Anaesthesia © 2011 The Association of Anaesthetists of Great Britain and Ireland. The Federal Aviation Administration promulgated the Sterile Cockpit Rule in mid-1981 in order to reduce incidents resulting from distractions occurring in. Applying aviation's sterile cockpit rule may be a useful addition to our clinical practice. Recognising and minimising distraction should improve patient safety. There is general enthusiasm for applying strategies from aviation directly to medical care the application of the sterile cockpit rule to surgery has. These data demonstrate increased distraction during emergence compared with other phases of anaesthesia. Conversations unrelated to the procedure occurred in 28/30 (93%) emergences. The median (IQR ) of staff entrances or exits were 0 (0-2 ), 6 (3-10 ) and 10 (5-12 ) for induction, maintenance and emergence, respectively (p<0.001). The Sterile Cockpit Rule is an FAA regulation requiring pilots to refrain from non-essential activities during critical phases of flight, normally below. Sudden loud noises, greater than 70 dB, occurred more frequently at emergence (occurring 34 times) than at induction (occurring nine times) or maintenance (occurring 13 times). ![]() ![]() Per federal regulations, prohibited activities during these times include taking calls not related to the safety of the flight, dealing with. ![]() Mean (SD) noise during emergence (58.3 (6.2) dB) was higher than during induction (46.4 (4.3) dB) and maintenance (52 (4.5) dB p<0.001). The sterile cockpit rule defines critical phases of flight as ground operations involving taxiing, takeoff and landing, and all flight operations below 10,000 feet except cruise flight. We studied distraction during 30 anaesthetic inductions, maintenances and emergences. 'Sterile Cockpit' refers to the concept that pilots should not discuss anything not related to the flight during certain phases of flight (often defined as below FL100). The FAA, after more than six years of consideration, finally published the sterile cockpit rule in 1981. In aviation, the sterile cockpit rule prohibits non-essential activities during critical phases of flight, takeoff and landing, phases analogous to induction of, and emergence from, anaesthesia. The sterile cockpit rule was first adopted by the USs Federal Aviation Administration in 1981, after accidents like Eastern Air Lines Flight 212 were attributed to unnecessary conversation.
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