Anaesthesia & intensive care medicine
Volume 8, Issue 12 , Pages 506-508, December 2007

Anaesthetic records

Chris Barham, FRCA, is Consultant at the Queen Victoria Hospital, East Grinstead, UK. He has been interested in electronic records for many years, and is a past Chairman of the Society for Computing and Technology in Anaesthesia (SCATA). He is Clinical Lead for the NHS Southern Programme for Information Technology

Abstract 

An anaesthetic record enables events, including drug and fluid administration, physiological variables and their trends, and the techniques used, to be communicated to others involved in the patient’s care. Guidelines are available for the recommended content of the records. Most records in the UK are kept by hand, but this is difficult at times of intense activity. Computerization can improve the efficiency of record-keeping, especially by direct capture of monitored data. The information contained in anaesthetic records can be used for audit and research to improve patient care, and computerization can greatly assist this process.

Keywords: anaesthetic technique, automated record-keeping, drugs, fluids, physiological variables

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PII: S1472-0299(07)00237-8

doi:10.1016/j.mpaic.2007.09.007

Anaesthesia & intensive care medicine
Volume 8, Issue 12 , Pages 506-508, December 2007