Hirabayashi Yoshihiro, Kawakami Takayuki, Suzuki Hideo, Igarashi Takashi, Saitoh Kazuhiko, Seo Norimasa
Department of Anesthesiology and Critical Care Medicine, Jichi Medical School, Tochigi.
Masui. 2005 Sep;54(9):1060-2.
Syringe swap is an important problem in anesthetic care, causing harm to patients. We examined the effect of colored syringe and a colored sheet on the incidence of syringe swaps during anesthetic management.
We determined the color code. The blue-syringe contains local anesthetics; yellow-syringe, sympathomimetic drugs; and white-syringe with a red label fixed opposite the scale, muscle relaxants. The colored sheet displays the photographs of the syringe with drug name, dose and volume. The colored syringe and colored sheet were supplied for use from February 2004. We compared the incidence of syringe swaps during the period from February 2004 to January 2005 with that from February 2003 to January 2004.
Although five syringe swaps were recorded from February 2003 to January 2004, in 5901 procedures, we encountered no syringe swaps from February 2004 to January 2005, in 6078 procedures. The colored syringe and colored sheet significantly decreased the incidence of syringe swaps during anesthetic management (P <0.05).
The use of the sheet together with colored syringes can prevent syringe swaps during anesthesia.
注射器误换是麻醉护理中的一个重要问题,会对患者造成伤害。我们研究了彩色注射器和彩色床单对麻醉管理期间注射器误换发生率的影响。
我们确定了颜色编码。蓝色注射器装有局部麻醉药;黄色注射器装有拟交感神经药;白色注射器在刻度对面固定有红色标签,装有肌肉松弛剂。彩色床单展示带有药物名称、剂量和体积的注射器照片。从2004年2月起提供彩色注射器和彩色床单以供使用。我们比较了2004年2月至2005年1月期间与2003年2月至2004年1月期间注射器误换的发生率。
尽管在2003年2月至2004年1月期间记录到5次注射器误换,共进行了5901例手术,但在2004年2月至2005年1月期间,共进行了6078例手术,未出现注射器误换情况。彩色注射器和彩色床单显著降低了麻醉管理期间注射器误换的发生率(P<0.05)。
使用彩色注射器和彩色床单可防止麻醉期间发生注射器误换。