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Anesthesiology Oct 2019
Topics: Fires; Operating Rooms; Oxygen
PubMed: 31403975
DOI: 10.1097/ALN.0000000000002922 -
Anesthesiology Oct 2019
Topics: Fires; Operating Rooms; Oxygen
PubMed: 31403973
DOI: 10.1097/ALN.0000000000002923 -
Journal of Visceral Surgery Oct 2019The French Society of Gastro-Intestinal Surgery (SociétéFrançaisedeChirurgieDigestive) and the Association of hepato-bilio-pancreatic and transplantation surgery...
INTRODUCTION
The French Society of Gastro-Intestinal Surgery (SociétéFrançaisedeChirurgieDigestive) and the Association of hepato-bilio-pancreatic and transplantation surgery (AssociationdeChirurgieHépato-Bilio-PancréatiqueetTransplantation) requested that clinical practice recommendations be established with regard to operating room hygiene.
METHODS
The literature was analyzed according to the High Authority of Health (HauteAutoritédesanté [HAS]) methodology and after consultation of the Cochrane and Medline databases. Pertinent references were selected, and supplementary references were hand-picked from the reference lists. Only English or French language papers were retained. The recommendations of learned societies and the World Health Organization were also considered.
RESULTS
Recommendations were proposed with regard to pre-operative patient preparation, skin preparation, draping, wound edge protectors, surgeon hygiene, wound closure, and operating room environment.
CONCLUSION
These clinical practice recommendations should guide and improve the daily practice of gastro-intestinal surgeons.
Topics: Humans; Hygiene; Infection Control; Operating Rooms; Perioperative Care
PubMed: 31451412
DOI: 10.1016/j.jviscsurg.2019.07.010 -
Medical & Biological Engineering &... Apr 2022One of the key challenges for automatic assistance is the support of actors in the operating room depending on the status of the procedure. Therefore, context... (Review)
Review
One of the key challenges for automatic assistance is the support of actors in the operating room depending on the status of the procedure. Therefore, context information collected in the operating room is used to gain knowledge about the current situation. In literature, solutions already exist for specific use cases, but it is doubtful to what extent these approaches can be transferred to other conditions. We conducted a comprehensive literature research on existing situation recognition systems for the intraoperative area, covering 274 articles and 95 cross-references published between 2010 and 2019. We contrasted and compared 58 identified approaches based on defined aspects such as used sensor data or application area. In addition, we discussed applicability and transferability. Most of the papers focus on video data for recognizing situations within laparoscopic and cataract surgeries. Not all of the approaches can be used online for real-time recognition. Using different methods, good results with recognition accuracies above 90% could be achieved. Overall, transferability is less addressed. The applicability of approaches to other circumstances seems to be possible to a limited extent. Future research should place a stronger focus on adaptability. The literature review shows differences within existing approaches for situation recognition and outlines research trends. Applicability and transferability to other conditions are less addressed in current work.
Topics: Laparoscopy; Operating Rooms
PubMed: 35178622
DOI: 10.1007/s11517-022-02520-4 -
Health Care Management Science Jun 2023This study seeks to improve the safety of clinical care provided in operating rooms (OR) by examining how characteristics of both the physical environment and the...
This study seeks to improve the safety of clinical care provided in operating rooms (OR) by examining how characteristics of both the physical environment and the procedure affect surgical team movement and contacts. We video recorded staff movements during a set of surgical procedures. Then we divided the OR into multiple zones and analyzed the frequency and duration of movement from origin to destination through zones. This data was abstracted into a generalized, agent-based, discrete event simulation model to study how OR size and OR equipment layout affected surgical staff movement and total number of surgical team contacts during a procedure. A full factorial experiment with seven input factors - OR size, OR shape, operating table orientation, circulating nurse (CN) workstation location, team size, number of doors, and procedure type - was conducted. Results were analyzed using multiple linear regression with surgical team contacts as the dependent variable. The OR size, the CN workstation location, and team size significantly affected surgical team contacts. Also, two- and three-way interactions between staff, procedure type, table orientation, and CN workstation location significantly affected contacts. We discuss implications of these findings for OR managers and for future research about designing future ORs.
Topics: Humans; Operating Rooms; Computer Simulation; Multivariate Analysis; Patient Care Team
PubMed: 36529790
DOI: 10.1007/s10729-022-09622-3 -
The Journal of Thoracic and... Mar 2022
Topics: Humans; Operating Rooms
PubMed: 32586603
DOI: 10.1016/j.jtcvs.2020.05.036 -
BMC Anesthesiology Aug 2023Hypnosis can be a beneficial complementary anesthesia technique for a variety of surgical procedures. Despite favorable scientific evidence, hypnosis is still rarely...
BACKGROUND
Hypnosis can be a beneficial complementary anesthesia technique for a variety of surgical procedures. Despite favorable scientific evidence, hypnosis is still rarely used in the operating room. Obstacles to implementation could be a lack of interest or training, misconceptions, as well as limited knowledge amongst anesthesiology teams. Hence, this study aimed to assess the interest, training, beliefs, and knowledge about hypnosis in the operating room staff.
DESIGN
A questionnaire with 21-items, based on a prior survey, was set up on an online platform. The medical and nursing anesthesiology staff of four Swiss academic and large regional hospitals (N = 754) were invited to participate anonymously through e-mails sent by their hierarchy. Results were analyzed quantitatively.
RESULTS
Between June, 2020 and August, 2021 353 answers were collected (47% response rate). Most (92%) were aware that hypnosis needs specific training, with 14% trained. A large majority of the untrained staff wished to enroll for conversational hypnosis training. There was a strong agreement for hypnosis playing a role in anesthesia. Nevertheless, many of these professionals believed that hypnosis has a limited field of action (53%) or that it would be too time consuming (33%). The reduction of misconceptions was based more on exposure to hypnosis than on training.
CONCLUSION
Overall, anesthesia providers' attitude was in favor of using hypnosis in the operating room. Misconceptions such as a prolongation of the procedure, alteration of consent, lack of acceptability for patients, and limited indications were identified as potential barriers. These deserve to be challenged through proper dissemination of the recent scientific literature and exposure to practice.
Topics: Humans; Operating Rooms; Anesthesiology; Hypnosis; Hospitals; Anesthesia
PubMed: 37620788
DOI: 10.1186/s12871-023-02229-3 -
JAMA Surgery Nov 2022
Topics: Humans; Operating Rooms; Gender Equity; Workforce; Surgical Wound Infection
PubMed: 36069862
DOI: 10.1001/jamasurg.2022.3142 -
Annals of Surgery Jan 2006
Topics: Efficiency, Organizational; Humans; Operating Rooms; Surgical Procedures, Operative; Time Management; Workload
PubMed: 16371731
DOI: 10.1097/01.sla.0000193601.57597.ec -
Journal of Robotic Surgery Aug 2023Operating room nurses, who have an important place in the professional healthcare team, should be able to use technology effectively and adapt to innovations. This study...
Operating room nurses, who have an important place in the professional healthcare team, should be able to use technology effectively and adapt to innovations. This study is expected to shed light on how effective the development of robotic technologies and artificial intelligence and their integration into operating room nursing will be in fulfilling the requirements of contemporary nursing philosophy. This study was designed as a single group pre- and post-test quasi-experimental study. The quasi-experimental (pretest-posttest) research design was utilized to conduct the study in a Training and Research Hospital in Western Turkey. The nurses (n = 35) working in the operating room of the aforementioned hospital were included in the study. In this study, we aimed to determine whether operating room nurses experienced anxiety due to the use of artificial intelligence and robotic nurses, and the effectiveness of the training given to them in order to raise their awareness. The following three tools were used for data collection: The Nurses' Descriptive Characteristics Form, Artificial Intelligence Knowledge Questionnaire, and Artificial Intelligence Anxiety Scale. Data extraction and analysis were performed in a narrative and tabular way. According to this study, the training given to the operating room nurses significantly increased their knowledge levels about artificial intelligence and robotic nurses, and increased their artificial intelligence- and robotic nurse-related anxiety significantly (p < 0.05). The participating operating room nurses experienced limitations regarding current information, training programs and learning opportunities on robotic surgery. We recommend that the operating room nurses should be provided with trainings on artificial intelligence technologies and robotic nurses, and that they should be enabled to use these information technologies regarding future technologies actively.
Topics: Humans; Artificial Intelligence; Robotic Surgical Procedures; Operating Rooms; Nurses
PubMed: 37002463
DOI: 10.1007/s11701-023-01592-0