[Experience of an interdisciplinary anesthesiology and nursing team for providing anesthesia outside the operating room]. / Experiencia de un equipo interdisciplinar de anestesiología y enfermería en un circuito de anestesia fuera de quirófano.

OBJECTIVE: To report on the creation and development of an interdisciplinary anesthesiology and nursing team to provide anesthesia outside the operating room. MATERIAL AND METHODS: We describe the creation of an interdisciplinary team and preanesthesia evaluation protocols for using nurses specializing in anesthesia for procedures outside the operating room. We analyzed the anesthetic procedures performed outside the operating room, the rate of suspensions due to failure of the procedure, and their impact on the rate of associated complications, from October 2006 to October 2007. RESULTS: Since the start of the project, 586 procedures outside the operating room have been performed. No suspensions or delays were observed that were due to comorbidity not detected in the preanesthesia evaluation carried out by the nurses. The incidences of complications and inadequate sedations were comparable to those reported for other similar interdisciplinary groups in this area. CONCLUSIONS: The creation of an interdisciplinary team of anesthesiologists and specialized nurses for providing anesthesia outside the operating room optimizes resources and improves routine clinical practice. It has allowed for universal preanesthesia evaluation, improved the distribution of resources, and proven a stimulus to the care-giving process.

Experiencia de un equipo interdisciplinar de Anestesiología y Enfermería en un circuito de anestesia fuera de quirófano / Experience of an interdisciplinary anesthesiology and nursing team for providing anesthesia outside the operating room

OBJETIVO: Transmitir la experiencia de la creación ydesarrollo de un equipo interdisciplinar de Anestesiologíay Enfermería en un circuito de anestesia fuera dequirófano.PACIENTES Y MÉTODOS: Descripción de la formación deun equipo y circuito interdisciplinares con enfermeríaespecíficos para anestesia fuera de quirófano. Analizarlos actos anestésicos realizados fuera del área quirúrgica,la tasa de suspensiones relacionadas con el fallo delcircuito y su impacto sobre el índice de complicacionesasociadas, desde octubre del 2006 a octubre del 2007.RESULTADOS: Desde la puesta en marcha del proyectose han realizado 586 procedimientos fuera del área quirúrgica.No se han detectado suspensiones ni retrasospor comorbilidad no detectada en la evaluación preanestésicarealizada por enfermería. La incidencia de complicacionesy sedaciones inadecuadas es comparable a ladescrita en otros grupos interdisciplinares similares eneste ámbito.CONCLUSIONES: La creación de un circuito interdisciplinar,junto con enfermería específica para la actividadanestésica fuera de quirófano, es una práctica que optimizalos recursos y mejora la práctica clínica habitual.Ha permitido una evaluación preanestésica universal, lamejora en la dotación de material y la dinamización de laactividad asistencial(AU)

OBJETIVE: To report on the creation and developmentof an interdisciplinary anesthesiology and nursing teamto provide anesthesia outside the operating room.MATERIAL AND METHODS: We describe the creation ofan interdisciplinary team and preanesthesia evaluationprotocols for using nurses specializing in anesthesia forprocedures outside the operating room. We analyzed theanesthetic procedures performed outside the operatingroom, the rate of suspensions due to failure of the procedure,and their impact on the rate of associated complications,from October 2006 to October 2007.RESULTS: Since the start of the project, 586procedures outside the operating room have beenperformed. No suspensions or delays were observed thatwere due to comorbidity not detected in thepreanesthesia evaluation carried out by the nurses. Theincidences of complications and inadequate sedationswere comparable to those reported for other similarinterdisciplinary groups in this area.CONCLUSIONS: The creation of an interdisciplinaryteam of anesthesiologists and specialized nurses forproviding anesthesia outside the operating roomoptimizes resources and improves routine clinicalpractice. It has allowed for universal preanesthesiaevaluation, improved the distribution of resources, andproven a stimulus to the care-giving process(AU)