Establishment of a pediatric surgery center: increasing anesthetic efficiency. Academic Article uri icon

Overview

abstract

  • STUDY OBJECTIVE: To examine whether the establishment of dedicated pediatric operating rooms (ORs) staffed exclusively by pediatric anesthesiologists has had a significant impact on anesthetic efficiency during surgery. STUDY DESIGN: Before and after design. SETTING: General and pediatric operating rooms at Yale-New Haven Hospital. MEASUREMENTS AND MAIN RESULTS: Using Operating Room Information System data (1991 to 1997), we examined whether the anesthesia-controlled time, the time it takes for induction and emergence of anesthesia of a selected surgical procedure (tonsillectomy and adenoidectomy), was affected by the change of practice from general to pediatric ORs. The average length of anesthesia induction decreased by 30% (p = 0.0007). Similarly, the average length of emergence from anesthesia decreased by 42% (p = 0.01) and anesthesia-controlled time decreased by 31% (p = 0.0008). Of particular importance is the decrease by 75% in the anesthesia-controlled time range (maximum-minimum). CONCLUSIONS: The establishment of dedicated pediatric ORs resulted in significantly shorter anesthesia induction and emergence times. Furthermore, the decreased variability of anesthesia-controlled time may allow for better scheduling of surgical cases and for better surgeon and patient satisfaction.

publication date

  • November 1, 1999

Research

keywords

  • Adenoidectomy
  • Anesthesia, General
  • Efficiency, Organizational
  • Operating Rooms
  • Tonsillectomy

Identity

Scopus Document Identifier

  • 0032747965

Digital Object Identifier (DOI)

  • 10.1016/s0952-8180(99)00080-x

PubMed ID

  • 10624636

Additional Document Info

volume

  • 11

issue

  • 7