Operating unit time use is associated with anaesthesia type in below-knee surgery in adults
| Autor: | T. J. Lohela, T. A. Hiekkanen, Vesa K. Kontinen, Markku Hynynen, Rachel P. Chase |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Operating Rooms
Time Factors medicine.medical_treatment Anesthesia General Unit (housing) 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Humans Medicine Anesthesia General anaesthesia Elderly adults business.industry Medical record Hazard ratio Nerve Block General Medicine University hospital 3. Good health Anesthesiology and Pain Medicine Knee surgery Nerve block business 030217 neurology & neurosurgery |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 61:300-308 |
| ISSN: | 0001-5172 |
| DOI: | 10.1111/aas.12852 |
| Popis: | Background Peripheral nerve blocks could reduce the operating unit and theatre time spent on high-risk patients who are particularly vulnerable to complications of general anaesthesia or have medications that prevent application of central neuraxial blocks. Methods Medical record data of 617 and 254 elderly adults undergoing below-knee surgery in Jorvi and Meilahti hospitals (Helsinki University Hospital) between January 2010 and December 2012 were used to investigate the influence of anaesthetic technique on operating theatre times and on operating unit times using flexible parametric survival models. We report operating theatre and unit exit ratios (i.e. hazard ratios but using ratios of exit rates) for different types of anaesthesia. Results Adjusted analyses: In Jorvi Hospital, anaesthesia type was associated with large initial differentials in operating theatre times. The theatre exit ratios remained lower for general anaesthesia and central neuraxial blocks compared to peripheral nerve blocks until 30 min. In Meilahti Hospital, anaesthesia type did not influence theatre time, but was the best predictor of operating unit times. Compared to peripheral nerve blocks, the exit ratio remained lower for general anaesthesia until five operating unit hours in both hospitals and for central neuraxial blocks until 1 h in Meilahti Hospital and until 3 h in Jorvi Hospital. Holding area was used more in Jorvi Hospital compared to Meilahti Hospital. Conclusion Peripheral nerve block anaesthesia reduces time spent in the operating unit and can reduce time spent in the operating theatre if induced in holding area outside of theatre. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
| Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |