Introduction:
Enhanced recovery after surgery (ERAS), also known as fast track surgery
(FTS), refers to the integration of multidisciplinary perioperative
treatment protocol aimed at acceleration of patient recovery. Various
research about surgery, anesthesia, and nursing have proved that a
series of evidence-based medicine optimization measures could bring
significant benefit to the patients, such as reduce trauma stress,
promote early recovery of body function, reduce the incidence of
postoperative complications and shorten the length of hospital stay
after surgery [1,2]. In recent years, the concept of ERAS has
rapidly expanded to different surgical disciplines, such as orthopedics,
thoracic surgery, general surgery, gynecology, and urology. At present,
ERAS is widely carried out mainly in the areas of preoperative
preparation, anesthesia management, analgesia, and nutrition support.
Among them, anesthesia runs through the entire surgical process and
provides appropriate surgical conditions to ensure the safety of
patients during the operation.
However, there are some serious risks during general anesthesia include
blood pressure change, heart attack or stroke. Therefore, how to shorten
the anesthesia time and then decrease those risk is an important problem
to ERAS [3]. Nevertheless, the current anesthesia management focuses
on the preoperative evaluation, induction models, anesthesia methods and
drugs, depth of anesthesia and intraoperative heat preservation, etc.
[4-9], but often ignored the operating room Multi-disciplinary
collaboration between anesthesiologist, surgeon, and nurses and
optimizing workflows to reduce anesthesia time. At present, how to
reduce the anesthesia time through the management and optimization of
the operating room workflow has rarely been reported. This study
introduced how we formulated the optimization measures, and then
examined that the team of anesthesiologists, surgeons, and nurses in the
operating room collaborate to take a series of optimization measures
could shorten the anesthesia time and improve the operating room
utilization efficiency.