Tamariz-Cruz O

Language: Spanish
References: 8
Page: 269-276
PDF size: 161.40 Kb.

ABSTRACT

As previously reported, the Mexican College of Anesthesiology (CMA) called for consensus meetings of experts in different areas in order to validate current practice strategies providing first, practice parameters (PP) and in time to come, management guidelines to direct the effort of those in the need to assist perioperative patients. Concerning Shock States, a three-phase plan was constructed with the aim to create practice guidelines, in order to reduce the morbidity associated with non-indicated, wrongly applied or unsupported maneuvers with methodological deficiencies. In this report we describe the results reached in the second phase, which included the evaluation of the tendencies and practices related with the management of shock patients in Mexico. This evaluation was made using an epidemiological questionnaire divided in two sections; one corresponding to the evaluation of general knowledge about shock and the other intended to evaluate the type of material and infrastructure of the different health care centers, as well as the final outcome after resuscitation. We report the results corresponding to five Mexican Republic States, with the intention to situate the related professionals with the current management tendencies in our country.

REFERENCES

1. Tamariz-CruzO,GrupodeConsensopara el Diagnostico yManejo de los Estados de Choque. Desarrollo Metodológico de la Primera Reunión del Grupo de Consenso para el Diagnostico y Manejo de los Estados de Choque del Colegio Mexicano deAnestesiología. RevMexAnest 28; 3: 34-45.

2. Werner M. Can Medical Decisions be standardized? Should the be? ClinChem1993; 39 (7): 1361-8.

3. Coates JF. In defense of Delphi:AReview of Delphi assessment expert opinion, forecasting and group process by H. Sackman. Technological ForecastingandSocialChange1975;7:193-4

4. EddyDM.PracticePolicies.Whatarethey?JAMA1990;263:877-80.

5. KingJY. Practice guidelinesandmedical malpractice litigation.Med Law1997;16(1): 29-39.

6. Kapp MB. The legal status of clinical practice parameters: an annotated bibliography.AmJMedQual 1993; 8(1): 24-7.

7. Kelly JT, Kellie SE.Appropriateness of medical care. Findings, strategies.Arch Pathol LabMed1990; 114(11): 1119-2.

8. Kelly JT, Swartwout JE. Development of practice parameters by physician organizations.QRBQualRevBull 1990; 16(2): 54-7.