Non-operating-room-anesthesia efficiency for gastrointestinal endoscopic procedures

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2024年9月4日

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Vanni Agnoletti,
Cecilia Binda,
Monica Sbrancia,
Emanuele Russo,
Fausto Catena,
Giulia Giibino,
Giuseppe Bruschi,
Marta Velia Antonini,
Martina Spiga,
Arianna Cilli,
Paolo Bracci,
Costantino Mastronardi,
Domenico P. Santonastaso,
Rodolfo Catena,
Carlo Fabbri

摘要

Background

The demand for Non-Operating-Room Anesthesia for gastrointestinal procedures is increasing, and the main goal is to achieve an efficient elective non-surgical list use like those who work in operating rooms.

Aims

We decided to adopt and validate the Pandit formula used to measure efficiency and list utilization in the operating room to Non-Operating-Room Anesthesia for gastrointestinal procedures.

Methods

Data requested by Pandit’s formula were prospectively recorded from 1 April 2023 to 30 June 2023 and retrospectively analyzed to calculate the efficiency and list utilization. An isogram plot was used to illustrate the efficiency and list utilization as percentages. The efficiency target was set at 85%, as applied to operating rooms.

Results

The mean value of efficiency and list utilization were: 94.98% and 93.19%. The average duration of gastrointestinal non-operating-room anesthesia was 5 h 35 min. On four occasions it started with a delay of over 20 min. The total amount of scheduled cases was 136, four patients were cancelled (2.9%) and one added.

Conclusion

This formula represents a valuable and easy-to-use tool that provides a reference point for reasoning and analysis, and the goal of achieving 85% efficiency and list utilization was easily accomplished. We believe that the best way to measure efficiency inside or outside the operating rooms could be the adoption of a unique and user-friendly tool or formula like the one presented.