RESUMEN
Supply, Processing and Distribution system had been introduced to surgical center (the University of Tokyo Hospital) since October of 2002. This system had reduced stock for medicine and materials and decreased medical cost dramatically. We designed some kits for therapeutic drugs related to anesthesia. They were prepared for general anesthesia, epidural and spinal anesthesia, and cardiovascular anesthesia, respectively. One kit had been used for one patient, and new kits were prepared in the anesthesia preparation room by pharmaceutical department staffs. Equipment, for general anesthesia as well as epidural and spinal anesthesia, and central catheter set were also designed and provided for each patient by SPD system. According to the questionnaire of anesthesia residents before and after introduction of SPD system, the time spent for anesthesia preparation had been reduced and 92.3% residents had answered that preparation for anesthesia on the previous day was getting easier. Most of the anesthesia residents had been less stressed after introduction of SPD system. Beside the dramatic economical effect, coordination with SPD system and pharmaceutical department reduced anesthesia preparation time and stress of the staff. Introduction of Support system of SPD to surgical center is important for safe and effective management of operating rooms.
Asunto(s)
Servicio de Anestesia en Hospital/provisión & distribución , Central de Suministros en Hospital/normas , Sistemas de Distribución en Hospital , Quirófanos , Servicio de Cirugía en Hospital , Anestesia , Sistemas de Información en QuirófanosRESUMEN
El presente artículo es una revisión general de las técnicas anestésicas y drogas disponibles para producir analgesia durante la labor de parto. Estos métodos se dividen en farmacológicos y no farmacológicos. La decisión de cuál, o cuáles métodos se van a utilizar, va a depender de la preferencia materna y las indicaciones y contraindicaciones médicas de cada caso en particular. Así mismo, ésta decisión se va a ver afectada por la ausencia de personal debidamente entrenado para el manejo de ciertas técnicas, y por falta del equipo necesario. Los beneficios de estos diferentes métodos son innumerables, tanto para la madre como para el producto. Sin embargo, se tiene la posibilidad de efectos secundarios, los cuales usualmente se pueden prevenir y/o tratar oportunamente, razón por la cual el anestesiólogo debe de estar siempre vigilante.
