Recovery Room Nurses Research Articles

Knowledge, attitudes, and practices of anaesthesia personnel towards needle stick injuries in a tertiary care hospital.

The cross-sectional, prospective study was conducted at the Aga Khan University Hospital, Karachi. A questionnaire was distributed amongst anaesthesia personnel, including faculty, residents, medical officers, technicians, recovery room nurses and pain nurses working in the Department of Anaesthesiology for >3 months. Knowledge, attitudes and practices were assessed according to the operational definitions. Of the 162 respondents, 106(65.4%) were males and 56(34.6%) were females. The overall mean age was 31±6.2 years. Adequate knowledge was found in 41(25%) subjects. Overall, 56(35%) respondents reported having had a needle-stick injury, and, among them, 49(87.5%) had a positive attitude. Also, 156(96.3%) participants followed good practices. Although entirely preventable, needle stick injuries were found to be common, indicating the need for proper implementation or revision of existing policies and attainment of safe needle devices.

The frequency and reasons for missed nursing care in Australian perioperative nurses: A national survey.

To describe Australian perioperative nurses' reported frequency and reasons for missed nursing care in the operating room. Cross-sectional online survey conducted in March-April 2022. A census of Australian perioperative nurses who were members of a national professional body were invited to complete a survey that focussed on their reported frequency of missed nursing care and the reasons for missed nursing care in the operating room using the MISSCare Survey OR. In all, 612 perioperative nurses completed the survey. The perioperative and intraoperative nursing care tasks reported as most frequently missed included time-intensive tasks and communication with multiple surgical team members present. The most frequently reported reasons for missed care were staffing-related (e.g. staff number, skill mix, fatigue and complacency) and affected teamwork. There were no significant differences in the frequency of missed care based on perioperative nurse roles. However, there were statistically significant differences between nurse management, circulating/instrument nurses and recovery room nurses in reasons for missed care. Much of the missed care that occurs in the operating room is related to communication practices and processes, which has implications for patient safety. Understanding the types of nursing care tasks being missed and the reasons for this missed care in the operating room may offer nurse managers deeper insights into potential strategies to address this situation. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement. No patient or public contribution.

Preliminary Survey in preparation for the implementation of ERAS at Dr Soetomo Hospital

Background
 Medical science has developed rapidly. One of them is ERAS (Enhanced Recovery After Surgery) which is a multidisciplinary team development pathway for perioperative methods that offer a variety of benefits. Some of the advantages of the ERAS method are speeding up the post-operative recovery period, economic benefits, and shortening the Length of Stay (LOS) by minimizing surgical stress so that the patient quickly returns to a normal physiological state.
 Objective
 This study aims to analyze the readiness of the team that will support the ERAS application at General Academic Hospital (RSUD) Dr Soetomo.
 Methods
 This is an observational analytic study with a cross-sectional design using a questionnaire. Patient baseline data were taken from the examination at the anesthesiology outpatient clinic. Assessment for patient understanding was carried out directly after a brief explanation of ERAS method by the researcher. The patient's level of understanding was assessed by two investigators and rated on a scale of 1 to 5. Primary data and assessment of understanding of doctors and medical personnel were filled in independently by research subjects on online forms and rated on a scale of 1 to 5. Data was collected from March 23 to April 14 2022, at RSUD Dr. Soetomo Surabaya. The analysis results are considered significant if the p-value is less than 0.05. The analysis was carried out using SPSS 19 software.
 Results 
 Most patients planned to undergo surgery in the field of urology (82.9%), followed by caesarean section (14.6), and almost all patients or their families agreed to surgery using the ERAS method (95.1%). The medical team consists of 110 doctors from 4 areas of expertise, namely specialist doctors and residents in anesthesiology, urology surgery, obstetrics and gynecology, as well as orthopedics and traumatology. The health team consists of 56 personnel, namely anesthesiologists, surgeons, recovery room nurses, nutritionists and pharmacists. The majority (61%) of health workers had heard about ERAS and stated that ERAS was ready to be implemented at RSUD Dr. Soetomo (89%). Most doctors stated that ERAS was ready to be implemented at Dr. Soetomo and its human resources and facilities are considered qualified.
 Conclusion
 The ERAS method at RSUD Dr. Soetomo is considered quite ready to start, especially the Obsgyn study program, which is supposed to have an excellent level of understanding of ERAS and is enthusiastic to begin immediately. The patient group can be said to understand and accept the ERAS method well as a perioperative method for handling their cases.

Building a critical incident peer response team: A full theatre team welfare intervention.

The psychological impact (second victim effect) of in-theatre critical incidents is increasingly recognised. Different styles of psychological support programme have recently been published, including some utilising 'near in time' peer support. Most of these programmes either target their support to individuals, or focus on one vocational group rather than the multidisciplinary team. However, the in-theatre team consists of different craft groups who nonetheless function as a single team and are therefore 'peers'. This paper sets out the design and implementation of a critical incident peer response programme at Waikato Hospital, New Zealand, which provides peer-led group psychological first aid to full theatre teams. The programme is administered by trained representatives from multiple in-theatre craft groups including nurses, midwives, anaesthetic technicians, recovery room nurses, surgeons and anaesthetists. It emphasises team education and peer support, and has a wholly welfare focus. The programme has voluntary participation but mandatory activation triggers so that individuals do not need to seek support actively at a time when they may not recognise the need to do so. The programme is becoming embedded in the Waikato Hospital theatre culture so that participating in psychological support is normalised following a critical event. This framework is shared in the hope that it will assist other hospitals to develop welfare interventions to support full theatre teams.

Patient handover from anaesthesia to postanaesthesia unit: An analysis of the current situation in three Swiss hospitals

Patient handover from anaesthesia to postanaesthesia unit: An analysis of the current situation in three Swiss hospitals Abstract: Background: Patient handovers carry a risk of inadequate or missing communication of important information that can jeopardize patient safety. To increase patient safety, protocols for processes and contents of a structured patient handover were created. Aim: To assess the current status of patient handovers from anaesthesia staff to recovery room nurses. Method: After a literature search an observation protocol for patient handovers according to the SBAR concept (von Dossow & Zwißler, 2016) was developed. Using this checklist, non-participant observations were conducted in three Swiss hospitals and evaluated with statistical analysis. Results: A total of 98 observations were made. The report receiving person felt integrated into the handover and received the necessary information. Deficiencies in patient identification and a joint control of lines after surgical interventions could be identified. The subjectively rated quality of patient handover did not differ between the three hospitals (X2(2)=,927, p=,629) and also not according to the time of day (X2(2)=3,604, p=,216). There was also no difference between the subjective quality of the handover and the delivering professional group (X2(3)=4,507, p=,212). Conclusions: The subjective quality of patient handover did not differ between the three hospitals. However, the patient handover protocols need to be adapted to ensure that patient identification and a joint assessment including control of lines and drains are performed.

How knowledgeable is the recovery room nurse you entrust your patient to about postoperative airway emergencies?

Introduction: Respiratory complications remain an important cause of morbidity and mortality in the post anaesthetic period. This study aimed to describe the knowledge of postoperative airway emergencies of recovery room nurses attending two separate anaesthetic symposia held in Cape Town and Johannesburg. Methods: A cross-sectional research design was followed by means of an anonymous, self-administered, previously described questionnaire using a convenience sampling method. Results: A total of 309 nurses took part in the study, 116 (37.5%) and 193 (62.5%) in Cape Town and Johannesburg, respectively. Of the nurses, 279 (90.3%) were female, had a mean (SD) age of 44.6 (10.4) years (n = 198) and had 11.5 (9.2) years of operating room experience (n = 304). One hundred and fifty (50.8%) were registered nurses and 196 (62.5%) worked in the private sector. The overall mean score obtained by the nurses was 40.4% (SD 17.9), with a range of 0–88%. This is 30% below the predetermined competency score of ≥ 70%, which was achieved by only 24 (7.8%) nurses. The lowest median (IQR) scores, 16.7% (0–33.3) and 16.7% (0–50) were obtained in the clinical signs and treatment sections of the questionnaire, respectively. Conclusion: This study showed that the nurses sampled had poor knowledge of postoperative airway emergencies in the recovery room. Legal action in the healthcare environment is a reality in South Africa. The anaesthetist remains accountable for ongoing patient care in the recovery room until discharge. Therefore, it is of the utmost importance that anaesthetists know how knowledgeable the recovery room nurses whom they entrust their patients to are regarding postoperative airway emergencies.

USNS COMFORT (T-AH 20) Surgical Services Response to the COVID-19 Pandemic in New York City.

USNS COMFORT (T-AH 20) Surgical Services Response to the COVID-19 Pandemic in New York City.

Development and Evaluation of a Quick Response Code-Based Nursing Education Program for Operating and Recovery Room Nurses.

The purpose of this study was to develop and evaluate the effectiveness of a quick response code-based nursing education program to improve the competence of operation and recovery room nurses. An experimental methodological design was used to develop a quick response code-based nursing educational program and analyze its effects and nurses' satisfaction with its use. The quick response code-based nursing education program was developed in five steps based on the ADDIE model: analysis, design, development, implementation, and evaluation. The program was built on smartphones, and a Web site was linked to it. After testing the program for 40 days, nurses' attitudes toward various medical devices were significantly less negative. Nurses were able to use a large number of medical devices and were highly satisfied and willing to engage with the quick response code-based nursing educational program. In the context of nursing education, introducing educational content using quick response codes helps to improve nurses' knowledge and competence in providing high-quality nursing care and medical services.

The association between self-declared acute care surgery services and operating room access: Results from a national survey.

Timely access to the operating room (OR) for emergency general surgery (EGS) diseases is key to optimizing outcomes. We conducted a national survey on EGS structures and processes to examine if implementation of acute care surgery (ACS) would improve OR accessibility compared with a traditional general surgeon on call (GSOC) approach. We surveyed 2,811 acute care general hospitals in the United States capable of EGS care. The questionnaire included queries regarding structures and processes related to OR access and on the model of EGS care (ACS vs. GSOC). Associations between the EGS care model and structures and processes to ensure OR access were measured using univariate and multivariate models (adjusted for hospital characteristics). Of 1,690 survey respondents (60.1%), 1,497 reported ACS or GSOC. 272 (18.2%) utilized an ACS model. The ACS hospitals were more likely to have more than 5 days of block time and a tiered system of booking urgent/emergent cases compared with GSOC hospitals (34.2% vs. 7.4% and 85.3% vs. 57.6%, respectively; all p values <0.001). Surgeons at ACS hospitals were more likely to be free of competing clinical duties, be in-house overnight, and cover at a single hospital overnight when covering EGS (40.1% vs. 4.7%, 64.7% vs. 25.6%, and 84.9% vs. 64.9%, respectively; all p values <0.001). The ACS hospitals were more likely to have overnight in-house scrub techs, OR nurses, and recovery room nurses (69.9% vs. 13.8%, 70.6% vs. 13.9%, and 45.6% vs. 5.4%, respectively; all p values <0.001). On multivariable analysis, ACS hospitals had higher odds of all structures and processes that would improve OR access. The ACS implementation is associated with factors that may improve OR access. This finding has implications for potential expansion of EGS care models that ensure prompt OR access for the EGS diseases that warrant emergency surgery. Therapeutic, Level III.

Evaluating the Anesthesiology Residents’ Performance, Using a Modified 360-degree Assessment Questionnaire in Shiraz University of Medical Sciences

Background: In the recent decades, worldwide attentions were increased in many countries for example North America and Europe to evaluate physician’s performance and become a necessity. The purpose of this study was to translate and determine the validity and reliability of the Persian version of the 360-degree assessment for anesthesiology residents. It consists of different domains to measure the general capabilities including communication and interpersonal skills, professionalism and residents’ clinical care skills. Methods: In this study, we used the questionnaire developed by Calgary University in Canada for the psychometric features. All second and third year residents who were actively engaged in anesthetic induction and were in close contact with their professors were chosen. The raters included five groups of faculty members, operation room staff (senior anesthetic technicians and recovery room nurses), residents’ colleagues, patients and residents themselves (self-assessment). Results: Cronbach's alpha coefficient for each questionnaire was over 0.80. Regarding the construct validity, the correlation between the items constituting each domain and the domain itself was over 0.40. We found a statistically significant difference between the colleagues and patients’ viewpoints. Considering clinical care, we also found a statistically significant difference between the faculty members and patients’ viewpoints. No statistically significant difference was found between the raters’ viewpoints. Conclusion: The present study showed that the Persian version of 360-degree scale is a practical and effective assessment tool with proper reliability and validity to measure the residents’ competence. It is suggested to be applied in other specialties to get more definite results.

Association between operating room access and mortality for life-threatening general surgery emergencies

Few diseases truly require emergency surgery today. We investigated the relationship between access to operating room (OR) and outcomes for patients with life-threatening emergency general surgery (LT-EGS) diseases at US hospitals. In 2015, we surveyed 2,811 US hospitals on EGS practices, including how OR access is assured (e.g., OR staffing, block time). There were 1,690 (60%) hospitals that responded. We anonymously linked survey data to 2015 Statewide Inpatient Sample data (17 states) using American Hospital Association identifiers. Adults admitted with life-threatening diagnoses (e.g., necrotizing fasciitis, perforated viscus) who underwent operative intervention the same calendar day as hospital admission were included. Primary outcome was in-hospital mortality. Univariate and multivariable regression analyses, clustered by treating hospital and adjusted for patient factors, were performed to examine hospital-level OR access variables. Overall, 3,620 patients were admitted with LT-EGS diseases. The median age was 63 years (interquartile range, 51-75), with half having three or more comorbidities (50%). Thirty-four percent had one or more major systemic complication, and 5% died. The majority got care at hospitals with less than 1 day of EGS block time but with policies to ensure emergency access to the OR. After adjusting for age, sex, race, insurance status, comorbidities, systemic complications, and surgical complications, we found that less presence of an in-house EGS surgeon, compared with around the clock, was associated with increased mortality (rarely/never in-house surgeon: odds ratio, 2.4; 95% confidence interval [CI],1.1-5.3; sometimes in-house surgeon: odds ratio, 1.6; 95% CI, 1.1-2.3). In addition, after controlling for other factors, on-call overnight recovery room nurse, compared with in-house, was associated with an increased mortality (odds ratio, 2.2; 95% CI, 1.5-3.1). Round-the-clock availability of personnel, specifically emergency general surgeons and recovery room nurses, is associated with decreased mortality. These findings have implications for the creation of EGS patient triage criteria and Acute Care Surgery Centers of Excellence. Therapeutic, level III.

Health Care Professionals' Perceptions of the Arthroplasty Patient Experience: Planning Phase in the Development of a Patient-Reported Outcome Measure

The aim of this study was to explore health care professionals' perceptions and perspectives of surgery and early recovery for patients undergoing lower limb arthroplasty. Thematic analysis with semi-structured qualitative interviews. Following ethical approval, interviews were performed with recovery room nurses (n=3), ward nurses (n=2), surgeons (n=5), anesthesiologists (n=5), physiotherapists (n=5), and occupational therapists (n=2). Data were analyzed using an in-depth narrative thematic analysis method. NVivo qualitative data analysis software was used. Three main themes evolved from the interviews: immediate patient recovery issues, discharge criteria, and priorities during hospitalization from health care providers' perspectives. The early postoperative recovery period can be a challenging time for health care providers and patients alike. However, identifying key areas of importance can provide insight and guide focus in clinical practice, thus improving patient recovery.

Status survey on nurse staffing at the anesthesia recovery rooms in Zhejiang′s tertiary hospitals

Objective To investigate and analyze the current setup, operation, nurse staffing, professional ability of nurses and professional standardized training system of tertiary hospitals in Zhejiang. Methods Cross-sectional study was used to investigate the nursing directors and 105 nurses from 36 tertiary hospitals of Zhejiang. The tools included the general questionnaire of anesthesia recovery rooms in Zhejiang tertiary hospitals, anesthesia specialty nurse job description questionnaire, and anesthesia recovery room nurses clinical specialized ability questionnaire.Data of the study were concluded and analyzed in the end. Results 35 of the 36 hospitals surveyed have in place anesthesia recovery care, accounting for 97%. The ratio of recovery room beds to operating bed was 0.48, and the ratio of nurses to recovery room beds was 0.52. In addition to the entire process involvement in the recovery and care of patients during recovery, the job of nurses covers administration of anesthesiology related items, equipment, drug management, cost management and cost entry, pain management and nursing. Nurse training methods depend on continuing education mainly. Anesthesia recovery room nurses′ clinical skills scored in average 82.96±1.52 points. Conclusions Most of these tertiary hospitals have in place anesthesia recovery rooms, yet with such challenges as shortage of beds, and overload/understaffing of nurses. Nurses are mostly trained in the departments, and a system of standardized training and qualification is to be further improved and established for such nurses. Key words: Tertiary hospital; Anesthesia recovery room; Nursing; Status survey

The hospital world according to Aaron.

The hospital world according to Aaron.

노인환자의 수술 후 섬망에 대한 회복실 간호사의 간호수행과 영향요인

Purpose The purpose of this study was to identify factors associated with performance of nursing care for postoperative delirium of elderly patients among recovery room nurses. Methods The research was a cross-sectional, descriptive design using questionnaires. The participants were 99 nurses from five urban recovery rooms. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with SPSS WIN 21.0. Results The performance level of delirium nursing care was low because its mean score was 3.80 out of 5. Performance of nursing care was significantly positively correlated with the importance of nursing care and self-efficacy. Stepwise multiple regression analysis for performance of nursing care revealed that the most powerful predictor was the importance of nursing care. The importance of nursing care and self-efficacy explained 32.3% of the variance. Conclusion The results indicate a need to enhance the performance of nursing care for postoperative delirium of elderly patients among recovery room nurses. The findings also suggest that consideration be given to strategies for improving the importance of nursing care and self-efficacy in developing programs to enhance the performance level of nursing care for elderly patients with postoperative delirium. Keywords: Elderly, Delirium, Postoperative care, Recovery room, Nursing care 주요어: ë ¸ì¸, 섬망, ìˆ˜ìˆ í›„ 간호, 회복실, 간호중재

Respiratory Distress in the Recovery Room Following General Anesthesia for Total Thyroidectomy

OPEN ACCESSOctober 14, 2014Respiratory Distress in the Recovery Room Following General Anesthesia for Total Thyroidectomy Lauryn Rochlen, MD Lauryn Rochlen, MD University of Michigan Medical School Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.9926 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractThis resource is a simulation scenario intended for senior and junior anesthesiology residents. It can be used as an independent scenario for a simulation-based course, or as a component of a larger course. In this scenario, a 57-year-old male is in the recovery room following a total thyroidectomy. He is under general anesthesia and begins to complain of increasing neck pain and difficulty breathing. His respiratory status continues to deteriorate and he develops stridor. The learner must decide how to secure the airway and whether the incision should be opened at the bedside. Additional elements of the scenario include nursing confederates who flush the IV, which results in a bolus of remifentanil, and a surgeon who is hesitant to open the wound. The main objectives for the learner are to rapidly assess and identify an emergency airway compromise and then formulate and execute a corrective plan incorporating principles of team work and communication. The scenario was developed for anesthesiology residents as a supplement to their current traditional curriculum of clinical training and didactic teaching. The simulation environment offered the opportunity to reinforce what residents were experiencing in the operating room and discussing in their lectures. Depending on the needs of the learner and the goals for the curriculum, the debriefing session can focus purely on clinical objectives or non-technical skills such as calling for assistance, working as an interdisciplinary team, and improving communication. Educational Objectives By the end of this lesson, the learner should be able to: Distinguish etiologies for peri-operative respiratory insufficiency.Provide management of an emergent difficult airway outside the operating room.Discuss etiologies of airway compromise following thyroidectomy.Discuss the challenges of managing critical events in the post-anesthesia care unit.Determine cues for calling for assistance.Improve communication with recovery room nurses and surgical colleagues. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Instructor's Guide.docx Simulation Case Outline.docx Anesthesia History & Physical.pdf Anesthesia Intra-operative Record.pdf Critical Incidents in Anesthesia Resident Simulation Training.pptx Post-Simulation Session Evaluation Form.docx To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. CitationRochlen L. Respiratory Distress in the Recovery Room Following General Anesthesia for Total Thyroidectomy. MedEdPORTAL. 2014;10:9926. https://doi.org/10.15766/mep_2374-8265.9926 Copyright & Permissions© 2014 Rochlen. This is an open-access article distributed under the terms of the Creative Commons Attribution license.KeywordsPatient SimulationDifficult AirwayRespiratory DistressAnesthesiologyRespiratory Distress SyndromePACUCricothyroidotomyThyroidectomy Disclosures None to report. Funding/Support None to report. Loading ...

Evolution of Postanesthesia Care Units: A Legacy of Politics, Funding, and Patient Safety Concerns

Postanesthesia care units or PACUs (earlier called recovery rooms) flourished after World War II as social, political, and economic influences advanced enormous changes in health care expectations and delivery in the United States. Innovations in science and technology, facilitated by increased federal funding of scientific research in the years preceding and during the war, heralded a postwar need for greater complexity of hospital care safely delivered by trained personnel. PACUs began to open in new and modernized postwar hospitals as a means to safely provide more complex postoperative care during a time of persistent nursing shortages. PACUs proved to be an effective and cost-efficient means of decreasing the significantly high incidence of contemporary postoperative morbidity and mortality. Continuous and skilled observation by the recovery room nurses was credited with the improved patient outcomes. Once firmly established, PACUs have remained vital to the delivering of safe and cost-effective postoperative and postprocedural care.

Patient and practitioner perspectives on postoperative pain control in Kumasi, Ghana

AbstractObjective: The treatment of pain has gained momentum in health care around the world. Nevertheless, pain is undertreated, particularly in the developing world. We sought to compare patient and healthcare practitioner perspectives of postoperative pain and assess perioperative analgesia utilisation in a tertiary care hospital in a resource-limited setting.Design: We conducted a prospective observational study.Setting and subjects: Postoperative patients and their respective recovery room nurses were studied at the Komfo Anokye Teaching Hospital in Kumasi, Ghana.Outcome measures: Patients were surveyed 1–4 hours postoperatively. Pain severity on a numerical rating scale (NRS) and patient satisfaction with the pain control were assessed. Recovery room nurses who were responsible for administering the pain medications were surveyed on their perceptions of their patients' pain. Patient demographic information, diagnoses, surgery type, mode of anaesthesia and perioperative analgesia use were recorded.Re...

A pilot study to determine the profile of recovery room nurses in Johannesburg hospitals

AbstractBackground: Apart from anecdotal evidence, very little is known of the recovery room nurses in South Africa.Method: An exploratory, prospective, descriptive pilot study was carried out in the recovery rooms of six Johannesburg hospitals, three academic and three private hospitals, one from each of the major private hospital groups. An appointment was scheduled and data were collected from either the theatre nursing manager, sister in charge of the recovery room or the nursing manager. The data collected reflected a brief profile of the selected recovery rooms and the demographic and education profile of nurses working there in August 2011.Results: Nurse: patient ratios were difficult to determine. Agency staff was used by one recovery room. The other recovery rooms used their permanent staff to work overtime. All the hospitals used anaesthetic nurses to double up when necessary. Only one of the recovery rooms had a supernumerary anaesthetist available during the day. A total of 49 nurses were work...

Évaluation des pratiques d’hygiène en anesthésie entre 1998 et 2007 en Lorraine

To study the assessment of hygiene practices in anaesthesia in Lorraine between 1998 and 2007, after recommendations from the French Society of Anaesthesia and Reanimation (SFAR) in December 1997, and different local actions. Two surveys performed at a nine-year interval in Lorraine hospitals. Questionnaires about risk infection management and hygiene practices were sent by post to all anaesthetists, nurse anaesthetists and recovery room nurses in 1998 (n=279) and in 2007 (n=259). Between the two surveys multidrug-resistant bacteria signalling, movements of the staff in operating rooms, septic isolation protocol and management of single-use disposable anaesthesia material have been improved (p<0.05). Central venous catheters are less performed in recovery rooms and rings wearing decreased by 16% (p<0.05). Wearing of nonsterile gloves for peripheral venous catheter and intubation is not generalized (p<0.05). About half of the hospitals have cleanup procedures of anaesthesia furniture. Washing of hands by anaesthesia staff is not sometimes respected but it's more frequent for medicine preparation and between two operations. A good skin disinfection (cleaning - rinsing - drying - antiseptic) is more recurrent in 2007 (61.4%) than in 1998 (41.9%) for arterial catheter. Wearing of glasses for intubation is each times rare, about 15%. Hygiene practices in anaesthesia in Lorraine have been improved between the two surveys by recommendations from the Sfar and the work of the Antenne Régional de Lorraine (audits, manuals, formations). Promising progress has been made but some points must still be worked on.