Department of Anesthesiology, Osaka City General Hospital and Children's Hospital, 2-13-22 Miyakojima-hondori, Miyakojima-ku, Osaka, 534-0021, Japan,
J Anesth. 2015 Feb;29(1):149-51. doi: 10.1007/s00540-014-1861-3. Epub 2014 Jun 11.
We have opened an operating room in the perinatal care unit (PNCU), separate from our existing central operating rooms, to be used exclusively for cesarean sections. The purpose is to meet the increasing need for both emergency cesarean sections and non-obstetric surgeries. It is equipped with the same surgical instruments, anesthesia machine, monitoring system, rapid infusion system and airway devices as the central operating rooms. An anesthesiologist and a nurse from the central operating rooms trained the nurses working in the new operating room, and discussed solutions to numerous problems that arose before and after its opening. Currently most of the elective and emergency cesarean sections carried out during the daytime on weekdays are performed in the PNCU operating room. A total of 328 and 347 cesarean sections were performed in our hospital during 2011 and 2012, respectively, of which 192 (55.5 %) and 254 (73.2 %) were performed in the PNCU operating room. The mean occupancy rate of the central operating rooms also increased from 81 % in 2011 to 90 % in 2012. The PNCU operating room was built with the support of motivated personnel and multidisciplinary teamwork, and has been found to be beneficial for both surgeons and anesthesiologists, while it also contributes to hospital revenue.
我们在围产保健病房（PNCU）开设了一间手术室，与现有的中心手术室分开，专门用于剖宫产。目的是满足紧急剖宫产和非产科手术日益增长的需求。该手术室配备了与中心手术室相同的手术器械、麻醉机、监测系统、快速输液系统和气道设备。中心手术室的一名麻醉师和一名护士对新手术室的护士进行了培训，并讨论了解决手术室开放前后出现的许多问题的方法。目前，工作日白天进行的大多数择期和紧急剖宫产都在 PNCU 手术室进行。2011 年和 2012 年，我院共进行了 328 例和 347 例剖宫产，其中 192 例（55.5%）和 254 例（73.2%）在 PNCU 手术室进行。中心手术室的平均占用率也从 2011 年的 81%增加到 2012 年的 90%。PNCU 手术室是在有积极性的人员和多学科团队合作的支持下建立的，既有利于外科医生，也有利于麻醉师，同时也有助于医院的收入。
