Stavrou George, Panidis Stavros, Tsouskas John, Tsaousi Georgia, Kotzampassi Katerina
Department of Surgery, Faculty of Medicine, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.
Department of Anesthesiology, Faculty of Medicine, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.
ISRN Surg. 2014 Mar 13;2014:431740. doi: 10.1155/2014/431740. eCollection 2014.
Aim. To perform a thorough and step-by-step assessment of operating room (OR) time utilization, with a view to assess the efficacy of our practice and to identify areas of further improvement. Materials and Methods. We retrospectively analyzed the most ordinary general surgery procedures, in terms of five intervals of OR time utilization: anaesthesia induction, surgery preparation, duration of operation, recovery from anaesthesia, and transfer to postanaesthesia care unit (PACU) or intensive care unit (ICU). According to their surgical impact, the procedures were defined as minor, moderate, and major. Results. A total of 548 operations were analyzed. The mean (SD) time in minutes for anaesthesia induction was 19 (9), for surgery preparation 13 (8), for surgery 115 (64), for recovery from anaesthesia 12 (8), and for transfer to PACU/ICU 12 (9). The time spent in each step presented an ascending escalation pattern proportional to the surgical impact (P = 0.000), which was less pronounced in the transfer to PACU/ICU (P = 0.006). Conclusions. Albeit, our study was conducted in a teaching hospital, the recorded time estimates ranged within acceptable limits. Efficient OR time usage and outliers elimination could be accomplished by a better organized transfer personnel service, greater availability of anaesthesia providers, and interdisciplinary collaboration.
目的。对手术室（OR）时间利用情况进行全面且逐步的评估，以评估我们实践的有效性并确定进一步改进的领域。材料与方法。我们回顾性分析了最常见的普通外科手术，按照手术室时间利用的五个时间段进行分析：麻醉诱导、手术准备、手术时长、麻醉恢复以及转至麻醉后护理单元（PACU）或重症监护病房（ICU）。根据手术影响程度，将手术定义为小型、中型和大型。结果。共分析了548例手术。麻醉诱导的平均（标准差）时间为19（9）分钟，手术准备为13（8）分钟，手术为115（64）分钟，麻醉恢复为12（8）分钟，转至PACU/ICU为12（9）分钟。每个步骤所花费的时间呈现出与手术影响程度成比例的上升趋势（P = 0.000），在转至PACU/ICU时这种趋势不太明显（P = 0.006）。结论。尽管我们的研究是在一家教学医院进行的，但记录的时间估计值在可接受范围内。通过更好地组织转运人员服务、增加麻醉人员的可获得性以及跨学科协作，可以实现手术室时间的高效利用和异常值的消除。
