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QUALITY IMPROVEMENT PROJECT ON THE USE OF IN-THEATRE INDUCTION OF ANAESTHESIA IN SURGICAL DAY CARE
ESRA Academy. Huda A. Sep 8, 2016; 138305
Topic: Preoperative Considerations/ Safety /Complications
Dr. Anwar ul Huda
Dr. Anwar ul Huda

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Abstract
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Background and Aims:

There has been considerable debate regarding the anaesthesia induction in theatre vs anaesthetic room. We did the study at Royal Bournemouth hospital to evaluate whether the use of in-theatre induction impact on the turn over time of patients.

Methods:

We collected data for average turn over time and average number of cases per theatre list. We also requested all the stake holders to fill the questionnares to know their perceptions about two practices.

Results:

Average turn over time in phase 1 was 30 minutes vs 31.4 minutes in phase 2. Average number of cases in phase 1 was 3.92 vs 3.69 in phase 2. The majority of theatres staff in our project preferred the use of anaesthetic room as a site of induction and most think it is associated with lesser patient anxiety and better theatre efficiency. On the other hand, the majority of anaesthetists preferred the theatre as a site of induction. Also, all the patients in both phases were satisfied with their experience of anaesthetics.

Conclusions:

We think that increasing financial constraints in the NHS and also the requirement for improving quality and efficiency will make it a case to abandon the continued use of anaesthetic rooms especially in areas where it could possibly be done like day case surgery.

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