A piloted ambulatory surgery center in a main operating room

2017 ◽  
Vol 8 ◽  
pp. 42-45
Author(s):  
Andrew Serdiuk
Keyword(s):  
Operating Room ◽  
Ambulatory Surgery ◽  
Ambulatory Surgery Center ◽  
Main Operating Room ◽  
Surgery Center ◽  
Main Operating

Sterility of Miniature C-arm Fluoroscopy in Hand and Upper Extremity Surgery

2020 ◽  
Author(s):  
James P. Hovis ◽  
Stephanie N. Moore-Lotridge ◽  
Ashton Mansour ◽  
Breanne H.Y. Gibson ◽  
Douglas R. Weikert ◽  
...  
Keyword(s):  
Operating Room ◽  
Upper Extremity ◽  
Ambulatory Surgery ◽  
Care Center ◽  
Tertiary Care ◽  
High Rate ◽  
Main Operating Room ◽  
A Prospective Study ◽  
Surgery Center ◽  
Main Operating

AbstractPrevious studies have demonstrated that sterile equipment is frequently contaminated intraoperatively, yet the incidence of miniature c-arm (MCA) contamination in hand and upper extremity surgery is unclear. To examine this incidence, a prospective study of MCA sterility in hand and upper extremity cases was performed in a hospital main operating room (MOR) (n = 13) or an ambulatory surgery center operating room (AOR) (n = 16) at a single tertiary care center. Case length, MCA usage parameters, and sterility of the MCA through the case were examined. We found that MOR surgical times trended toward significance (p = 0.055) and that MOR MCAs had significantly more contamination prior to draping than AOR MCAs (p < 0.001). In MORs and AORs, 46.2 and 37.5% of MCAs respectively were contaminated intraoperatively. In MORs and AORs, 85.7 and 80% of noncontaminated cases, respectively, used the above hand-table technique, while 50 and 83.3% of contaminated MOR and AOR cases, respectively, used a below hand-table technique. Similar CPT codes were noted in both settings. Thus, a high-rate of MCA intraoperative contamination occurs in both settings. MCA placement below the hand-table may impact intraoperative contamination, even to distant MCA areas. Regular sterilization of equipment and awareness of these possible risk factors could lower bacterial burden.

Establishing an Ambulatory Surgery Center for ENT Practice

1995 ◽  
Vol 112 (5) ◽  
pp. P76-P76
Author(s):  
Charles R. Taylor
Keyword(s):  
Ambulatory Surgery ◽  
Educational Objective ◽  
Ambulatory Surgery Center ◽  
Surgery Center

Educational objective: To establish an ambulatory surgery center for an ENT practice.

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