Use of Anesthesia Induction Rooms Can Increase the Number of Urgent Orthopedic Cases Completed within 7 Hours

Abstract

Anesthesia induction outside the OR can increase the number of surgical cases performed during a regular workday.

A “swing room” model based on regional anesthesia reduces turnover time and increases case throughput

“…The use of parallel processing, whereby a patient receives a peripheral nerve block in a dedicated block room while the previous patient is undergoing surgery in the OR, has previously been shown to decrease ACT. 5,9,10 A reduction in ACT alone, however, does not necessarily result in decreased turnover time, which is dependent on other factors, including OR cleaning, equipment sterilization, as well as nursing and surgeon responsibilities (e.g., surgical site marking, consent verification, patient positioning). 5,[9][10][11] Our model, on the other hand, used two forms of parallel processing, i.e., a block room to facilitate early placement of brachial plexus anesthesia and two ORs.…”

Auslastung und Wechselzeit als Kennzahlen der OP-Effizienz

“…ineffiziente Leistungserbringer [4,5]. Aber auch strukturelle und organisatorische Innovationen wurden vorgeschlagen, wie die Neugestaltung der OP-Baulichkeiten [6], die Nutzung von gesonderten Räumen für die Anwendung zeitaufwendiger regionalanästhesiologischer Verfahren [7] und die Nutzung überlappender Anästhesieeinlei-tungen [8,9].…”

Zentrale Einleitung

“…Torkki et al [7] verglichen prospektiv 134 unfallchirurgische Patienten. Bei insgesamt 4 OP-Sälen wurde die ZE nur für einen OP-Saal genutzt.…”