It was also found that the patient's clinical case was not accurately documented by the anaesthesiologist in her anaesthesia record
files during surgery, as it was found to be incomplete, it did not document the patient's vital signs while the level of oxygen dropped in the blood and when her heart stopped working, he added.
(6.) Australian and New Zealand College of Anaesthetists Professional Document PS 6: The Anaesthesia Record: Recommendations on the recording of an episode of anaesthesia care, 2006.
The legal implications of anaesthesia record shortcomings.
Anaesthetists trained in basic sciences, keeping anaesthesia record
charts and looking after their patients was "such a shock!".
Documentation of positioning measures on the anaesthesia record
is desirable (ANZCA Professional Document PS6).
The SAS relies on three variables that are easily obtained from the anaesthesia records (9).
All variables for the score were determined from the intraoperative anaesthesia records. The variables extracted were the lowest heart rate, the lowest mean arterial pressure (MAP) and estimated blood loss.
However, basing the numerator on ICD coding is likely to be less sensitive than scrutiny of anaesthesia records
and is therefore likely to underestimate anaesthesia-related mortality.
for all patients over a 20-week period were reviewed and the following data were obtained: the presence of a trainer the type of airway used, the grade of the laryngoscopic view and the use of non-standard laryngoscopy for intubation.
Instead, it is possible to retrospectively analyse rocuronium dosing patterns from electronically archived anaesthesia records
with the aim to compare the dosing patterns of rocuronium and pharmacologic antagonists.