Quality assurance audit in adult cardiac anaesthesia.
OBJECTIVE
To assess different anaesthesia-related quality indicators during adult cardiac surgery.


METHODS
The prospective clinical audit was conducted at the Aga Khan University Hospital, Karachi, from October 2016 to March 2017, and comprised all adult patients scheduled for cardiac surgery. Different anaesthesia-related quality indicators were observed during the pre-induction phase, before the cardiopulmonary bypass, during the procedure, and post-surgery till the transfer from the operating room to the cardiac intensive care unit. Data was analysed using SPSS 19.


RESULTS
Of the 264 patients, 217(82.2%) had complete record; 160(73.7%) males and 57(26.3%) females. The overall mean age was 56.56±12.46 years. In the pre-induction phase, difficult intravenous and invasive line access was seen in 42(19.3%) patients. Inappropriate information in the preoperative form was found in 6(2.8%) patients, and preoperative drugs for anxiolysis were used in 145(66.8%) patients. Haemodynamic issues were significant during the surgery in 15(6.9%) patients. In the post-surgery period, abnormal activated clotting time was found in 17(7.8%) patients, while monitoring problems were faced in 7(3.2%) cases during transfer to cardiac intensive care unit.


CONCLUSIONS
It will help to develop quality improvement policies to enhance patient safety, satisfaction and better outcome.
['Ahmed|Syed Shabbir|SS|', 'Hamid|Mohammad|M|', 'Junejo|Faisal|F|']
D000328:Adult D000368:Aged D000758:Anesthesia D000074022:Anesthesia, Cardiac Procedures D006348:Cardiac Surgical Procedures D002315:Cardiopulmonary Bypass D005260:Female D006801:Humans D008297:Male D008875:Middle Aged D011446:Prospective Studies
Adult cardiac anaesthesia, Cardiac surgery, Quality assurance, Audit.