Specialized operating room for cesarean section in the perinatal care unit: a review of the opening process and operating room management

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• 作者：Yoshihiro Kasagi ; Ryu Okutani ; Yutaka Oda
• 关键词：Cesarean section ; Operating room ; Perinatal care unit ; Occupancy rate
• 刊名：Journal of Anesthesia
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：29
• 期：1
• 页码：149-151
• 全文大小：111 KB
• 参考文献：1. Terui K, Ueyama H, Onishi Y, Okutomi T, Ono K, Kawana S, Morisaki H. Survey of anesthesia practice in obstetric facilities in Japan. Report of the Health Labour Sciences Research Grant. 2009; 433-7.
  2. Association of Anaesthetists of Great Britain and Ireland OAA. OAA/AAGBI Guidelines for obstetric Anaesthetic Services 2013.
  3. Marjamaa R, Vakkuri A, Kirvela O. Operating room management: why, how and by whom? Acta Anaesthesiol Scand. 2008;52:596-00. CrossRef
  4. Harders M, Malangoni MA, Weight S, Sidhu T. Improving operating room efficiency through process redesign. Surg. 2006;140:509-4. CrossRef
  5. Cendan JC, Good M. Interdisciplinary work flow assessment and redesign decreases operating room turnover time and allows for additional caseload. Arch Surg. 2006;141:65-. CrossRef
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Anesthesiology
  
• 出版者：Springer Japan
• ISSN：1438-8359

文摘

We have opened an operating room in the perinatal care unit (PNCU), separate from our existing central operating rooms, to be used exclusively for cesarean sections. The purpose is to meet the increasing need for both emergency cesarean sections and non-obstetric surgeries. It is equipped with the same surgical instruments, anesthesia machine, monitoring system, rapid infusion system and airway devices as the central operating rooms. An anesthesiologist and a nurse from the central operating rooms trained the nurses working in the new operating room, and discussed solutions to numerous problems that arose before and after its opening. Currently most of the elective and emergency cesarean sections carried out during the daytime on weekdays are performed in the PNCU operating room. A total of 328 and 347 cesarean sections were performed in our hospital during 2011 and 2012, respectively, of which 192 (55.5?%) and 254 (73.2?%) were performed in the PNCU operating room. The mean occupancy rate of the central operating rooms also increased from 81?% in 2011 to 90?% in 2012. The PNCU operating room was built with the support of motivated personnel and multidisciplinary teamwork, and has been found to be beneficial for both surgeons and anesthesiologists, while it also contributes to hospital revenue.