A qualitative study of the operating room experience of patients who underwent surgery under spinal anesthesia: “It was like an adventure”

2020 ◽  
Vol 22 (3) ◽  
pp. 648-657
Author(s):  
Emel Yilmaz ◽  
Hülya K. Toğaç ◽  
Aynur Çetinkaya ◽  
Soner Toğaç
Keyword(s):  
Qualitative Study ◽  
Spinal Anesthesia ◽  
Operating Room

scholarly journals Communication as a non‐technical skill in the operating room: A qualitative study

Nursing Open ◽  
2021 ◽  
Author(s):  
Sisilie Havnås Skråmm ◽  
Inger Lise Smith jacobsen ◽  
Ingrid Hanssen
Keyword(s):  
Qualitative Study ◽  
Operating Room ◽  
Technical Skill

Music and Ambient Operating Room Noise in Patients Undergoing Spinal Anesthesia

2005 ◽  
Vol 100 (5) ◽  
pp. 1316-1319 ◽  
Author(s):  
Chakib M. Ayoub ◽  
Laudi B. Rizk ◽  
Chadi I. Yaacoub ◽  
Dorothy Gaal ◽  
Zeev N. Kain
Keyword(s):  
Spinal Anesthesia ◽  
Operating Room

Open Hemorrhoidectomy With Ligasure™ Under Local or Spinal Anesthesia: A Comparative Study

2021 ◽  
pp. 000313482110385
Author(s):  
Claudio F. Feo ◽  
Chiara Ninniri ◽  
Cinzia Tanda ◽  
Giulia Deiana ◽  
Alberto Porcu
Keyword(s):  
Spinal Anesthesia ◽  
Operating Room ◽  
Local Anesthesia ◽  
Outpatient Clinic ◽  
Perioperative Complications ◽  
Study Groups ◽  
Reoperation Rate ◽  
Hyperbaric Bupivacaine ◽  
Open Hemorrhoidectomy ◽  
American Society

Background There is increasing evidence that many anorectal surgical procedures may be performed under local anesthesia. The aim of the present study was to evaluate the safety and efficacy of local anesthesia in the outpatient clinic vs spinal anesthesia in the operating room for open hemorrhoidectomy. Methods Sixty-two patients with grade III or IV hemorrhoids underwent open hemorrhoidectomy with LigaSure™ between 2018 and 2020. Of them, 32 procedures were performed in the operating room under spinal anesthesia with hyperbaric bupivacaine and other 30 procedures were undertaken in the outpatient clinic under local anesthesia with ropivacaine. Results There were no significant differences regarding age, gender, American Society of Anesthesiologists class, and Goligher’s grade in between groups. No significant differences were observed in postoperative pain score (P = .85), perioperative complications (P = .51), and reoperation rate (P = .96). No recurrences and no differences in patients’ satisfaction degree (P = .76) were documented at long-term follow-up in both study groups. Discussion Our results suggest that open hemorrhoidectomy with LigaSure™ performed in selected patients under local anesthesia in the outpatient clinic is a well-tolerated, safe, and effective procedure.

Being a surgeon or doing surgery? A qualitative study of learning in the operating room

2018 ◽  
Vol 52 (8) ◽  
pp. 861-876 ◽  
Author(s):  
Rune Dall Jensen ◽  
Mikkel Seyer-Hansen ◽  
Sayra M Cristancho ◽  
Mette Krogh Christensen
Keyword(s):  
Qualitative Study ◽  
Operating Room

Spinal anesthesia in a designated block bay for total joint arthroplasty: improving operating room efficiency

2020 ◽  
Vol 45 (12) ◽  
pp. 975-978
Author(s):  
Ryland Kagan ◽  
Stephanie Zhao ◽  
Andrew Stone ◽  
Alicia J Johnson ◽  
Thomas Huff ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Operating Room ◽  
Total Joint Arthroplasty ◽  
Group Versus ◽  
Joint Arthroplasty ◽  
Start Time ◽  
Serious Adverse Events ◽  
Mixed Effect ◽  
Exact Test ◽  
First Case

BackgroundCreating highly efficient operating room (OR) protocols for total joint arthroplasty (TJA) is a challenging and multifactorial process. We evaluated whether spinal anesthesia in a designated block bay (BBSA) would reduce time to incision, improve first case start time and decrease conversion to general anesthesia (GA).MethodsRetrospective cohort study on the first 86 TJA cases with BBSA from April to December 2018, compared with 344 TJA cases with spinal anesthesia performed in the OR (ORSA) during the same period. All TJA cases were included if the anesthetic plan was for spinal anesthesia. Patients were excluded if circumstances delayed start time or time to incision (advanced vascular access, pacemaker interrogation, surgeon availability). Data were extracted and analyzed via a linear mixed effects model to compare time to incision, via a Wilcoxon rank-sum test to compare first case start time, and via a Fisher’s exact test to compare conversion to GA between the groups.ResultsIn the mixed effect model, the BBSA group time to incision was 5.37 min less than the ORSA group (p=0.018). The BBSA group had improved median first case start time (30.0 min) versus the ORSA group (40.5 min, p<0.0001). There was lower conversion to GA 2/86 (2.33%) in the BBSA group versus 36/344 (10.47%) in the ORSA group (p=0.018). No serious adverse events were noted in either group.ConclusionsBBSA had limited impact on time to incision for TJA, with a small decrease for single OR days and no improvement on OR days with two rooms. BBSA was associated with improved first case start time and decreased rate of conversion to GA. Further research is needed to identify how BBSA affects the efficiency of TJA.

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