The way towards ethical anesthesia care: no aim - no game - no fame or blame?

Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8813436 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-6500 (Electronic) Linking ISSN: 09527907 NLM ISO Abbreviation: Curr Opin Anaesthesiol Subsets: MEDLINE

Publication: Philadelphia, PA : Lippincott Williams & Wilkins
Original Publication: Philadelphia, PA, USA : Gower Academic Journals, c1988-

Anesthesia*/methods ; Anesthesia*/standards ; Anesthesia*/ethics ; Anesthesia*/adverse effects ; Patient-Centered Care*/ethics ; Patient-Centered Care*/standards; Humans ; Anesthesiology/ethics ; Anesthesiology/standards ; Patient Safety/standards ; Precision Medicine/methods ; Precision Medicine/ethics ; Precision Medicine/standards ; Patient Care Team/ethics ; Patient Care Team/standards ; Patient Care Team/organization & administration ; Patient Reported Outcome Measures ; Monitoring, Intraoperative/methods ; Monitoring, Intraoperative/standards

Purpose of Review: This review explores the intricacies of ethical anesthesia, exploring the necessity for precision anesthesia and its impact on patient-reported outcomes. The primary objective is to advocate for a defined aim, promoting the implementation of rules and feedback systems. The ultimate goal is to enhance precision anesthesia care, ensuring patient safety through the implementation of a teamwork and the integration of feedback mechanisms.
Recent Findings: Recent strategies in the field of anesthesia have evolved from intraoperative monitorization to a wider perioperative patient-centered precision care. Nonetheless, implementing this approach encounters significant obstacles. The article explores the evidence supporting the need for a defined aim and applicable rules for precision anesthesia's effectiveness. The implementation of the safety culture is underlined. The review delves into the teamwork description with structured feedback systems.
Summary: Anesthesia is a multifaceted discipline that involves various stakeholders. The primary focus is delivering personalized precision care. This review underscores the importance of establishing clear aims, defined rules, and fostering effective and well tolerated teamwork with accurate feedback for improving patient-reported outcomes. The Safe Brain Initiative approach, emphasizing algorithmic monitoring and systematic follow-up, is crucial in implementing a fundamental and standardized reporting approach within patient-centered anesthesia care practice.
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Date Created: 20240606 Date Completed: 20240627 Latest Revision: 20240627

20240627

10.1097/ACO.0000000000001391

38841922