Ophthalmology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
Ophthalmology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
BMJ Open Qual. 2023 Jan;12(1). doi: 10.1136/bmjoq-2022-002083.
We report on the establishment of "general anaesthesia (GA) to local anaesthesia (LA) conversion" or GALA initiative at Sheffield Teaching Hospitals NHS Foundation Trust. Through GALA initiative, long waiters for cataract surgery under GA or LA with intravenous sedation were counselled for LA surgery. With careful surgical planning and personalised solutions to LA barriers, LA-converted patients reported good visual and surgical experience outcomes. The GALA initiative reduced cataract surgery waiting times of participants by 11 weeks and increased GA list capacity by three to four theatre lists in its four months of pilot run. This initiative did not limit training opportunities for ophthalmology trainees whose training was affected significantly during the pandemic.
我们报告了在谢菲尔德教学医院 NHS 基金会信托基金中建立“全身麻醉（GA）到局部麻醉（LA）转换”或 GALA 计划的情况。通过 GALA 计划，对接受 GA 或 LA 静脉镇静的白内障手术长时间等候者进行了咨询，建议他们进行 LA 手术。通过仔细的手术计划和针对 LA 障碍的个性化解决方案，LA 转换患者报告了良好的视觉和手术体验结果。在四个月的试点运行中，GALA 计划将参与者的白内障手术等待时间缩短了 11 周，并将 GA 列表容量增加了三到四个手术室列表。该计划并没有限制眼科受训者的培训机会，他们的培训在大流行期间受到了严重影响。
