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Operating room black box:Scrutinizer of theatre practices

Laparoscopic, Endoscopic and Robotic Surgery 2023年第4期6卷 142-146页

作者： Prem Kumar A PI Pragyan Pratik Nithya Ravichandran Department of General Surgery.Victoria Hospital Bangalore Medical College and Research InstituteBungaloreBengauru560002india

Objective:Adverse surgical events are a major cause of morbidity,mortality,and disability worldw *** cause of many such events can be attributed to interruptions in the operating room(OR),muli-tasking by surgeons,*** objective of this study was to observe the types and frequency of intra-operative wor kflow interruptions in our ***:This ccoss-sectional study was conducted from March Do April of *** observational approach using an audio-video recording device was employed to record OR flow disr *** elective OR and one emergency OR under the Department of General Surgery were selected for the *** open and laparoscopic surger ies conducted in the selected ORs were *** Internet Protocol camera'was installed in the selec ted ORS with a view of the entire room,including the anesthesia ***-video recording was started after the first indsion and stopped after closure of the surgical ***:Of the 51 cases that were studied,45(88.2%)were elective,and 18(35.3%)were laparoscopic *** could be classified into 8 types of open procedures and 4 types of lapar oscopic *** mean maximum headcount inside the OR was 15.5土3.6 and doors opened on average of 15.8土6.0 times during a *** interruptions were surgeons attending phone calls(24,47.1%),leaving the sterile area(21,41.2%),technical disturbances(32,62.7%),anesthetic interruptions(18,35.3%),and faulty instruments(29,56.9%)Elective procedures had a signifcandy higher average number of in-terruptions per operating hour than emergency procedures(175±8.6vs.7.1±2.9,p<0.01).Condusion:Preventable factors such as faulty instruments,anesthetic interruption,and attending phone calls by the surgeon are commonly observed in *** need to be addressed by timely surgical audits or the adoption of continued sureillance methods that can help take measures to minimize their occurrence.

关键词： Interruption Black box Camera Surgical audit operation theatre

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Instituting Pandemic Plans in a Singapore Anaesthesia Unit: The Challenges and Learning Points

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Open Journal of Anesthesiology 2020年第7期10卷 263-276页

作者： Lydia Weiling Li Prit Anand Singh Chou Liang Mah Ong Lay Teng Qian Jun Tong Xiang Long Louis Ng Department of Anaesthesia and Surgical Intensive Care Changi General Hospital Singapore Division of Nursing Operating Theatre Changi General Hospital Singapore

The World Health Organization declared COVID-19 as a pandemic on 11 March 2020. Its rapid spread has put a strain on healthcare systems globally. Singapore ranked the highest in terms of reported cases outside of China in the first few weeks of this outbreak. The management of a patient with COVID-19 in the Operating theatre (OT) presents a unique set of challenges to the Anaesthetist. Delivery of timely and quality care must be upheld while reducing the risk of transmission to healthcare staff and other patients. This article describes our Anaesthesia Unit’s experiences and challenges in instituting our pandemic plans. The authors hope that the sharing of our experience and practical approach would be useful to other Anaesthesia Units worldwide.

关键词： COVID-19 Anaesthesia operation theatre Preparedness SARS-CoV-2 Pandemic PPE Manpower

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