover checklist was nearly 30 years ago by Cooper, albeit without an interventional study of whether the checklist was effective.22 Three more recent studies, all using preinterventional-postinterventional designs, have been reported in recent years.

  • Perioperative Checklists and Handoffs: Implementation and Practice

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    Another study evaluated more than 900 patients undergoing elective colorectal surgery and found that as the number of attending anesthesiologists involved with a particular case increased, the odds of 30-day postoperative complications or death increased significantly [57]. Although the call for a standardization of the intraoperative handoff was first made more than 25 years ago [55], only a handful of studies have addressed this critical transition of care [46,50,52,58,59]. The intraoperative handoff is unique in the perioperative setting, in that it occurs during the ongoing care of a patient, often between providers of different training levels or personnel types, in an environment that may be dark, noisy, and full of distractions.

  • Risk Management and Medicolegal Aspects of Anesthesia Equipment

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Associate Professor of Anaesthesia

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