Delays in emergency oral and maxillofacial operations: 5 years later

Kalantzis, Athanasios; Weisters, Mary; Saeed, Nadeem

doi:10.1016/j.bjoms.2011.01.017

Cited by 7 publications

(1 citation statement)

References 6 publications

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“…In the field of oral and maxillofacial surgery, the impact of shared emergency lists has been highlighted more widely, with El-Maaytah et al 11 finding that nearly 65% of respondents to a national survey had no dedicated trauma list. Kalantzis et al 12 demonstrated that, in their own experience, emergency operating had doubled over a five-year period and delays of more than 24 hours affected 29% of patients booked on to a shared emergency list. The benefits of dedicated operating lists with a familiar team are obvious and have been highlighted in orthopaedic surgery and plastic surgery, in particular, where dedicated lists result in faster access to surgery, improved patient outcomes and reduced length of inpatient stay.…”

Section: Discussionmentioning

confidence: 99%

The provision of surgical tracheostomies by maxillofacial surgeons in the UK: time for a dedicated tracheostomy team?

Chohan

Elledge

Virdi

et al. 2018

annals

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Surgical tracheostomy is a commonly provided service by surgical teams for patients in intensive care where percutaneous dilatational tracheostomy is contraindicated. A number of factors may interfere with its provision on shared emergency operating lists, potentially prolonging the stay in intensive care. We undertook a two-part project to examine the factors that might delay provision of surgical tracheostomy in the intensive care unit. The first part was a prospective audit of practice within the University Hospital Coventry. This was followed by a telephone survey of oral and maxillofacial surgery units throughout the UK. In the intensive care unit at University Hospital Coventry, of 39 referrals, 21 (53.8%) were delayed beyond 24 hours. There was a mean (standard deviation) time to delay of 2.2 days (0.9 days) and the most common cause of delay was surgeon decision, accounting for 13 (61.9%) delays. From a telephone survey of 140 units nationwide, 40 (28.4%) were regularly involved in the provision of surgical tracheostomies for intensive care and 17 (42.5%) experienced delays beyond 24 hours, owing to a combination of theatre availability (76.5%) and surgeon availability (47.1%). There is case for having a dedicated tracheostomy team and provisional theatre slot to optimise patient outcomes and reduce delays. We aim to implement such a move within our unit and audit the outcomes prospectively following this change.

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Section: Discussionmentioning

confidence: 99%