Application of an infant spinal anesthesia protocol in infants presenting for inguinal herniorrhaphy improves operating room and postanesthesia recovery unit utilization

2019 ◽  
Vol 29 (8) ◽  
pp. 881-882
Author(s):  
Chang Amber Liu ◽  
Nicole Davis ◽  
Cassandra Michelle Kelleher
Keyword(s):  
Spinal Anesthesia ◽  
Operating Room ◽  
Inguinal Herniorrhaphy ◽  
Recovery Unit ◽  
Postanesthesia Recovery

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.

Determining patients' readiness for release from the postanesthesia recovery unit

AORN Journal ◽  
2002 ◽  
Vol 76 (4) ◽  
pp. 664-666 ◽  
Author(s):  
Philip ANG ◽  
Ana Pagan ◽  
Michael Lewis
Keyword(s):  
Recovery Unit ◽  
Postanesthesia Recovery

Preoperative Patient Evaluation for Anesthesia Care Outside of the Operating Room

2011 ◽  
pp. 8-19 ◽  
Author(s):  
Bobbie Jean Sweitzer
Keyword(s):  
Operating Room ◽  
Preoperative Evaluation ◽  
Interventional Cardiology ◽  
Anesthesia Practice ◽  
Portosystemic Shunts ◽  
Time And Energy ◽  
To Receive ◽  
Postanesthesia Recovery ◽  
Preoperative Patient ◽  
Minor Procedure

Preoperative evaluation and optimization of medical status of patients are important components of anesthesia practice. Increasing numbers of patients with serious comorbidities undergo procedures that require anesthesia services outside of the operating room (OOOR). Often the location alters the challenges of caring for these patients. Surgical, anesthesia, or nursing personnel who can assist with airway and resuscitation management may not be available; equipment and medications may be limited. Many OOOR locations will not have the usual support of an intensive care unit (ICU), skilled postanesthesia recovery personnel, respiratory therapy, or ready access to an inpatient bed, blood banking, interventional cardiology, or diagnostic services. Many of the patients are elderly, ill, and even unlikely candidates for conventional surgery (e.g., transmucosal resection of gastric tumors, transjugular intrahepatic portosystemic shunts). Yet patients and/or providers may be reluctant to expend time and energy in extensive preoperative evaluation before a seemingly minor procedure. This chapter will outline the basics of preprocedure preparation of patients scheduled to receive anesthesia in OOOR settings.

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.

Low-dose ropivacaine or levobupivacaine walking spinal anesthesia in ambulatory inguinal herniorrhaphy

2011 ◽  
Vol 25 (2) ◽  
pp. 219-224 ◽  
Author(s):  
Vildan Taspinar ◽  
Altan Sahin ◽  
Nezihe F. Donmez ◽  
Yasar Pala ◽  
Aydin Selcuk ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Low Dose ◽  
Inguinal Herniorrhaphy

scholarly journals Perioperative Management of a Patient Taking Suboxone® at the Time of Ambulatory Surgery

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Shawn H. Malan ◽  
Christopher H. Bailey ◽  
Narjeet Khurmi
Keyword(s):  
Postoperative Pain ◽  
Minimally Invasive ◽  
Pain Control ◽  
Perioperative Management ◽  
Ambulatory Surgery ◽  
Opioid Use Disorder ◽  
Opioid Use ◽  
Postoperative Pain Control ◽  
Recovery Unit ◽  
Postanesthesia Recovery

In 2016, more than 11 million people reported misuse of opioids in the previous year. In an effort to combat opioid use disorder (OUD), the use of agonist/antagonist is becoming increasingly common, with more than 2.2 million patients reporting use of a buprenorphine containing medication such as Suboxone®. Buprenorphine is a unique opioid which acts as a partial μ agonist and ĸ antagonist. These properties make it an effective tool in treating OUD and abuse. However, despite its advantages in treating OUD and abuse, buprenorphine can make it difficult to control acute perioperative pain. We present a case in which the Mayo Clinic Arizona protocol for patients undergoing minimally invasive ambulatory surgery while taking Suboxone® is successfully executed, resulting in adequate postoperative pain control and timely discharge from the postanesthesia recovery unit.

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
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