Wöhler Patrick, Kellermann Wolfgang
Anasthesiol Intensivmed Notfallmed Schmerzther. 2012 Feb;47(2):72-7. doi: 10.1055/s-0032-1304509. Epub 2012 Mar 8.
Process optimization offers the opportunity to improve the quality and efficiency of medical care. Various approaches are possible in a pre-, peri- and postoperative care setting: It is almost always possible to prepare the children for surgery on an outpatient basis. This allows for hospital admission the same day or the evening before the procedure. But a schedule needs to be established that includes a certain leeway for admission and preoperative fasting in order to cater for a flexible response to delays or cancelations on the surgical list. An efficient use of theatre time can only be assured if several anesthetists can work in parallel. This applies in particular to complex anesthetic inductions. Sufficient staff and facilities are a prerequisite for this. The use of ultrasound for vascular access and regional anesthesia raises the success rate and saves time. In the postoperative period good analgesia with a fixed therapeutic regime, immediate postoperative feeding and mobilization improve the care.
流程优化为提高医疗质量和效率提供了契机。在术前、术中和术后护理环境中，有多种方法可行：几乎总是可以在门诊为儿童进行手术准备。这使得他们可以在手术当天或前一晚入院。但需要制定一个时间表，其中包括一定的入院和术前禁食时间余地，以便灵活应对手术安排中的延误或取消情况。只有当几名麻醉师能够并行工作时，才能确保有效利用手术时间。这尤其适用于复杂的麻醉诱导。充足的人员和设施是实现这一点的前提条件。使用超声进行血管穿刺和区域麻醉可提高成功率并节省时间。在术后阶段，采用固定治疗方案进行良好的镇痛、术后立即进食和活动可改善护理效果。
