2012
DOI: 10.1007/s12630-012-9765-x
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A regional anesthesia-based “swing” operating room model reduces non-operative time in a mixed orthopedic inpatient/outpatient population

Abstract: A regional anesthesia-based ''swing'' operating room model reduces non-operative time in a mixed orthopedic inpatient/ outpatient population Un modèle de salle « en rotation » basée sur l'anesthésie régionale en orthopédie réduit le temps non-opératoire dans une population mixte de patients ambulatoires et hospitalisés Abstract Purpose We recently reported on the efficacy of a new ''swing'' room model involving two alternating ORs and regional anesthesia in increasing operating room (OR) throughput in a dedica… Show more

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Cited by 13 publications
(10 citation statements)
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“…One patient in the infraclavicular group was inadvertently enrolled and randomized at an age of 61 years on the day of surgery; the patient's data were analyzed as allocated. Both groups were similar in terms of patient demographic data, location of surgery (our center's regional anesthesia-based outpatient department surgical procedure rooms 21 vs main operating room suite 22 ), and types of surgery ( Table 1). As well, both groups were comparable in terms of basic block data, including sedation received, scan times, and needle times ( Table 2).…”
Section: Resultsmentioning
confidence: 98%
“…One patient in the infraclavicular group was inadvertently enrolled and randomized at an age of 61 years on the day of surgery; the patient's data were analyzed as allocated. Both groups were similar in terms of patient demographic data, location of surgery (our center's regional anesthesia-based outpatient department surgical procedure rooms 21 vs main operating room suite 22 ), and types of surgery ( Table 1). As well, both groups were comparable in terms of basic block data, including sedation received, scan times, and needle times ( Table 2).…”
Section: Resultsmentioning
confidence: 98%
“…Upper extremity surgical procedures are commonly performed under regional anesthesia, which has advantages over general anesthesia including superior postoperative analgesia, reduced side-effects associated with general anesthesia and reduced post anesthesia care unit admission rates (Head et al, 2011;Mercereau et al, 2012). However, regional anesthesia administered in the OR is associated with longer non-operative anesthesia preparatory time when compared to general anesthesia (Armstrong and Cherry, 2004).…”
Section: Introductionmentioning
confidence: 99%
“…The drivers for these performance improvements with parallel processing are the improved time distribution between OR entry and incision and room turnover times associated with parallel processing. Regional anesthesia advantages include avoiding general anesthesia and its associated side-effects such as nausea and vomiting, reduced need for admission to post anesthesia care and improved short-term postoperative analgesia (Head et al, 2011;Mercereau et al, 2012). Importantly, however, regional anesthesia can be associated with increased resource utilization, personnel and set up time when compared to general anesthesia (Armstrong and Cherry, 2004).…”
mentioning
confidence: 99%
“…For surgery on the upper extremity performed under brachial plexus blockade, for example, these include improved immediate/in-hospital postoperative pain management, a marked reduction in postoperative nausea and vomiting, shorter/eliminated postanesthesia care unit stay requirements, and a decrease in nonoperative times. [2][3][4][5][6][7][8][9] Our institution, a tertiary/quaternary care academic health sciences center in Vancouver, British Columbia, Canada (St. Paul's Hospital), established and implemented a dedicated ultrasoundguided regional anesthesia service in 2008-2009. In part because of the documented outcome benefits over the historical GA-based care, 8,9 this has resulted in a marked increase in PNBs for orthopedic extremity surgery, including single-shot brachial plexus blocks (sBPBs) for ambulatory wrist fracture surgery, a common and painful procedure.…”
mentioning
confidence: 99%
“…[2][3][4][5][6][7][8][9] Our institution, a tertiary/quaternary care academic health sciences center in Vancouver, British Columbia, Canada (St. Paul's Hospital), established and implemented a dedicated ultrasoundguided regional anesthesia service in 2008-2009. In part because of the documented outcome benefits over the historical GA-based care, 8,9 this has resulted in a marked increase in PNBs for orthopedic extremity surgery, including single-shot brachial plexus blocks (sBPBs) for ambulatory wrist fracture surgery, a common and painful procedure. 10,11 As sBPBs rapidly became the preferred anesthetic technique for these procedures, we received anecdotal reports from our orthopedic surgeons about a perceived increase in unplanned postoperative emergency department (ED) or physician office visits for pain after block resolution among ambulatory patients who underwent sBPB.…”
mentioning
confidence: 99%