Ong Bee Shan, Thomas Rebecca, Jenkins Simon
Department of Surgery, Lyell McEwin Hospital, Haydown Rd, Elizabeth Vale, South Australia, 5112, Australia.
Department of Anaesthesia, Lyell McEwin Hospital, Haydown Rd, Elizabeth Vale, South Australia, 5112, Australia.
Patient Saf Surg. 2022 Jul 27;16(1):23. doi: 10.1186/s13037-022-00335-8.
The efficient use of operating room is important to ensure optimum cost-benefit for the hospital and to reduce elective surgery waiting times. We introduced a concept of non-commissioned "Twilight" operating room to reduce patient waiting list and mitigate consequences of non-availability of elective operative time due to closure of an affiliated hospital operating suite.
A retrospective audit was performed during a 10-month period where "Twilight" operating room was implemented in our institution. Additionally, we included patients that were operated on 13 non-commissioned whole day operative sessions on Saturdays during the same period.
A total of 223 surgical procedures were performed during the study time window. Most patients have American Society of Anaesthesiologists (ASA) Class 2. Participating subspecialties were General Surgery, Orthopaedic surgery, Gynaecology, Urology, Plastic surgery and Dental surgery. A wide range of operations was performed in the "Twilight" operating room. No major complications were observed.
Our study demonstrated the feasibility of conducting elective surgeries after hours with the advantage of reducing the hospital's elective surgery waiting time. Importantly, no major post-operative complications were reported. This model is a feasible and safe strategy to restore surgical activity impacted by the COVID-19 pandemic.
有效利用手术室对于确保医院实现最佳成本效益以及减少择期手术等待时间至关重要。我们引入了非委托式“黄昏”手术室的概念，以减少患者等待名单，并减轻因附属医院手术室关闭导致择期手术时间不可用的后果。
在我们机构实施“黄昏”手术室的10个月期间进行了回顾性审计。此外，我们纳入了同期在13个非委托式周六全天手术时段接受手术的患者。
在研究时间窗口内共进行了223例外科手术。大多数患者为美国麻醉医师协会（ASA）2级。参与的亚专业包括普通外科、骨科、妇科、泌尿外科、整形外科和牙科手术。“黄昏”手术室进行了广泛的手术。未观察到重大并发症。
我们的研究证明了在非工作时间进行择期手术的可行性，其优势在于减少了医院的择期手术等待时间。重要的是，未报告重大术后并发症。该模式是恢复受新冠疫情影响的手术活动的可行且安全的策略。
