[The anesthesia protocol].
It has long been recognised that it is necessary to document all medical actions. Every anaesthesia is to be documented on an anaesthetic transcript. Such a transcript has various purposes. It serves principally as an adequate patient-support, but also has administrative, statistical, scientific and forensic purposes. The transcript used at the Mannheim Klinikum is a printed form, which, apart from recording intra-operative events, also has room for entering pre- and post-operative test results. The recording of an anaesthetic transcript is an essential part of the duties of the anaesthetist in the clinic. Today, with the application of the most differentiated administrations of narcosis, it would seem that we can no longer do without a properly made anaesthetic transcript.
D000758:Anesthesia / Q000009:adverse effects; D006801:Humans; D008499:Medical Records; D011183:Postoperative Complications; D011184:Postoperative Period; D011229:Preanesthetic Medication; D013997:Time Factors
Das Narkoseprotokoll.