Clinical practice protocols
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The elaboration of clinical practice protocols is a fundamental task undertaken by the academic department. Over these past years, anaesthetic procedures have been performed following the indications set forth in protocols that cover the different areas of the specialty. These protocols are reviewed and updated on a regular and systematic basis every one to two years. The objective of these protocols is to keep the anaesthesiologists working at the Institute properly updated with the required level of knowledge to provide our patients with the highest standards of healthcare.

As an example, below please find the protocol for applicability of spinal regional techniques followed at our Department.

 

PROTOCOLS FOR APPLICABILITY OF SPINAL TECHNIQUES
AUTHORISED	CONTRAINDICATED	RISK/BENEFIT EVALUATION
Platelets > 100,000 Platelets 75,000/100,000 And normal bleeding time PT > 75 TPT normal Fibrinogen > 200 No heparinisation In case of acid Acetylsalicydid (AAS) intake Interrupt treatment 7 days before onset of labour	Platelets < 75,000 PT > 75 TPT > 10 sec at control Fibrinogen > 120 mg Complete heparinisation Thrombolytic therapy for the last 24-48 hours	Platelets 75,000/100,000 and abnormal bleeding time by action of AAS with normal PT and TPT 2 platelet units DDAVP 0.3g/kg in 20 min.   Heparin therapy Last dose 10-12 hours before block Catheter removed 10-12 hours after last dose or 60-120 minutes before dose

Institut Universitari Dexeus 2005