The addition of a regional block team to the orthopedic operating rooms does not improve anesthesia-controlled times and turnover time in the setting of long turnover times

Surgeons' and Anesthesiologists' Perceptions of Turnover Times

“…3 Eappen and colleagues added a regional anesthesia team for orthopedics at a facility with many prolonged (Ͼ45 minutes) turnovers. 4 Surgeons reported reduced incidence of these turnovers, but quantitative review showed no change. 4 Eappen speculated that surgeons' perceptions of turnovers were influenced less by turnover times per se than by their seeing anesthesia providers actively caring for their patients.…”

“…4 Surgeons reported reduced incidence of these turnovers, but quantitative review showed no change. 4 Eappen speculated that surgeons' perceptions of turnovers were influenced less by turnover times per se than by their seeing anesthesia providers actively caring for their patients. Similarly, when surgeons reported an increased incidence of prolonged turnovers in afternoons since the introduction of incremental compensation to anesthesiologists for work after 3:30 pm, Masursky and colleagues performed analysis and found no change.…”

Regionalanästhesie als Wettbewerbsvorteil im Krankenhaus

“…Tatsächlich ist der negative Einfluss auf den Arbeitsablauf im OP gerade im Hinblick auf den positiven behandlungsphasenübergreifenden Nutzen der Regionalanästhesieverfahren als untergeordnet zu betrachten [15,16]. Naht-SchnittZeiten sind mit komplexen multiprofessionellen Teilprozessen hinterlegt [25], sodass selbst der zusätzliche Einsatz eines "regional block team" die Wechselzeiten nicht beschleunigen kann [12] und diese unter Effizienzaspekten immer in Relation zu den durchschnittlichen chirurgisch bestimmten Zeitabschnitten zu betrachten sind [8].…”

“No more anesthesia delays!” Surgeons' dream come true—but are they only dreaming?

“…bNo more anesthesia delays!Q is every surgeon's dream come true. In the Eappen et al [1] study in this issue of the Journal of Clinical Anesthesia, the surgeons thought that this dream had come true. They believed that turnover time (TOT) was faster when a separate anesthesiology block team placed the regional blocks before transporting the patient to the operating room (OR).…”