Staff View: Optimising operating theatre (OT) efficiency while maintaining the standardised patient care in adolescent idiopathic scoliosis (AIS) surgery with the dedicated spine team approach: a specialised spine unit experience

Optimising operating theatre (OT) efficiency while maintaining the standardised patient care in adolescent idiopathic scoliosis (AIS) surgery with the dedicated spine team approach: a specialised spine unit experience

Purpose To report the efficiency of OT utilisation and perioperative outcomes with a dedicated spine team approach in AIS patients who underwent posterior spinal fusion (PSF) surgeries in a consecutive case operation list. Methods Three AIS patients operated in a day (8:00 AM-8:00 PM) by a dedicated...

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Main Authors:	Lee, Sin Ying, Chan, Chris Yin Wei, Chiu, Chee Kidd, Chung, Weng Hong, Hasan, Mohd Shahnaz, Kwan, Mun Keong
Format:	Article
Published:	Springer 2024
Subjects:	R Medicine (General)
Online Access:	http://eprints.um.edu.my/46893/ https://doi.org/10.1007/s00586-024-08352-0
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spelling	my.um.eprints.468932025-01-15T08:47:36Z http://eprints.um.edu.my/46893/ Optimising operating theatre (OT) efficiency while maintaining the standardised patient care in adolescent idiopathic scoliosis (AIS) surgery with the dedicated spine team approach: a specialised spine unit experience Lee, Sin Ying Chan, Chris Yin Wei Chiu, Chee Kidd Chung, Weng Hong Hasan, Mohd Shahnaz Kwan, Mun Keong R Medicine (General) Purpose To report the efficiency of OT utilisation and perioperative outcomes with a dedicated spine team approach in AIS patients who underwent posterior spinal fusion (PSF) surgeries in a consecutive case operation list. Methods Three AIS patients operated in a day (8:00 AM-8:00 PM) by a dedicated spine team were recruited between 2021 and 2022. The dedicated team comprised of three senior spine consultants who operated using a dual attending surgeon strategy, an anaesthetic consultant, dedicated surgical scrub nurses, anaesthesiology nurses, radiographers, and neuromonitoring technicians. Patients were categorised according to the sequence of operation list of the day (Case 1, Case 2, and Case 3). OT efficiency was represented by OT time in five stages (preoperative time, operative time, postoperative time, total OT time, and turnover time). OT time and perioperative outcomes were compared. Results 102 cases were analysed. On average, Case 1 began at 8:38 AM whereas Case 3 ended by 5:54 PM. OT efficiency was consistent throughout the day of operation with comparable OT time in all five stages between groups (p > 0.05). The mean turnover time was 15.1 +/- 13.5 min and the mean operative time was 123.0 +/- 28.1 min. Intraoperative arterial blood gas (ABG) parameters were maintained in an optimal range. The complication rate was 2.0% (N = 2/102). Conclusion Consistent OT efficiency was demonstrated with a dedicated spine team approach. Despite performing three AIS cases in a consecutive case operation list, patients' safety was not compromised as perioperative outcomes between groups were comparable. Springer 2024-10 Article PeerReviewed Lee, Sin Ying and Chan, Chris Yin Wei and Chiu, Chee Kidd and Chung, Weng Hong and Hasan, Mohd Shahnaz and Kwan, Mun Keong (2024) Optimising operating theatre (OT) efficiency while maintaining the standardised patient care in adolescent idiopathic scoliosis (AIS) surgery with the dedicated spine team approach: a specialised spine unit experience. European Spine Journal, 33 (10). pp. 3806-3813. ISSN 0940-6719, DOI https://doi.org/10.1007/s00586-024-08352-0 <https://doi.org/10.1007/s00586-024-08352-0>. https://doi.org/10.1007/s00586-024-08352-0 10.1007/s00586-024-08352-0
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	R Medicine (General)
spellingShingle	R Medicine (General) Lee, Sin Ying Chan, Chris Yin Wei Chiu, Chee Kidd Chung, Weng Hong Hasan, Mohd Shahnaz Kwan, Mun Keong Optimising operating theatre (OT) efficiency while maintaining the standardised patient care in adolescent idiopathic scoliosis (AIS) surgery with the dedicated spine team approach: a specialised spine unit experience
description	Purpose To report the efficiency of OT utilisation and perioperative outcomes with a dedicated spine team approach in AIS patients who underwent posterior spinal fusion (PSF) surgeries in a consecutive case operation list. Methods Three AIS patients operated in a day (8:00 AM-8:00 PM) by a dedicated spine team were recruited between 2021 and 2022. The dedicated team comprised of three senior spine consultants who operated using a dual attending surgeon strategy, an anaesthetic consultant, dedicated surgical scrub nurses, anaesthesiology nurses, radiographers, and neuromonitoring technicians. Patients were categorised according to the sequence of operation list of the day (Case 1, Case 2, and Case 3). OT efficiency was represented by OT time in five stages (preoperative time, operative time, postoperative time, total OT time, and turnover time). OT time and perioperative outcomes were compared. Results 102 cases were analysed. On average, Case 1 began at 8:38 AM whereas Case 3 ended by 5:54 PM. OT efficiency was consistent throughout the day of operation with comparable OT time in all five stages between groups (p > 0.05). The mean turnover time was 15.1 +/- 13.5 min and the mean operative time was 123.0 +/- 28.1 min. Intraoperative arterial blood gas (ABG) parameters were maintained in an optimal range. The complication rate was 2.0% (N = 2/102). Conclusion Consistent OT efficiency was demonstrated with a dedicated spine team approach. Despite performing three AIS cases in a consecutive case operation list, patients' safety was not compromised as perioperative outcomes between groups were comparable.
format	Article
author	Lee, Sin Ying Chan, Chris Yin Wei Chiu, Chee Kidd Chung, Weng Hong Hasan, Mohd Shahnaz Kwan, Mun Keong
author_facet	Lee, Sin Ying Chan, Chris Yin Wei Chiu, Chee Kidd Chung, Weng Hong Hasan, Mohd Shahnaz Kwan, Mun Keong
author_sort	Lee, Sin Ying
title	Optimising operating theatre (OT) efficiency while maintaining the standardised patient care in adolescent idiopathic scoliosis (AIS) surgery with the dedicated spine team approach: a specialised spine unit experience
title_short	Optimising operating theatre (OT) efficiency while maintaining the standardised patient care in adolescent idiopathic scoliosis (AIS) surgery with the dedicated spine team approach: a specialised spine unit experience
title_full	Optimising operating theatre (OT) efficiency while maintaining the standardised patient care in adolescent idiopathic scoliosis (AIS) surgery with the dedicated spine team approach: a specialised spine unit experience
title_fullStr	Optimising operating theatre (OT) efficiency while maintaining the standardised patient care in adolescent idiopathic scoliosis (AIS) surgery with the dedicated spine team approach: a specialised spine unit experience
title_full_unstemmed	Optimising operating theatre (OT) efficiency while maintaining the standardised patient care in adolescent idiopathic scoliosis (AIS) surgery with the dedicated spine team approach: a specialised spine unit experience
title_sort	optimising operating theatre (ot) efficiency while maintaining the standardised patient care in adolescent idiopathic scoliosis (ais) surgery with the dedicated spine team approach: a specialised spine unit experience
publisher	Springer
publishDate	2024
url	http://eprints.um.edu.my/46893/ https://doi.org/10.1007/s00586-024-08352-0
_version_	1825160605317726208
score	13.239859

Optimising operating theatre (OT) efficiency while maintaining the standardised patient care in adolescent idiopathic scoliosis (AIS) surgery with the dedicated spine team approach: a specialised spine unit experience

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