Reasons of cancellation of elective cases on the day of surgery - A retrospective study
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 10, Issue 1
Abstract
Background and Aim: Hospitals invest major resources in maintaining and arranging Operation rooms, appointing anaesthetists, Operating surgeons, and OT staff to run an institute. But unindicted cancellation or postponement of operation is a major concern for an institute. On the day cancellation of proposed surgery is a major concern for inefficient use of Operation Theatre and waste of resources. Material and Method: This was a retrospective study of OT bookings (OT list) and IPD case papers of patients, posted for surgical cause; for consecutive five calendar years in various hospitals of PCMC area, Pune with notification of reasons for postponement. Cancellation of surgery is defined as any operation which is scheduled in OT list on Prior day by 3.00pm and is not performed on next intended day. Results: Out of 4500 patients, 85 (1.88%) patients were postponed on that day of surgery. The most common category was miscellaneous related 39 (45.88%), followed by medical 26 (30.59%), administrative 19 (22.35%) and patient related 1(1.176%). Conclusion: Elective cases postponement can be reduced by correct planning, Optimizing patients with pre anaesthesia OPD, Physician’s opinion and review, Discussing with nursing staff in advance and Communication with concerned anaesthesiologist. By appreciation of causes of case postponement on the day of surgery; can improve proper utilization of operation floor and OT suits by clinicians and administrators. While anticipating those patients in which problem may arise, essential attention can be paid in advance.
Authors and Affiliations
Shobha Vatkar
Keywords
Related Articles
- EP ID EP589645
- DOI 10.26611/101510112
- Views 157
- Downloads 0
Comparison of laryngeal mask airway Proseal and I-gel in patients posted for elective surgeries under general anaesthesia
Background: In spite of tremendous advances in contemporary anesthesia practice, airway management continues to be of paramount importance to the anesthesiologist. Hemodynamic changes are the major undesirable consequenc...
Comparative study of supraglottic airway device proseal versus I-gel in mechanically ventilated patients
Background: Laryngeal mask airways (LMA) represent a good alternative to endotracheal intubation in suitable cases. I-gel is more frequently used in patients under general anesthesia and receiving positive pressure venti...
A comparative study between ondansetron, metoclopramide and placebo as a prophylactic medication to reduce postoperative nausea and vomiting
Background: Nausea and Vomiting are commonly faced post operative health illnesses among the patients undergoing surgery under general anesthesia. This study was planned to compare the effect of ondansetron, metocloprami...
Comparative study of the analgesic efficacy of rectal tramadol versus intravenous tramadol for inguinal hernia repair surgery
Background: Pain in the perioperative setting plays a significant role in delaying an otherwise successful recovery. Tramadol is an atypical opioid having central as well as peripheral analgesic action. We compare the ef...
Study of various technical difficulties encountered during the administration of quicke's needle 22 and 26 for spinal anesthesia
Background: Neuraxial blocks, such as spinal and epidural block, are common practice in anesthesia and are widely used for a number of surgical and endoscopic procedures. Aims and Objectives: To Study various technical d...