Mata J, Moral V, Moya M M, Nolla M, Segura C, Valldeperas I, Ferrer A M, Aguilar J L
Servicio de Anestesiología y Reanimación, Hospital Son Làtzer, Palma de Mallorca, Baleares.
Rev Esp Anestesiol Reanim. 2007 May;54(5):279-87.
To analyze the effectiveness, safety, and performance of anesthetist-led preanesthetic interviews in which specifically trained nurses exercise defined roles under supervision.
This descriptive study analyzed preanesthetic interviews performed by a team of anesthesiologists and nurses in surgically treated patients over a 1-year period. We assessed the impact of those interviews on the rate of procedures canceled due to errors in presurgical assessment. Study variables were the percentage of procedures canceled due to failure of presurgical assessment and the difference in the cancellation rate according to whether the interviews were undertaken by anesthesiologists or nurses, number of preanesthetic assessments made by nurses; number of consultations made by nurses to anesthesiologists, number of patients referred for a second interview with an anesthesiologist after assessment by a nurse, rate of substitution by nurses of anesthesiologists, and time dedicated daily by anesthesiologists responding to nurses' consultations. The results were analyzed using descriptive statistics.
A total of 7343 preoperative assessments were performed. Of those, 28.6% were undertaken by nurses. Surgery was canceled because of errors in presurgical assessment in 78 cases (1.06%), corresponding to 1.0% of the preoperative evaluations performed by anesthesiologists and 0.7% of those performed by nurses. In 317 (18.2%) nurse-led preoperative assessments the anesthesiologist was consulted, and in another 121 cases (6.9%) a second preanesthetic interview was required. The rate of substitution of anesthesiologists by nursing staff was 26.5% and the time anesthesiologists dedicated daily to consultation during nurse-led assessments was 17.7 minutes.
The involvement of nurses in preanesthesia assessments of surgical patients is a clinically safe and effective initiative.
分析由麻醉医生主导、经过专门培训的护士在其监督下履行明确职责的麻醉前访谈的有效性、安全性和表现。
这项描述性研究分析了一组麻醉医生和护士在1年时间里对接受手术治疗的患者进行的麻醉前访谈。我们评估了这些访谈对因术前评估错误而取消手术的发生率的影响。研究变量包括因术前评估失败而取消手术的比例，以及根据访谈是由麻醉医生还是护士进行的取消率差异、护士进行的麻醉前评估数量、护士向麻醉医生咨询的次数、护士评估后被转介给麻醉医生进行第二次访谈的患者数量、护士替代麻醉医生的比例，以及麻醉医生每天用于回应护士咨询的时间。使用描述性统计分析结果。
共进行了7343次术前评估。其中，28.6%由护士进行。78例（1.06%）手术因术前评估错误而取消，这相当于麻醉医生进行的术前评估的1.0%和护士进行的术前评估的0.7%。在317例（18.2%）由护士主导的术前评估中咨询了麻醉医生，另有121例（6.9%）需要进行第二次麻醉前访谈。护理人员替代麻醉医生的比例为26.5%，麻醉医生在护士主导评估期间每天用于咨询的时间为17.7分钟。
护士参与手术患者的麻醉前评估是一项临床安全有效的举措。
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