Mean operating room times differ by 50% among hospitals in different countries for laparoscopic cholecystectomy and lung lobectomy.

Abstract:

:We explored whether there were large differences in operating room (OR) times for two common procedures performed by multiple surgeons at each of several hospitals thousands of miles apart. Mean OR time, "wheels in" to "wheels out," for ten consecutive cases of each of laparoscopic cholecystectomy and lung lobectomy were obtained for each of ten hospitals in eight countries from their OR logs. After log transformation, the OR times were analyzed by analysis of variance. Mean OR times differed significantly among hospitals (P = 0.006, laparoscopic cholecystectomy; P < 0.001, lung lobectomy). The second longest average OR time was 50% longer than the second shortest average OR time for both laparoscopic cholecystectomy and lung lobectomy. Differences in OR times among the hospitals we studied were large enough to affect the productivity of OR nurses and anesthesia providers. Thus, international benchmarking studies to understand differences in OR times worldwide may be beneficial.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Dexter F,Davis M,Egger Halbeis CB,Marjamaa R,Marty J,McIntosh C,Nakata Y,Thenuwara KN,Sawa T,Vigoda M

doi

10.1007/s00540-006-0419-4

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

319-22

issue

4

eissn

0913-8668

issn

1438-8359

journal_volume

20

pub_type

杂志文章,多中心研究
  • A high dose of dexmedetomidine using the BIS monitor™ for diagnostic and interventional cardiac catheterization in a toddler with congenital heart disease.

    abstract::Dexmedetomidine (DEX) for sedation in diagnostic and interventional cardiac catheterization (DICC) has been reported to require other drugs or rescue drugs because of its insufficient sedative effect when used alone. We administered DEX and adjusted its dose according to the bispectral index (BIS) monitor™ for DICC in...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1312-3

    authors: Kunisawa T,Kurosawa A,Oikawa M,Mizobuchi M,Hayashi D,Iwasaki H

    更新日期:2012-04-01 00:00:00

  • Atomised intranasal midazolam spray as premedication in pediatric patients: comparison between two doses of 0.2 and 0.3 mg/kg.

    abstract:PURPOSE:Midazolam premedication administered by the intranasal route is noninvasive with good bioavailability. Atomised intranasal midazolam spray ensures accurate drug dosage and better patient acceptability, with rapid onset of action and virtually complete absorption. METHODS:Sixty pediatric patients scheduled for ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-012-1341-6

    authors: Baldwa NM,Padvi AV,Dave NM,Garasia MB

    更新日期:2012-06-01 00:00:00

  • Postischemic infusion of sivelestat sodium hydrate, a selective neutrophil elastase inhibitor, protects against myocardial stunning in swine.

    abstract:PURPOSE:It seems controversial whether or not neutrophil elastase inhibitors are effective in attenuating myocardial ischemia/reperfusion injury. We thus investigated possible protective effects of sivelestat, a neutrophil elastase inhibitor, against myocardial stunning i.e., prolonged myocardial dysfunction following ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-010-0948-8

    authors: Akiyama D,Hara T,Yoshitomi O,Maekawa T,Cho S,Sumikawa K

    更新日期:2010-08-01 00:00:00

  • The anesthesia information management system for electronic documentation: what are we waiting for?

    abstract::The anesthesia information management system (AIMS) will be part of the future of healthcare. An electronic medical records system or AIMS will provide clear and concise information and have the potential to integrate information across the entire hospital system, improve quality of care, reduce errors, decrease risks...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,评审

    doi:10.1007/s00540-008-0643-1

    authors: Bloomfield EL,Feinglass NG

    更新日期:2008-01-01 00:00:00

  • Management of patients with hereditary hemorrhagic telangiectasia undergoing general anesthesia: a cohort from a single academic center's experience.

    abstract:PURPOSE:Hereditary hemorrhagic telangiectasia is a rare autosomal dominant disease characterized by capillary malformation leading to multisite cutaneomucosal telangiectasias and multiorgan arteriovenous malformations, which can present challenges to anesthetic care. The primary aim of this report is to present a large...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-013-1601-0

    authors: Weingarten TN,Hanson JW,Anusionwu KO,Moncrief ML,Opdahl TJ,Schneider DD,Sprung J

    更新日期:2013-10-01 00:00:00

  • Anesthetic management of simultaneous coronary artery bypass grafting and cardiac pheochromocytoma resection under cardiopulmonary bypass.

    abstract::We experienced simultaneous coronary artery bypass grafting and cardiac pheochromocytoma resection under cardiopulmonary bypass in a 79-year-old woman with atherosclerotic angina. During manipulation of the tumor under cardiopulmonary bypass, the serum norepinephrine concentration increased to over seventy times the n...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-007-0549-3

    authors: Kojima Y,Kitahara H,Kimura H,Nakamura T,Ina H,Yokota S

    更新日期:2007-01-01 00:00:00

  • Incidence of hypoxia and related events detected by pulse oximeters provided by the Lifebox Foundation in the maternity unit at Sylvanus Olympio University Teaching Hospital, Togo.

    abstract::In recent decades anesthesia safety has not been improved in low-income countries. This prospective audit describes the incidence of hypoxia and related events detected among a cohort of patients undergoing surgery in the maternity unit at Sylvanus Olympio University Teaching Hospital, Togo, West Africa, by using puls...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-015-2048-2

    authors: Sama HD,Maman AF,Walker IA

    更新日期:2015-12-01 00:00:00

  • Non-lactate strong ion difference: a clearer picture.

    abstract:PURPOSE:The recommended method for elucidating the effects of strong ions other than lactate on acid-base balance is to calculate the non-lactate strong ion difference (SIDnl). A relationship between HCO3 (-) and SIDnl in hyperchloremic patients has already been demonstrated; in the present study, the relationships bet...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00540-016-2158-5

    authors: Gucyetmez B,Atalan HK

    更新日期:2016-06-01 00:00:00

  • Severe stridor and marked respiratory difficulty after right-sided supraclavicular brachial plexus block.

    abstract::Brachial plexus block is commonly used for upper limb surgery. Although the procedure is safe, it may be associated with some life-threatening complications. We performed right-sided supraclavicular brachial plexus block for below-elbow amputation in a 45-year-old female. At completion of the block the patient develop...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-010-1076-1

    authors: Solanki SL,Jain A,Makkar JK,Nikhar SA

    更新日期:2011-04-01 00:00:00

  • Inhibition of neutrophil elastase contributes to attenuation of lipopolysaccharide-induced acute lung injury during neutropenia recovery in mice.

    abstract:PURPOSE:Patients in whom neutropenia recovery is complicated by pneumonia have an increased risk of acute lung injury (ALI) and detrimental outcomes. The aim of the present study was to investigate whether inhibition of neutrophil elastase (NE) is effective in lipopolysaccharide (LPS)-induced ALI during neutropenia rec...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-017-2311-9

    authors: Lee JM,Yeo CD,Lee HY,Rhee CK,Kim IK,Lee DG,Lee SH,Kim JW

    更新日期:2017-06-01 00:00:00

  • The use of the laryngeal mask airway in pediatric anesthesia.

    abstract::Laryngeal mask airway (LMA) insertion was tried in 120 pediatric cases, from 2 months to 12 years of age. Initial indications for LMA were the same as for a face mask, except for two additional conditions; anticipation of difficulty with intubation and difficulty in management by a face mask. Size 2 LMA was used in th...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054010050160

    authors: Miyasaka K,Suzuki Y,Kondo Y,Sakai H,Nakagawa S,Asahara S

    更新日期:1991-04-01 00:00:00

  • Propofol inhibits the local activity and connectivity of nuclei in the cortico-reticulo-thalamic loop in rats.

    abstract:PURPOSE:The present study aimed to investigate the effects of different dosages of propofol, that induced different depths of anesthesia, on the local activity and connectivity of nuclei within the cortico-reticulo-thalamic loops, as well as the release of amino acids in those nuclei. METHODS:The nonlinear dynamics an...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-019-02667-9

    authors: Yang J,Wang W,Yong Z,Yuan W,Zhang H,Mi W

    更新日期:2019-10-01 00:00:00

  • Effects of propofol and pentobarbital on calcium concentration in presynaptic boutons on a rat hippocampal neuron.

    abstract:PURPOSE:Numerous reports suggest that intravenously administered (IV) anesthetics affect postsynaptic events in the central nervous system. However, there is little evidence about how general anesthetics influence the presynaptic processes. The level of presynaptic calcium (Ca(2+)) concentration ([Ca(2+)](pre)) regulat...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1186-4

    authors: Ito S,Sugiyama H,Kitahara S,Ikemoto Y,Yokoyama T

    更新日期:2011-10-01 00:00:00

  • Correction to: Awake fiberoptic intubation with an epidural catheter in a morbidly obese patient.

    abstract::In the original publication of the article, the acknowledgment section was not included and provided in this correction. ...

    journal_title:Journal of anesthesia

    pub_type: 已发布勘误

    doi:10.1007/s00540-020-02774-y

    authors: Suzuki Y,Takenami T,Fujino S,Nakazawa A,Okamoto H

    更新日期:2020-08-01 00:00:00

  • Evaluation of dilators for central venous catheterization using an experimental model.

    abstract:PURPOSE:Skin incision before percutaneous central venous catheterization may cause serious hemorrhage and/or skin cicatrization. To minimize these adverse effects, we improved the shape of a dilator and coated it with lubricant to reduce insertion load. METHODS:We selected three types of dilators from different manufa...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-004-0292-y

    authors: Takahashi T,Morita M,Shimada Y

    更新日期:2005-01-01 00:00:00

  • Acute postoperative pain exacerbates neuroinflammation and related delirium-like cognitive dysfunction in rats.

    abstract::The acute neuroinflammatory response to surgery may play a key pathogenic role in postoperative delirium (POD). Here, we investigated the contribution of acute postoperative pain to neuroinflammation and related delirium-like behaviors after surgery in adult and aged rats. Animals were assigned into four groups: contr...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-019-02635-3

    authors: Koyama T,Kawano T,Iwata H,Aoyama B,Eguchi S,Nishigaki A,Yamanaka D,Tateiwa H,Shigematsu-Locatelli M,Locatelli FM,Yokoyama M

    更新日期:2019-06-01 00:00:00

  • Gastric emptying time after breakfast in healthy adult volunteers using ultrasonography.

    abstract::There is little evidence of gastric excretion after ingestion of solids. We examined gastric emptying times after ingesting normal breakfast in healthy adult volunteer using ultrasonography. Eight adult volunteers fasted for 8 h, and we examined the gastric antral area in the right lateral decubitus position using ult...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-019-02694-6

    authors: Sugita M,Matsumoto M,Tsukano Y,Fukunaga C,Yamamoto T

    更新日期:2019-12-01 00:00:00

  • The antiarrhythmic effect of flecainide on halothane-epinephrine induced arrhythmias in dogs.

    abstract::The antiarrhythmic effect of flecainide acetate (FCN), a newly developed class I antiarrhythmic drug, was evaluated on epinephrine (E)-halothane induced arrhythmias in dogs. The arrhythmogenic dose of E (ADE) under 1% of halothane was significantly increased from 0.71 +/- 0.08 to 1.08 +/- 0.11 and 1.84 +/- 0.23 micro ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054000040303

    authors: Iwatsuki N,Takahashi M,Satoh S,Tajima T

    更新日期:1990-10-01 00:00:00

  • Comparative cardiovascular effects of SNP, ATP and phentolamine during norepinephrine-induced hypertension in dogs.

    abstract::There has been no study comparing the advantage and disadvantage of various antihypertensive agents during surgery for pheochromocytomas because the study is difficult in clinical setting. In the present experiments using dogs, after increasing the arterial blood pressure with norepinephrine, we decreased it to the ba...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054010050396

    authors: Murata K,Takahashi H,Ikeda K

    更新日期:1991-10-01 00:00:00

  • Comparison of tracheal intubation by the Macintosh laryngoscope and Pentax-AWS (Airway Scope) during chest compression: a manikin study.

    abstract::To compare tracheal intubation with the Pentax Airway Scope (AWS) and the Macintosh laryngoscope (McL) during chest compression, 25 anesthesiologists (including 12 specialists having >5 years of experience and 13 trainees having <2 years of experience) performed tracheal intubation using either the McL or the AWS, wit...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-010-0874-9

    authors: Komasawa N,Ueki R,Nomura H,Itani M,Kaminoh Y

    更新日期:2010-04-01 00:00:00

  • Recovery of postural stability following conscious sedation with midazolam in the elderly.

    abstract:PURPOSE:To investigate the differences in recovery of postural stability, after obtaining similar intravenous sedation levels with midazolam, in elderly and younger patients undergoing dental surgery. METHODS:We studied 15 elderly patients (>65 years) and 15 younger patients (<55 years) after intravenous sedation. Mid...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s005400200024

    authors: Fujisawa T,Suzuki S,Tanaka K,Kamekura N,Fukushima K,Kemmotsu O

    更新日期:2002-01-01 00:00:00

  • Effect of remifentanil on postoperative nausea and vomiting: a randomized pilot study.

    abstract::Opioid-related postoperative nausea and vomiting should not occur following remifentanil administration because of its relatively short time to elimination. However, studies have indicated that the incidence of postoperative nausea and vomiting associated with remifentanil is similar to that with other opioids. Hence,...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-018-2550-4

    authors: Watanabe T,Moriya K,Tsubokawa N,Baba H

    更新日期:2018-10-01 00:00:00

  • A modified algorithm for choosing the most appropriate intraoperative pacemaker mode for patients with permanent pacemaker in non-cardiac surgery.

    abstract::To avoid the risk of R-on-T incident and the unnecessary decrease of cardiac output, we devised an algorithm consisting of six steps for choosing the most appropriate intraoperative pacemaker (PM) mode, which is modified from Heart Rhythm Society and the American Society of Anesthesiologists expert consensus statement...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-020-02878-5

    authors: Terada Y,Miyashita T,Nagamine Y,Goto T

    更新日期:2021-02-01 00:00:00

  • Perioperative visual loss after nonocular surgery.

    abstract::Although rare, a change in visual acuity after surgery for nonocular procedures has devastating consequences. Increased recognition and discussion of this complication is reported in recent literature, most notably following spinal and cardiac surgery. Various pathologies may be responsible for perioperative visual lo...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,评审

    doi:10.1007/s00540-013-1648-y

    authors: Kitaba A,Martin DP,Gopalakrishnan S,Tobias JD

    更新日期:2013-12-01 00:00:00

  • Comparison of cognitive, ambulatory, and psychomotor recovery profiles after day care anesthesia with propofol and sevoflurane.

    abstract:PURPOSE:We compared the recovery profile of propofol and sevoflurane when used for maintenance of anesthesia in elective day care operative procedures. METHODS:One hundred ASA physical status I and II patients, aged between 18 and 50 years, were randomly assigned to receive either propofol-nitrous oxide or sevoflurane...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-014-1827-5

    authors: Parida S,Badhe AS

    更新日期:2014-12-01 00:00:00

  • Comparative inotropic effects of local anesthetics in isolated cat papillary muscles.

    abstract::The direct inotropic action of seven local anesthetics: procaine, mapivacaine, lidocaine, tetracaine, chloroprocaine, bupivacaine and etidocaine were compared in isolated cat papillary muscles. All of the local anesthetics produced a dose-related depression of maximal velocity of shortening (Vmax), maximal developed f...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054000040001

    authors: Kemmotsu O,Nakata F,Ueda M,Mizushima M,Ishikawa T,Yamamura T

    更新日期:1990-01-01 00:00:00

  • Tracheomalacia after reoperation for an adenomatous goiter located in a unique position.

    abstract::Tracheomalacia after thyroidectomy is a life-threatening situation. However, it is difficult to predict postoperative tracheal obstruction with certainty. A case of a 74-year-old woman with a long-standing adenomatous goiter (98 g) is reported. She had undergone partial right lobe thyroidectomy 54 years earlier. After...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1181-9

    authors: Nakadate Y,Fukuda T,Hara H,Tanaka M

    更新日期:2011-10-01 00:00:00

  • Oral gastric tube-guided insertion of the ProSeal™ laryngeal mask is an easy and noninvasive method for less experienced users.

    abstract:PURPOSE:The ProSeal™ laryngeal mask airway (PLMA) can be more difficult to insert than the classic laryngeal mask, especially in patients who have a thin palate with a steep oropharyngeal curve. Here, an oral gastric (OG) tube-guided technique is considered as a method that makes it easier to successfully insert a PLMA...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-012-1361-2

    authors: Nagata T,Kishi Y,Tanigami H,Hiuge Y,Sonoda S,Ohashi Y,Kagawa K,Ushioda A

    更新日期:2012-08-01 00:00:00

  • Same day admission for elective cardiac surgery: how to improve outcome with satisfaction and decrease expenses.

    abstract::Admission on the day of surgery for elective cardiac and non-cardiac surgery has been established as a prevalent, critical practice. This approach realizes medical, logistical, psychological and fiscal benefits, and its success is predicated on an effective outpatient pre-operative evaluation. The establishment of a h...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-016-2139-8

    authors: Silvay G,Goldberg A,Gutsche JT,T Augoustides JG

    更新日期:2016-06-01 00:00:00

  • Combined effects of succinylcholine and calcium on membrane-bound acetylcholinesterase activity.

    abstract::The effects of succinylcholine and calcium (Ca2+), alone and together, on membrane-bound acetylcholinesterase ("true-type" cholinesterase) were examined using human erythrocyte ghosts to elucidate the combined pharmacological activity of succinylcholine and calcium in in vivo system. Succinylcholine inhibited the acet...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054070010015

    authors: Wakamatsu M,Shimonaka H,Yamamoto M,Kawai K,Nozawa Y

    更新日期:1987-03-01 00:00:00