1. No unnecessary pre-op tests (bloods, CXR, PFTs)
2. No unnecessary pre-op stress tests
3. No unnecessary transfusion
4. No anaesthetising dying patients for high risk procedures unless there is a good reason
5. No anaesthetising comorbid patients without proper assessment and planning
Overall |
· 11 million episodes · 200 anaesthesia-related deaths · i.e. mortality from anaesthesia very low, and if anything is getting lower |
Patient |
· 93% were ASA 3-5 · 87% were >60 years |
Surgery |
· 73% were emergency procedures · 56% orthopaedic · 10% abdominal · 9% cardiothoracic · 6% vascular |
Other |
· Over-representation of non-anaesthetists providing sedation |
Fault |
· 23 Category 1 = definitely the anaesthetic · 19 Category 2 = not entirely the anaesthetic · 158 Category 3 = anaesthetic and medical/surgical factors |
Anaesthesia deaths |
· 7 anaphylaxis · 6 aspiration · 6 cardiac arrest · 2 CICO · 2 stroke from arterially placed CVC |