Introduction:

Critical intraoperative events are rare and may sometimes be managed poorly and too late.

Objective:

To translate and update the checklists developed by Ariadne Labs for management of critical events in the OR and to adapt the list for managing anesthetic toxicity, based on secondary clinical evidence.

Materials and methods

: In order to translate and update the checklists, the recommendations given by Ariadne Labs were followed to change the original checklists in accordance with a systematic methodology that comprises three phases: 1) translation of the original lists, 2) systematic literature search, 3) evaluation and selection of evidence, 4) adaptation of the list for managing anesthetic toxicity, 5) changes, deletions, and additions to the translated lists, and 6) layout of the checklists.

Results:

The 12 original checklists were translated into Spanish and a new list was adapted for managing toxicity from local anesthetic agents. As a result of the systematic literature search, 1407 references were screened, from which 7 articles were selected and included for evidence-based updating of the new checklists. The layout of the new lists was consistent with the design recommendations of the original lists.

Conclusion:

12 translated and updated checklists were submitted and a new list was adapted for the management of local anesthetics toxicity, based on a systematic literature review.

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