Competing Interests:
The authors declare no competing interests.
Abstract:
Background: How to shorten the anesthesia time is an important
problem to ERAS. The authors formulated a series of optimization
measures and verified that these measures could shorten the anesthesia
time and improve the operating room utilization efficiency by
multidisciplinary diagnosis and treatment pattern.
Methods: 90 patients were random selected to analyses the time
of every preparing procedure and between 2 adjacent procedures, the
multidisciplinary team established the optimization measures
accordingly. Then 95 patients for gastrointestinal surgery received
collaborative optimization measures that were established after
discussion among anesthesiologists, surgeons and operating room nurses
(optimization group), while 226 cases received the conventional
approaches (control group). The data obtained from operating room
monitoring recording of the two groups of patients were analyzed.
Results: The preparation times from the initial of induction of
anesthesia to start of surgery in optimization group were all
significantly shorter than those in control group (all
P<0.0001). In supine position surgery, the times from initial
of induction of anesthesia to start of urinary catheterization, from
urinary catheterization finish to start of disinfection, and from
completion of draping to start of surgery in patients receiving
optimization measures were all significantly superior to those receiving
conventional approaches (all P<0.0001); in lithotomy position
surgery, the times from the initial of induction of anesthesia to
positioning, from positioning finish to start of disinfection, and from
completion of draping to start of surgery in patients receiving
optimization measures were all significantly superior to those receiving
conventional approaches (all P<0.0001).
Conclusions: The established optimization measures based on
multidisciplinary team collaboration could significantly shorten the
anesthesia time. The optimized measures in this study are feasible and
effective to shorten the anesthesia time.
Key words: Operating room,
Enhanced recovery after surgery, Optimization, Management, Anesthesia
time.