麻醉医师学会：麻醉实践指南（2019修订版）.pdfVIP

Can J Anesth/J Can Anesth DOI 10.1007/s12630-018-1248-2 GUIDELINES TO THE PRACTICE OF ANESTHESIA Revised Edition 2019 Canadian Journal of Anesthesia Volume 66, number 1 How does this statement differ from the 2018 Guidelines? In the text, several important content changes have been made and they are highlighted in the text. Some of the more important changes include: • improving the effectiveness of cognitive aids for use during perioperative emergencies utilizing team simulation, • cooperation with pharmacy and hospital administration to develop and enforce policies aimed at minimizing controlled medication (e.g., opioids) diversion into the hands of unauthorized personnel, • consideration of low total gas flow anesthesia techniques to minimize the global warming potential of waste inhalational anesthetic agents, • ensuring that the appropriate equipment is readily available for use during the resuscitation of infants and children wherever they may be required, • emphasizing the importance of the availability of infusion pump equipment with appropriate limits and enabled alarms for the delivery of intravenous medication during anesthesia care, • minimizing preoperative investigations for asymptomatic patients having low-risk surgery and newly updated reasonable indications for preoperative laboratory investigations for higher risk patients having higher risk surgery, • increasing awareness within our specialty of a new design of connector for neuraxial infusion applications (e.g., NRFit) that have been adopted by the international standards organization (ISO) as a new standard intended to replace Luer connectors, • a comprehensively updated Appendix 61: Procedural Sedation requiring some complementary changes to terminology (related to procedural sedation) in the