Klassifikationen
ASA
integer
surgery classification
integer
Mallampati score
integer
Postoperative Nausea and Vomiting
integer
Revised Cardiac Risk Index
integer
NYHA
integer
Metabolic Equivalent of Task
integer
Anästhesiestatus
urgency
integer
Type of Anesthesia
integer
Other Type of Anesthesia
text
Pain scale
float
Anamnese
Indication of surgery
text
Type Of Surgery
text
Systolic blood pressure
float
Diastolic blood pressure
float
heart rate
float
hemoglobin
float
blood platelets
float
Quick
float
PTT
float
Creatinine
float
Urea
float
Blood Glucose
float
Potassium
float
Physical examination
text
long-term medication
text
anticoagulation
text
CAVE
text
Allergies / untypical antibodies ?
text
Oral &or dental status? / Airway?
text
von der Station zu erledigen:
Registration of Medical Examination
integer
Other Medical Examination
text
Anordnungen
time
time
Pharmaceutical Preparations
text
Dose
float
Application
text
Signature
text
Food regulations
time
intake regulations fluids
time
Prämedikation
Duration
integer
Premedication whilst regular working hours
boolean
Date of Premedication
date
Time of Premedication
time
Anesthesist
text
Signature Of Physician
text
Anästhesieverfahren
Date of Anesthesia
date
Anesthesia method
integer
Airway
integer
tbs and tbt
text
Device
float
laryngoscopy
integer
Regional Anesthesia
integer
Regional Anesthesia Event
integer
Needle
text
Puncture
text
Number
float
Tunnel
float
Puncture wound depth
float
Skinlevel incl. Tunnel
float
Actions
integer
Patient storage
integer
Special Medical Procedure
integer
Artery
integer
AN-Zeiten
Start of Anesthesiapresence
time
Anesthesia Start Time
time
Operation Time
time
Anesthesia End Time
time
End of Anesthesia presence
time
End of Recovery Room
time
OP-Zeiten
Start of Operative Actions
time
Beginning of Operation
time
End time Operation
time
End od Operative Actions
time
No Operative Times
boolean
operating room
float
Initiation
boolean
Bedside Test
text
Personal
Name
text
Name
text
Name
text
Name
text
Specialty department
text
More Departments
boolean
Contact person Surgeon
text
Surgical intervention
text
Anästhesieprotokoll
Hypnotics
integer
Analgetics
integer
Muscle relaxants
integer
Medication dose
text
Fresh gas flow
float
Gas Flow Narcosis
integer
Catecholamines Antiarrhythmics Inotropics
integer
Administration of electrolytes
integer
Colloids
integer
Red blood cell transfusion
integer
Fresh frozen plasma / platelet concentrate
integer
Pharmaceutical Preparations
time
Double Occupation Physician
boolean
Labor (Zeit)
Location
integer
Hydrogen ion concentration measurement
float
Carbon dioxide content measurement
float
Blood Oxygen Pressure
float
Base Excess Measurement
float
Oxygen saturation measurement
float
Hemoglobin measurement
float
Sodium
float
Potassium
float
Chloride measurement
float
Calcium measurement
float
Blood glucose level
float
Lactate
float
Quick
float
PTT
float
Platelet Count
float
Bilanz OP
Crystalloid solutions
float
Colloids
float
Blood
float
Fluid Intake
float
Urine
float
Blood
float
Tubes
float
Fluid Output
float
Bilanz AWR
Crystalloid solutions
float
Colloids
float
Blood
float
Fluid Intake
float
Urine
float
Blood
float
Tubes
float
Fluid Output
float
OP
Comment Operating Room
text
Time
time
Signature Treating Physician
text
AWR
Comment Recovery Room
text
Time
time
Signature Treating Physician
text
Anordnungen für AWR
Laboratory
text
Patient Storage
text
Fluid
text
Analgesia
text
Other Instructions
text
Signature Recovery Room Nurse
text
Verlegung aus OP/AWR
Empfehlung für die Station
Patient Observation
text
Pain Management
text
Acute Pain Service Guardiance
boolean
Fluid Intake Start
time
Signature Nurse
text
Diagnosen/ periop. Komplikationen/ Prozedurendokumentation
Name
text
Birth Date
date
Street
text
City of residence
text
Health Insurance
text
case number
text
Date of Anesthesia
date
Name /Signature
text
None routine procedures
integer
Diagnosis
integer
Other Diagnosis Codes (ICD 10)
text
Other Procedure Code (OPS)
text
Postanästhesie-Visite
Anesthesist
text
Name /Signature
text
Date of Anesthesia
date
Date of Visit
date
Time of Visit
time
Pain scale
float
post operative care
integer
Comment
text
Bereitschaftsdienst
Start Time
time
End Time
time
Start Time
time
End Time
time