Khadabadi Nikhil Aravind, Logan Peter C, Handford Charles, Parekh Kishen, Shah Munawar
Trauma and Orthopaedics, Walsall Manor Hospital, Walsall, GBR.
Cureus. 2020 Nov 23;12(11):e11637. doi: 10.7759/cureus.11637.
Introduction A large transformation in the management of trauma has ensued following the COVID-19 (coronavirus disease 2019) pandemic. There has been an increase in reliance on guidance for decision-making and alterations in the working of the trauma theatre. This has largely been due to the safety measures implemented. Theatre efficiency has gained increasing importance over the years, and with the added pressure of the pandemic, it is essential that trauma theatres operate efficiently. There has been no data analysing the efficiency of trauma theatre during this pandemic. Methods and Results We retrospectively analyzed the data at our hospital and looked into the parameters to assess trauma theatre efficiency. It was noted that the operative time and anaesthetic time went up significantly in 2020 in comparison to 2019. Also, the change over time and the late start time was significantly high in 2020. A large proportion of cases did not start on time in 2020. This resulted in a decrease in the efficiency of theatre usage. Discussion Reduced productivity of the trauma theatre has been due to several reasons, many of which include implementation of safety measures, such as personal protective equipment (PPE), theatre cleaning, recovery of patients, using designated routes for transfer, and many others. The challenge lies in applying these new measures into our daily practice at the same time while providing efficient care. Conclusion Our study highlights the key areas of concern and improvement which need to be addressed in order to render effective trauma care.
引言
2019冠状病毒病(COVID-19)大流行之后,创伤管理发生了重大变革。决策对指南的依赖增加,创伤手术室的工作方式也有所改变。这主要是由于实施了安全措施。多年来,手术室效率变得越来越重要,在大流行带来的额外压力下,创伤手术室高效运作至关重要。目前尚无分析此次大流行期间创伤手术室效率的数据。
方法与结果
我们回顾性分析了我院的数据,并研究了评估创伤手术室效率的参数。结果发现,与2019年相比,2020年手术时间和麻醉时间显著增加。此外,2020年的周转时间和延迟开始时间也显著延长。2020年很大一部分病例未能按时开始。这导致了手术室使用效率的下降。
讨论
创伤手术室生产力下降有多种原因,其中许多原因包括实施安全措施,如个人防护装备(PPE)、手术室清洁、患者复苏、使用指定转运路线等。挑战在于在提供高效护理的同时,将这些新措施融入我们的日常实践。
结论
我们的研究突出了为提供有效的创伤护理而需要解决的关键关注领域和改进方面。