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[PMID]:28470640
[Au] Autor:Gehring H; Rackebrandt K
[Ti] Título:Vermeidung von Feuer/Brand/Explosion im OP..
[So] Source:Anasthesiol Intensivmed Notfallmed Schmerzther;52(4):303-309, 2017 Apr.
[Is] ISSN:1439-1074
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:The combination of an oxidant source, ignition energy and flammable material is the reason for fire, burning and explosion (FBE) in the OR. Attending anaesthesiologists face these risks in their daily routine. Mostly, a situation with FBE arises in an unexpected situation. It is essential to have at hand a catalogue of measures to prevent severe injuries to patients and avoid material damages. There is a systematic way to decrease the risk: awareness and definition of high-risk situations; team work; building up a strategy to avoid the occurrence of fire, burning and explosion in high-risk situations. The risk profile should be part of security checklists. If there is physical injury caused by fire in the OR, the extent of trauma must be assessed and documented. Finally, an interdisciplinary review may be indicated. Institutional standards regarding risk- and quality management, e. g. working place orders and measures of fire prevention, increase patient security. Systematic implementation of measures and annual training sessions are indispensable.
[Mh] Termos MeSH primário: Serviços Médicos de Emergência/organização & administração
Explosões/prevenção & controle
Fogo/prevenção & controle
Traumatismos Ocupacionais/diagnóstico
Traumatismos Ocupacionais/terapia
Salas Cirúrgicas/organização & administração
Gestão da Segurança/organização & administração
[Mh] Termos MeSH secundário: Serviços Médicos de Emergência/métodos
Alemanha
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-116688


  2 / 11508 MEDLINE  
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Texto completo SciELO Saúde Pública
[PMID]:28453107
[Au] Autor:Cacia de Melo Machado E; Cezar Limberger V; de Cassia de Souza Schneider R; Corbellini VA
[Ad] Endereço:Departamento de Biologia e Farmácia, Universidade de Santa Cruz do Sul, Santa Cruz do Sul, RS, Brasil, elianamelo@unisc.br.
[Ti] Título:[Evaluation of the quality of air in a surgical center of a hospital in the south of Brazil].
[Ti] Título:Avaliação da qualidade do ar de um centro cirúrgico de um hospital do sul do Brazil..
[So] Source:Rev Salud Publica (Bogota);18(3):447-458, 2016 Jun.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:por
[Ab] Resumo:Objective The aim of this study was to evaluate the quality of air in surgical centre rooms of a hospital in the South of Brazil. Methods An evaluation of the parameters of comfortability (temperature, luminosity, concentration of carbon dioxide and relative humidity), microbiological analysis and chromatographic of the particulate material present in the filters of air conditioners was carried out. Results Regarding the aspects of comfortability, three surgical rooms did not present temperature in accordance to the current legislation, but were found within the ideal patterns in other environmental factors. In the analysis of particulate material, a larger number of fungal bio-aerosols of viscous colonies was obtained than filamentous. Conclusion It was found that the main aspects related to the quality of air in the hospital being studied are being accomplished; however there is a need of modifying building aspects in the surgical rooms in order to reduce the possibility of contamination by air and decrease the concentration of carbon dioxide in the environment.
[Mh] Termos MeSH primário: Poluição do Ar em Ambientes Fechados/análise
Salas Cirúrgicas
[Mh] Termos MeSH secundário: Microbiologia do Ar
Brasil
Dióxido de Carbono/análise
Monitoramento Ambiental
Fungos/isolamento & purificação
Hospitais
Umidade
Iluminação
Temperatura Ambiente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
142M471B3J (Carbon Dioxide)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29369877
[Au] Autor:Krimminger D; Sona C; Thomas-Horton E; Schallom M
[Ad] Endereço:Dawn Krimminger is a staff nurse in the cardiothoracic ICU at Barnes-Jewish Hospital in St. Louis, where Carrie Sona is a clinical nurse specialist in surgical intensive care, Elaine Thomas-Horton is a clinical nurse manager in the cardiothoracic ICU, and Marilyn Schallom is a research scientist. Contact author: Dawn Krimminger, dawn.krimminger@bjc.org. The authors have disclosed no potential conflicts of interest, financial or otherwise. This article was the winner of the 2017 Nurse Faculty Scholars / AJN Mentored Writing Award (for more information, go to http://journals.lww.com/ajnonline/Pages/nursefacultyscholars.aspx).
[Ti] Título:A Multidisciplinary QI Initiative to Improve OR-ICU Handovers.
[So] Source:Am J Nurs;118(2):48-59, 2018 Feb.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:: Background: Handover from the operating room (OR) staff to the ICU staff is a critical transition time for patients, in which the potential for error and miscommunication is high. Therefore, minimization of extraneous interruptions during the exchange of crucial information between the anesthesia and surgical teams and the nursing, respiratory therapy, and medical teams is imperative. OBJECTIVES: The aim of this quality improvement (QI) initiative was, first, to examine the impact of a standardized handover process between the OR and the ICU on process and information-sharing errors, and second, to examine provider satisfaction with the handover process. METHODS: We conducted prospective observations of the handover process before and after implementation of the QI initiative. In the pre-process improvement period, 38 cardiothoracic patients were observed during handover. In the post-process improvement period, 38 patients were observed after implementation of the newly developed, standardized handover process and communication template. Provider satisfaction surveys were distributed at each observation during the pre- and post-process improvement periods. RESULTS: Compared with the pre-process improvement period, there was a significant decrease in interruptions during report in the post-process improvement period (1.7 ± 1.1 to 0.13 ± 0.34). There were also significantly fewer handover process errors (6.1 ± 2.8 to 1.7 ± 1.5), and fewer information-sharing errors (5.2 ± 2.7 to 2.3 ± 1.5). Average report time increased slightly, from 13.2 ± 6.8 minutes to 14.6 ± 3.8 minutes, but the increase was not significant. A total of 211 provider satisfaction surveys were completed in the pre-process improvement period and 95 in the post-process improvement period. Providers in all disciplines completed surveys in both time periods, and there was no significant difference in the percentage of respondents from any discipline. Responses to the following survey items showed significant improvement in the post-process improvement period: surgery report was satisfactory, anesthesia report was satisfactory, could hear all the report, pre-op anesthesia information was helpful, and start and end of handover were clear. Post-process improvement as well, more respondents disagreed that the person handing off the patient was under time pressure and that the person taking on responsibility for the patient was under time pressure. CONCLUSION: A standardized OR-ICU handover process developed by a multidisciplinary team decreased handover process and information-sharing errors and increased provider satisfaction, with no significant increase in handover time.
[Mh] Termos MeSH primário: Unidades de Terapia Intensiva
Salas Cirúrgicas
Equipe de Assistência ao Paciente
Transferência da Responsabilidade pelo Paciente/normas
Melhoria de Qualidade/organização & administração
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Comunicação
Seres Humanos
Erros Médicos/prevenção & controle
Estudos Prospectivos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000530248.45711.60


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[PMID]:29332913
[Au] Autor:Fukunishi T; Oka N; Yoshii T; Kobayashi K; Inoue N; Horai T; Kitamura T; Okamoto H; Miyaji K
[Ad] Endereço:Department of Cardiovascular Surgery, Kitasato University School of Medicine.
[Ti] Título:Early Extubation in the Operating Room after Congenital Open-Heart Surgery.
[So] Source:Int Heart J;59(1):94-98, 2018 Jan 27.
[Is] ISSN:1349-3299
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Early extubation in the operating room after congenital open-heart surgery is feasible, but extubation in the intensive care unit after the operation remains common practice at many institutions. The purpose of this study was to evaluate retrospectively the adequacy of our early-extubation strategy and exclusion criteria through analysis based on the Risk Adjustment in Congenital Heart Surgery method (RACHS-1).This retrospective analysis included 359 cases requiring cardiopulmonary bypass (male, 195; female, 164; weight > 3.0 kg; aged 1 month to 18 years). Neonates and preoperatively intubated patients were excluded. Other exclusion criteria included severe preoperative pulmonary hypertension, high-dose catecholamine requirement after cardiopulmonary bypass, delayed sternal closure, laryngomalacia, serious bleeding, and delayed awakening. The early-extubation rates were compared between age groups and RACHS-1 classes.Overall, 83% of cases (298/359) were extubated in the operating room, classified by RACHS-1 categories as follows: 1, 59/59 (100%); 2, 164/200 (84%); 3, 61/78 (78%); and 4-6, 10/22 (45%). The early extubation rate in categories 1-3 (86%, 288/337) was significantly higher than for categories 4-6 (45.5%, 10/22) (P < 0.001). Because they met one of the exclusion criteria, 61 patients (17%) were not extubated in the operating room. Eight patients (2.7%) required re-intubation after early extubation in the operating room, and longer operation time was significantly associated with re-intubation (P < 0.001).Extubation in the operating room after congenital open-heart surgery was feasible based on our criteria, especially for patients in the low RACHS-1 categories, and involves a very low rate of re-intubation.
[Mh] Termos MeSH primário: Extubação/métodos
Procedimentos Cirúrgicos Cardíacos
Cardiopatias Congênitas/cirurgia
Salas Cirúrgicas
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Estudos de Viabilidade
Feminino
Seguimentos
Seres Humanos
Lactente
Recém-Nascido
Masculino
Duração da Cirurgia
Período Pós-Operatório
Estudos Retrospectivos
Fatores de Risco
Fatores de Tempo
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180206
[Lr] Data última revisão:
180206
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180116
[St] Status:MEDLINE
[do] DOI:10.1536/ihj.16-630


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[PMID]:27778059
[Au] Autor:Kenngott HG; Wagner M; Preukschas AA; Müller-Stich BP
[Ad] Endereço:Abteilung für Allgemein-, Viszeral- und Transplantationschirurgie, Klinikum der Universität Heidelberg, Chirurgische Universitätsklinik, Universität Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.
[Ti] Título:[Intelligent operating room suite : From passive medical devices to the self-thinking cognitive surgical assistant].
[Ti] Título:Der intelligente Operationssaal : Vom passiven Gerätepark zum mitdenkenden, kognitiven Assistenten..
[So] Source:Chirurg;87(12):1033-1038, 2016 Dec.
[Is] ISSN:1433-0385
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Modern operating room (OR) suites are mostly digitally connected but until now the primary focus was on the presentation, transfer and distribution of images. Device information and processes within the operating theaters are barely considered. Cognitive assistance systems have triggered a fundamental rethinking in the automotive industry as well as in logistics. In principle, tasks in the OR, some of which are highly repetitive, also have great potential to be supported by automated cognitive assistance via a self-thinking system. This includes the coordination of the entire workflow in the perioperative process in both the operating theater and the whole hospital. With corresponding data from hospital information systems, medical devices and appropriate models of the surgical process, intelligent systems could optimize the workflow in the operating theater in the near future and support the surgeon. Preliminary results on the use of device information and automatically controlled OR suites are already available. Such systems include, for example the guidance of laparoscopic camera systems. Nevertheless, cognitive assistance systems that make use of knowledge about patients, processes and other pieces of information to improve surgical treatment are not yet available in the clinical routine but are urgently needed in order to automatically assist the surgeon in situation-related activities and thus substantially improve patient care.
[Mh] Termos MeSH primário: Salas Cirúrgicas/métodos
Salas Cirúrgicas/organização & administração
[Mh] Termos MeSH secundário: Processamento Automatizado de Dados/métodos
Processamento Automatizado de Dados/organização & administração
Seres Humanos
Laparoscopia/instrumentação
Laparoscopia/métodos
Monitorização Intraoperatória/instrumentação
Monitorização Intraoperatória/métodos
Sistemas de Informação em Salas Cirúrgicas/organização & administração
Software
Cirurgia Assistida por Computador/instrumentação
Cirurgia Assistida por Computador/métodos
Equipamentos Cirúrgicos/normas
Fluxo de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180201
[Lr] Data última revisão:
180201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:29280598
[Au] Autor:Murray M
[Ti] Título:SITUATION AWARENESS AND PATIENT SAFETY IN THE PERIOPERATIVE ENVIRONMENT.
[So] Source:Aust Nurs Midwifery J;24(10):38, 2017 05.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:In 2014-15 there were 10.2 million hospitalisations in Australia, and approximately 2.5 million of those admissions required surgery. As such, perioperative safety is crucial to patient outcomes (AIHW 2016).
[Mh] Termos MeSH primário: Erros Médicos/prevenção & controle
Salas Cirúrgicas
Segurança do Paciente
[Mh] Termos MeSH secundário: Conscientização
Comunicação
Seres Humanos
Treinamento por Simulação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE


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[PMID]:28748429
[Au] Autor:Luo L; Luo Y; Qin C
[Ad] Endereço:Business School, Sichuan University, Chengdu, Sichuan, China.
[Ti] Título:Admission Control Policies for Surgery Patients.
[So] Source:J Med Syst;41(8):131, 2017 Aug.
[Is] ISSN:1573-689X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In China, day surgery has been promoted because its operation time and post-operative hospital stay are shorter than those of elective surgery. Day surgery can speed up the turnover of beds and operation rooms. Usually, the conditions of elective surgery patients are more complicated than those of day surgery patients. The development of the discipline, which means that the hospital has improved the skills of the doctors and the ability of doctors to cope with serious diseases and has increased the overall medical level of the hospital, requires surgeons to operate in some complicated elective surgeries. In the case of operating rooms and beds in short supply, there is a trade-off between the promotion of day surgery and the development of the discipline. Day surgery is relatively uncomplicated, but it requires more highly qualified surgeons. However, the development of the discipline requires surgeons to take on some complicated elective surgeris. Moreover, according to the notion of grading treatment, class-A tertiary hospitals are more suitable for patients with relatively complicated and serious conditions. In the emerging context of day surgery, highly qualified surgeons need to perform both day surgeries and elective surgeries. This paper studied how to control the admission of surgery patients. We take into account both day surgery promotion and discipline development in decision-making. A dynamic programming model was built for admission control, and a γ-adjust-threshold heuristic policy was proposed. We then compared the heuristic policy to three other policies through simulation. The results show that our heuristic policy outperforms the hospital's target policy.
[Mh] Termos MeSH primário: Hospitalização
[Mh] Termos MeSH secundário: China
Procedimentos Cirúrgicos Eletivos
Seres Humanos
Salas Cirúrgicas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE
[do] DOI:10.1007/s10916-017-0764-x


  8 / 11508 MEDLINE  
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[PMID]:29287876
[Au] Autor:Zhong Q; Qu X; Xu C
[Ad] Endereço:Department of Anesthesiology, Xiamen Changgung Hospital, Xiamen, Fujian 361028, PR China.
[Ti] Título:Effect of preoperative visiting operation room on emergence agitation in preschool children under sevoflurane anesthesia.
[So] Source:Int J Pediatr Otorhinolaryngol;104:32-35, 2018 Jan.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Emergence agitation (EA) is a common complication in children during recovery from sevoflurane anesthesia with an high incidence. The main objective of this study was to compare the effects of preoperative visiting operation room (PVOR) to administration of propofol at the end of anesthesia on EA in preschool children under sevoflurane anesthesia. METHODS: Sixty-nine preschool children aged from 3 to 6 years scheduled for tonsillectomy under sevoflurane anesthesia were randomly allocated to one of the three groups to receive either PVOR (Group PV), routine preoperative visit (Group RV) or routine preoperative visit plus propofol (Group RP), 23 patients were included in each group. General anesthesia was induced and maintained with sevoflurane. Parental separation status score, mask acceptance score, Aono's four point score and pediatric anesthesia emergence delirium (PAED) score and incidence of EA were recorded. PAED score >10 were regarded as EA. Recovery profile and adverse events were also recorded. RESULT: Parental separation status score and mask acceptance score in group PV was significantly lower than that in group RV and group RP (P < 0.05); Aono's four point score, PAED score and incidence of EA in group PV and group RP was significantly lower than that in group RV (P < 0.05); Time to extubation and time to interaction in group PV and group RV was significantly shorter than that in group RP (P < 0.05); POV and rescue by fentanyl in group PV and group RP was significantly lower than that in group RV(P < 0.05). CONCLUSION: PVOR can effectively reduce the incidence of EA as well as administration of propofol without additional medical expenses and other adverse effects.
[Mh] Termos MeSH primário: Anestésicos Inalatórios/efeitos adversos
Éteres Metílicos/efeitos adversos
Salas Cirúrgicas/estatística & dados numéricos
Cuidados Pré-Operatórios/métodos
Propofol/efeitos adversos
Agitação Psicomotora/etiologia
[Mh] Termos MeSH secundário: Período de Recuperação da Anestesia
Anestesia Geral/efeitos adversos
Anestésicos Inalatórios/uso terapêutico
Criança
Pré-Escolar
Delírio do Despertar
Feminino
Fentanila/uso terapêutico
Seres Humanos
Masculino
Éteres Metílicos/uso terapêutico
Propofol/uso terapêutico
Tonsilectomia/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Anesthetics, Inhalation); 0 (Methyl Ethers); 38LVP0K73A (sevoflurane); UF599785JZ (Fentanyl); YI7VU623SF (Propofol)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171231
[St] Status:MEDLINE


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[PMID]:28742783
[Au] Autor:Biais M; Larghi M; Henriot J; de Courson H; Sesay M; Nouette-Gaulain K
[Ti] Título:End-Expiratory Occlusion Test Predicts Fluid Responsiveness in Patients With Protective Ventilation in the Operating Room.
[So] Source:Anesth Analg;125(6):1889-1895, 2017 12.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: End-expiratory occlusion test (EEOT) has been proposed to predict fluid responsiveness in mechanically ventilated intensive care unit patients. The utility of this test during low-tidal-volume ventilation remains uncertain. This study aimed to determine whether hemodynamic variations induced by EEOT could predict the effect of volume expansion in patients with protective ventilation in the operating room. METHODS: Forty-one patients undergoing neurosurgery were included. Stroke volume and pulse pressure variations were continuously recorded using pulse contour analysis before and immediately after a 30-second EEOT and after volume expansion (250 mL saline 0.9% given over 10 minutes). Patients with an increase in stroke volume ≥ 10% after volume expansion were defined as responders. RESULTS: Twenty patients were responders to fluid administration. EEOT induced a significant increase in stroke volume, which was correlated with the stroke volume changes induced by volume expansion (r = 0.55, P < .0001). A 5% increase in stroke volume during EEOT discriminated responders to volume expansion with a sensitivity of 100% (95% confidence interval [CI], 83%-100%), a specificity of 81% (95% CI, 58%-95%), a positive predictive value of 84% (95% CI, 64%-96%), and a negative predictive value of 100% (95% CI, 80%-100%). The gray zone ranged from 4% to 8%, including 17% of patients. The best pulse pressure variation threshold was 9%, with a sensitivity of 60% (95% CI, 36%-81%) and specificity of 86% (95% CI, 64%-97%). The area under the receiver operating characteristics curve generated for changes in stroke volume induced by EEOT (0.91, 95% CI, 0.81-1.00) was significantly higher than the one obtained for pulse pressure variations (0.75, 95% CI, 0.60-0.90); P < .05. CONCLUSIONS: Changes in stroke volume index induced by EEOT can predict fluid responsiveness in patients with protective ventilation in the operating room. This test may have potential applications.
[Mh] Termos MeSH primário: Expiração/fisiologia
Hidratação/métodos
Salas Cirúrgicas/métodos
Respiração Artificial/métodos
Volume Sistólico/fisiologia
Volume de Ventilação Pulmonar/fisiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Respiração com Pressão Positiva/métodos
Valor Preditivo dos Testes
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000002322


  10 / 11508 MEDLINE  
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[PMID]:28452819
[Au] Autor:Hubbard RM; Hayanga JA; Quinlan JJ; Soltez AK; Hayanga HK
[Ad] Endereço:From the Departments of *Anesthesiology, †Cardiothoracic Surgery, and ‡Presbyterian University Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
[Ti] Título:Optimizing Anesthesia-Related Waste Disposal in the Operating Room: A Brief Report.
[So] Source:Anesth Analg;125(4):1289-1291, 2017 10.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Misappropriation of noncontaminated waste into regulated medical waste (RMW) containers is a source of added expense to health care facilities. The operating room is a significant contributor to RMW waste production. This study sought to determine whether disposing of anesthesia-related waste in standard waste receptacles before patient entry into the operating room would produce a reduction in RMW. A median of 0.35 kg of waste was collected from 51 cases sampled, with a potential annual reduction of 13,800 kg of RMW to the host institution, and a cost savings of $2200.
[Mh] Termos MeSH primário: Anestesia/normas
Eliminação de Resíduos de Serviços de Saúde/métodos
Eliminação de Resíduos de Serviços de Saúde/normas
Resíduos de Serviços de Saúde
Salas Cirúrgicas/normas
Relatório de Pesquisa
[Mh] Termos MeSH secundário: Anestesia/economia
Análise Custo-Benefício/métodos
Hospitais Universitários/economia
Hospitais Universitários/normas
Seres Humanos
Resíduos de Serviços de Saúde/economia
Eliminação de Resíduos de Serviços de Saúde/economia
Salas Cirúrgicas/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Medical Waste); 0 (Medical Waste Disposal)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000001932



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde