What stage was that?
Patient is conscious and rational, with decreased perception of pain.
What is...
Guedel’s Stage 1: Analgesia state
Equipment & devices (monitors, anesthesia machine, surgical equipment), interpersonal dynamics (conversations, foot traffic), technology (cell phones, pagers, music).
What are...
Sources of noise in the OR.
Environmental Protection Agency’s (EPAs) recommendation to not exceed
What is...
45 dB
Anesthesia induction and emergence.
What are...
The critical phases of anesthesia
Patient is unconscious; body responds reflexively; irregular breathing pattern with breathholding.
What is...
Guedel’s Stage 2 : Delirium stage
Improved quality of care and better health outcomes are directly linked to.
What is...
Effective interprofessional collaboration
The average noise level during anesthesia emergence according to research.
What is...
70 dB
DNP project goal.
What is...
Reduce noise levels by > 10% from baseline
Increasing degrees of muscle relaxation; patient is unable to protect airway.
What is...
Guedel’s Stage 3 : Surgical anesthesia
Concept derived from aviation industry that prohibits non-essential activities during critical periods of high mental workload and high-risk operations.
what is...
The Sterile Cockpit
According to research, the highest peak levels in the orthopedic OR routinely surpass this number.
120 dB
Sustained and involuntary contraction of the vocal cords that results in the inability to ventilate = emergency.
What is...
Laryngospasm
Patients are uninhibited and at greatest risk of complications such as laryngospasm.
What is...
Guedel’s Stage 2 of Emergence
This professional organization recommends providing real time feedback of ambient sound measurement in the OR.
What is...
The Joint Commission
Average noise level during anesthesia induction at LGH (OC)
What is...
62 dB
Staff are asked to maintain situational awareness and avoid unnecessary conversations and sources of excess noise.
What is...
Recommended actions to decrease noise during the critical phases of anesthesia.
Patient population and stage with greatest risk of complications (ie. laryngospasm)
What is...
Pediatric patients and stage II
This intervention(s) has been proven to decrease noise in the OR.
What is...
Education, increasing team awareness, asking for silence
Average noise level during anesthesia emergence at LGH (OC)
What is...
65 dB
According to research, conversations unrelated to the case occurred in this percent of anesthesia emergences.
What is...
93%