Operating-Theatre Design

Douglas, Derek

doi:10.1016/s0140-6736(62)90053-3

Cited by 7 publications

(9 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Optimal lighting is required for good vision. Important characteristics of good illumination include strong light, intense area of illumination in the centre, good focus, parallel beams, shadowless, easy manoeuvrability, shielding to prevent glare, and heat reduction (with heat‐filtering glass) 1,5,6 . The overhead lights are the most commonly used source of lighting in the operating room.…”

Section: Lightingmentioning

confidence: 99%

“…The benefits of an experienced or dedicated team have been shown. Ideally, the surgeon has to say little and the instruments flow from the sister's hand to the surgeon's without orders 1 . One observational study found that experienced scrub nurses spent shorter amount of the operation time watching surgery but performed more anticipatory movements when compared with intermediate skill nurses 78 .…”

Section: Regular Theatre Staffmentioning

confidence: 99%

“…In 1962, DM Douglas commented that ‘the surgeon looks upon the theatre suite as his workshop in much the same way as the scholar his library, the scientist his laboratory, or the craftsman his bench’ 1 . He proposed that optimizing teamwork, the working environment, and lighting as important requirements for the design of an operating theatre from a surgeon's perspective.…”

Section: Introductionmentioning

confidence: 99%

“…Use of a headlight has advantages of flexibility, control by the surgeon, and vision into deep and narrow spaces. 1 Disadvantages of using a headlight include an awkward posture (resulting in neck strain) and limitation of the mobility and visibility of the operating team. 7 Flexible fibre-optic lights attached to retracting instruments can be used to overcome some of these drawbacks.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Optimizing the operating theatre environment

Wong

Smith

Crowe

2010

ANZ Journal of Surgery

View full text Add to dashboard Cite

The operating theatre is a complex place. There are many potential factors which can interfere with surgery and predispose to errors. Optimizing the operating theatre environment can enhance surgeon performance, which can ultimately improve patient outcomes. These factors include the physical environment (such as noise and light), human factors (such as ergonomics), and surgeon-related factors (such as fatigue and stress). As individual factors, they may not affect surgical outcome but in combination, they may exert a significant influence. The evidence for some of these working environment factors are examined individually. Optimizing the operating environment may have a potentially more significant impact on overall surgical outcome than improving individual surgical skill.

show abstract

Section: Lightingmentioning

confidence: 99%

Section: Regular Theatre Staffmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Optimizing the operating theatre environment

Wong

Smith

Crowe

2010

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…and a relative humidity of 50% is said to be well tolerated by surgeons and patients for many hours (Douglas, 1962). In Russia, it is suggested that in summer operating-suite air-conditioning should provide an air temperature of 68 to 72 5°F.…”

mentioning

confidence: 99%

The Control of Operating-Suite Temperatures

Ellis¹

1963

Occupational and Environmental Medicine

View full text Add to dashboard Cite

Three main requirements influence the control of the temperatures of operating suites: (1) avoid humidities which contribute to the risks of anaesthetic explosions; (2) promote the comfort and working efficiency of the staff; and (3) conserve the patient's resources. In the United States, an air temperature of 70 to 75°F. (21 to 24°C.) with 50 to 60% relative humidity provides a compromise between the requirements of the patients and those of the operators. In Britain, a temperature of 65 to 70°F. (18 to 21°C.) and a relative humidity of 50% is “well tolerated for many hours”. In the U.S.S.R., air-conditioning should provide in summer an air temperature of 68 to 72·5°F. (20 to 22°C.) and in winter 66 to 68°F. (19 to 20°C.) with a relative humidity of 55%. According to the American Society of Heating, Refrigeration and Air-conditioning Engineers (1961) Guide “little is known about optimum air conditions for maintaining normal body temperatures during anaesthesia and the immediate post-operative period”. Clarke and his colleagues' observation in New York City that the patient's temperature begins to rise when the wet-bulb temperature exceeds 75°F.s (23·8°C.) fills one important gap. But this finding may not apply to other populations. Deaths from heat stress have occurred in Britain with wet-bulb temperatures of this order; and in the tropics surgeons operate successfully without air-conditioning where the ambient wet-bulb temperature rarely falls much below 75°F. (23·8°C.). When temperature control is available, it is not only at high temperatures that trouble arises. Excessive cooling of the patient leads to cardiac arrhythmias. The patient's position is more hazardous than that of those exposed to climatic extremes in industry or in the armed forces. He is not only unconscious but his responses may be poikilothermic in character because shivering is abolished and there is peripheral vasodilatation. When he is exposed to levels of warmth at which he might not maintain thermal equilibrium, his body temperature should be recorded continuously during the period of anaesthesia in the theatre and in the ward.

show abstract

Protection of the patient in the operating suite

Hambræus

Laurell

1980

Journal of Hospital Infection

View full text Add to dashboard Cite

Operating-Theatre Design

Cited by 7 publications

References 7 publications

Optimizing the operating theatre environment

Optimizing the operating theatre environment

The Control of Operating-Suite Temperatures

Protection of the patient in the operating suite

Contact Info

Product

Resources

About