ANESTHESIOLOGY CASE LOG CHANGES 2015
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1 ANESTHESIOLOGY CASE LOG CHANGES 2015 I. Case Information FORMER: 1. Role removed. 2. Setting removed. 3. Involved Morbidity has been renamed Life-Threatening Pathology. a. All former cases that included an Involved Morbidity credit will receive that credit for Life- Threatening Pathology. b. If a former case did not include an Involved Morbidity credit, but did involve a credit anywhere within the Special Situation category, a Life-Threatening Pathology credit on the case has been provided (the Special Situation category has been removed - see Section V., below). Note: Institution and Supervisor will stay, as they will be used for future analysis within the Next Accreditation System (NAS).
2 II. ASA Physical Status 1. 6E has been removed. a. If a former case included a 6E credit, a 6 credit will be assigned instead.
3 III. Anesthesia / Analgesia FORMER: 1. The General Maintenance options: Inhalational, Intravenous, and Other have been removed and replaced with one option entitled General Maintenance. a. If a former case involved Inhalational, Intravenous, or Other that case has been assigned a General Maintenance credit. 2. The Spinal options: Continuous and Single shot have been removed and replaced with one option entitled Spinal. a. If a former case involved Continuous or Single shot, that case has been assigned a Spinal credit. 3. The Epidural options: Continuous and Single shot have been removed and replaced with one option entitled Epidural. a. If a former case involved Continuous or Single shot, that case has been assigned an Epidural credit. 4. IV Regional has been removed. a. Any former data for IV Regional will not be reassigned elsewhere. Note: No changes made to Peripheral Nerve Block, CSE, or MAC &/or Sedation.
4 IV. Airway Management Techniques FORMER: (continued on next page)
5 IV. Airway Management Techniques (continued) 1. The LMA options: LMA, Pro-Seal/Supreme, Flexible, and Intubating have been removed and replaced with one option entitled Supraglottic Airway. a. If a former case involved LMA, Pro-Seal/Supreme, Flexible, or Intubating, that case has been assigned a Supraglottic Airway credit. 2. The Laryngoscope options: Basic, Operating, and Video Fiberoptic have been removed and replaced with Direct and Indirect. a. If a former case involved Basic or Operating, that case has been assigned a Direct credit. b. If a former case involved Video Fiberoptic, that case has been assigned an Indirect credit. 3. The ETT category has been renamed Tracheal Intubation. 4. The ETT options: Double-lumen left and Double-lumen right have been removed and replaced with DLT (which is now located under Lung Isolation - see Section IV.5, below). a. If a former case involved Double-lumen left or Double-lumen right, that case has been assigned a DLT credit. 5. A new category has been created: Lung Isolation. 6. The option entitled Bronchial Blocker formerly belonging to the Other (airway management) category, has been moved under Lung Isolation. 7. The Bronchoscope category and its options, Fiberoptic and Rigid, have been removed. a. Any former data for Bronchoscope will not be reassigned elsewhere. 8. Under the Other (airway management) category, the options RSI, Exchange catheter, Cricothyroidotomy, Intubating stylet, Lightwand, Retrograde wire, Combitube, Awake intubation, and Other-airway management have been removed and replaced with one option, entitled Other. a. If a former case involved the above, that case has been assigned an Other credit. Note: No changes to Oral and Nasal (falling under Tracheal Intubation ). No changes to Jet ventilation or Mask (falling under Other (airway management) ).
6 V. Special Situation 1. The Special Situation category and its options, Trauma (not incl burns), Ambulatory, Burns, Difficult Airway, and On-call, have all been removed. a. If a former case involved any of these, a Life-Threatening Pathology credit has been assigned to the particular case.
7 VI. Procedure Category 1. The Vascular category has been renamed Procedures Major Vessels. 2. The Other procedure cat option that was listed under the Other (procedure cat) category has been removed. a. Any former data for Other (procedure cat) will not be reassigned elsewhere. Note: The majority of the Procedure category stays the same.
8 VII. Specialized Vascular Access FORMER: 1. This section, formerly entitled Specialized Vascular Access / Monitoring, has been renamed Specialized Vascular Access. 2. Under the Arterial Catheter category, the options Radial, Dorsalis pedis, Axillary, Femoral, Ulnar, and Other have been removed and replaced with one option, entitled Arterial Catheter. a. If a former case involved any of these, an Arterial Catheter credit has been assigned to the particular case. 3. Under the Central Venous Catheter category, the options Internal jugular, External jugular, Subclavian, Femoral, Peripheral, and Other have been removed and replaced with one option, entitled Central Venous Catheter. a. If a former case involved any of these, a Central Venous Catheter credit has been assigned to the particular case. Note: No changes to the Other (vasc access/mon) category.
9 VIII. Specialized Monitoring Techniques / Procedures FORMER: 1. This section, formerly entitled Specialized Monitoring Techniques, has been renamed Specialized Monitoring Techniques / Procedures. 2. Under this section, the option entitled Pre-cordial Doppler has been removed. a. Any former data for Pre-cordial Doppler will not be reassigned elsewhere. 3. The option CSF Drain (formerly belonging to the Miscellaneous Procedures and Techniques section which is being removed see Section IX, below) has been moved into the Specialized Monitoring Techniques / Procedures section. Note: No changes to TEE or Electrophysiologic mon options under this section.
10 IX. Miscellaneous Procedures and Techniques 1. The Miscellaneous Procedures and Techniques section and its options, Chest Tube, Circulatory Arrest, Deliberate Hypotension, Epidural Blood Patch, Fiberoptic Bronchoscopy, Paracentesis, Thoracentesis, and Venovenous Bypass, have been removed. a. Any former data for the above options will not be reassigned elsewhere, except for CSF Drain, which has been relocated to the Specialized Monitoring Techniques / Procedures section. X. Neuraxial Blockade Site (Optional) No changes have been made to this section. XI. Neuraxial Blockade Position (Optional) 1. The Neuraxial Blockade Position (Optional) section and its options, Sitting, Lateral Decubitis (Neur), and Prone, have been removed. a. Any former data for the above options will not be reassigned elsewhere. XII. Neuraxial Blockade Approach (Optional) 1. The Neuraxial Blockade Approach (Optional) section and its options, Midline and Paramedian, have been removed. a. Any former data for the above options will not be reassigned elsewhere.
11 XIII. Peripheral Nerve Blockade Site (Optional) : 1. The Other-per nerve block site option (formerly belonging to the Peripheral Nerve Blockade Position (Optional) section which is being removed see Section XIV, below) has been moved into the Peripheral Nerve Blockade Site (Optional) section. XIV. Peripheral Nerve Blockade Position (Optional) 1. The Peripheral Nerve Blockade Position (Optional) section and its options, Sitting, Lateral Decubitus (Periph), Prone, and Supine, have been removed. a. Any former data for the above options will not be reassigned elsewhere except for Other per nerve block site, which has been relocated to the Peripheral Nerve Blockade Site section. XV. Peripheral Nerve Blockade Approach (Optional) 1. The Peripheral Nerve Blockade Approach (Optional) section and its options, Ultrasound guided, Nerve Stimulator, Paresthesia, and Other per nerve block app, have been removed. a. Any former data for the above options will not be reassigned elsewhere.
12 XVI. Pain Consulations and Procedures No changes have been made to this section.
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