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.