Factors impacting on-time transfer to the operating room in patients undergoing peripheral nerve blocks in the preoperative area

Abstract Study Objectives To assess the on-time transfer to the operating room (OR) when peripheral nerve blocks (PNBs) are performed prior to surgery. Design Prospective time motion study. Setting Preoperative area of a university medical center. Patients 650 candidates for PNBs for postoperative a...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2010-03, Vol.22 (2), p.115-121
Main Authors: Chelly, Jacques E., MD, PhD, MBA, Horne, Jennifer L., BA, Hudson, Mark E., MD, Williams, John P., MD
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesia & Perioperative Care
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Appointments and Schedules
Biological and medical sciences
Confidence intervals
Consent
Hospitals
Humans
Medical sciences
Nerve Block - methods
Operating room management
Operating Rooms - utilization
Pain
Pain Medicine
Peripheral nerve block
Peripheral Nerves
Preoperative Care - methods
Prospective Studies
Regional
Statistics as Topic
Supervision
Surgery
Time Factors
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Summary:Abstract Study Objectives To assess the on-time transfer to the operating room (OR) when peripheral nerve blocks (PNBs) are performed prior to surgery. Design Prospective time motion study. Setting Preoperative area of a university medical center. Patients 650 candidates for PNBs for postoperative analgesia. Intervention Patients were allocated to two groups: a control group (no PNB performed) and a PNB group (PNBs performed). Measurement Time The time required to perform each of the steps leading to transfer to the OR was recorded. Main Results On-time transfer was achieved in 40% and 49% in the blocked (n = 549) and control groups (n = 101), respectively ( P = 0.067, one-sided). Surgery-related delays represented the most important causes of delays (51.9% in the control group and 53.8% in the PNB group). The average time required to perform the blocks was 21 minutes (20-22 min). This time varied with the type and number of blocks performed (12-30 min). Performing PNBs accounted for 15.1% of delays. Conclusions Performing PNBs prior to surgery in the preoperative area takes additional time. This time needs to be considered in optimizing on-time transfer to the OR.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2009.04.005