scholarly journals Is Main Operating Room Sterility Really Necessary in Carpal Tunnel Surgery? A Multicenter Prospective Study of Minor Procedure Room Field Sterility Surgery

Hand ◽  
2010 ◽  
Vol 6 (1) ◽  
pp. 60-63 ◽  
Author(s):  
Martin R. LeBlanc ◽  
Donald H. Lalonde ◽  
Achilleas Thoma ◽  
Mike Bell ◽  
Neil Wells ◽  
...  
Keyword(s):  
Prospective Study ◽  
Operating Room ◽  
Carpal Tunnel ◽  
Carpal Tunnel Surgery ◽  
Main Operating Room ◽  
Multicenter Prospective Study ◽  
Main Operating ◽  
Minor Procedure ◽  
Procedure Room

scholarly journals Clinical Effectiveness of an Anesthesiologist-Administered Intravenous Sedation Outside of the Main Operating Room for Pediatric Upper Gastrointestinal Endoscopy in Thailand

2010 ◽  
Vol 2010 ◽  
pp. 1-6 ◽  
Author(s):  
Somchai Amornyotin ◽  
Prapun Aanpreung
Keyword(s):  
Operating Room ◽  
Gastrointestinal Endoscopy ◽  
Clinical Effectiveness ◽  
Upper Gastrointestinal Endoscopy ◽  
Intravenous Sedation ◽  
Main Operating Room ◽  
End Tidal ◽  
Sedative Drugs ◽  
Upper Gastrointestinal ◽  
Main Operating

Objectives. To review our sedation practice and to evaluate the clinical effectiveness of an anesthesiologist-administered intravenous sedation outside of the main operating room for pediatric upper gastrointestinal endoscopy (UGIE) in Thailand.Subjects and Methods. We undertook a retrospective review of the sedation service records of pediatric patients who underwent UGIE. All endoscopies were performed by a pediatric gastroenterologist. All sedation was administered by staff anesthesiologist or anesthetic personnel.Results. A total of 168 patients (94 boys and 74 girls), with age from 4 months to 12 years, underwent 176 UGIE procedures. Of these, 142 UGIE procedures were performed with intravenous sedation (IVS). The mean sedation time was minutes. Propofol was the most common sedative drugs used. Mean dose of propofol, midazolam and fentanyl was  mg/kg/hr,  mg/kg/hr, and  mcg/kg/hr, respectively. Complications relatively occurred frequently. All sedations were successful. However, two patients became more deeply than intended and required unplanned endotracheal intubation.Conclusion. The study shows the clinical effectiveness of an anesthesiologist-administered IVS outside of the main operating room for pediatric UGIE in Thailand. All complications are relatively high. We recommend the use of more sensitive equipments such as end tidal and carefully select more appropriate patients.

Management of Staffing and Case Scheduling for Anesthesia Outside of the Operating Room

2018 ◽  
Author(s):  
Alex Macario ◽  
Deepak Sharma
Keyword(s):  
Operating Room ◽  
Block Scheduling ◽  
Physical Distance ◽  
Main Operating Room ◽  
Main Operating

What does a manager need to think about when scheduling cases requiring anesthesia outside the operating room (OOOR)? This chapter aims to answer that question by discussing some key strategic points that can facilitate a more efficient workday. The concepts of block scheduling and utilization apply in the OOOR setting as they do in the operating room, but there are added challenges given the increased physical distance to the main operating room suite. These challenges will be identified and recommendations will be provided on how to evaluate and improve OOOR efficiency. With more procedures being done OOOR, it is important for anesthesia groups to be mindful of these challenges and position themselves appropriately.

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