Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
You currently have no recent searches
Schwarz, Stephan K. W. MD, PhD, FRCPC
Department of Anesthesiology, Pharmacology and Therapeutics, Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada, email@example.com
I read with great interest the article by Hart and Owen (1) and commend the authors for their initiative to improve the safety of patients undergoing cesarean delivery under general anesthesia through introduction of an aviation-style checklist. However, I question whether inclusion in the checklist of the two items “Oxytocin” and “Nondepolarizing muscle relaxant” under the heading “Drugs drawn up” may present a potential risk, rather than improvement, for patient safety. Drug errors are among the most common threats to patient safety in anesthesiology (2,3), often involving muscle relaxants (3) as well as oxytocin in obstetric anesthesia (4). Neither oxytocin nor nondepolarizing muscle relaxants are mandatory components of the induction of anesthesia for cesarean section, and inadvertent administration of either drug may yield catastrophic outcomes. In a recent systematic review of strategies to minimize anesthetic drug errors, “removal of dangerous drugs from the operating theaters” was identified as one of four classified “strongly recommended” (5). On the basis of these findings, the items “Oxytocin” and “Nondepolarizing muscle relaxant” may perhaps be more safely included in a checklist under a separate heading such as “Drugs readily available.”
Stephan K. W. Schwarz, MD, PhD, FRCPC
Department of Anesthesiology, Pharmacology and Therapeutics
Faculty of Medicine
The University of British Columbia
Vancouver, BC, Canada
© 2006 International Anesthesia Research Society
Colleague's E-mail is Invalid
Your Name: (optional)
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at Anesthesia & Analgesia.
Send a copy to your email
Your message has been successfully sent to your colleague.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Need to Activate a New Subscription?Recently purchased a subscription? Login or Register a new account
and enter your subscription ID, or Subscribe Now!
Become a Society Member
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection
Article Level Metrics