Chazapis Maria, Kaur Navkiran, Kamming Damon
University College Hospital, London.
BMJ Qual Improv Rep. 2014 May 2;3(1). doi: 10.1136/bmjquality.u204061.w1769. eCollection 2014.
Regional anaesthesia has multiple known benefits over general anaesthesia alone, but requires time and expertise for its application. This study aimed to decrease anaesthetic time and increase total surgical operative time by instituting a 'block room' where regional anaesthesia nerve blocks could be provided by expert anaesthetists in regular scheduled sessions. A baseline audit showed that 2 hours per day was spent on performing nerve blocks. Development of the block room allowed nerve blocks to be performed in parallel to surgical operations, reducing the mean anaesthetic control time from 44 mins to 27 mins. This freed time for an extra operative case per day. In addition, pooling of expertise to one site has allowed excellent teaching opportunities for anaesthetic trainees, and a specific training programme for regional anaesthesia is being produced. In conclusion, instituting a block room has improved the efficiency of our theatre complex, and improved the service deliverable to our patients.
区域麻醉相较于单纯全身麻醉具有多种已知的益处，但实施起来需要时间和专业技能。本研究旨在通过设立一个“阻滞室”来减少麻醉时间并增加手术总操作时间，在该阻滞室中，专业麻醉师会在定期安排的时段进行区域麻醉神经阻滞。一项基线审计显示，每天花2小时进行神经阻滞。阻滞室的设立使得神经阻滞能够与外科手术并行进行，将平均麻醉控制时间从44分钟减少到了27分钟。这就为每天额外增加一台手术腾出了时间。此外，将专业技能集中到一个地点为麻醉实习医生提供了绝佳的教学机会，并且正在制定一项针对区域麻醉的特定培训计划。总之，设立阻滞室提高了我们手术室的效率，并改善了为患者提供的服务。
