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The most common surgical interventions and profile among patients undergoing direct to operating room (DTOR) cases at Vicente Sotto Memorial Medical Center (VSMMC): A five year retrospective study

Author

Rhea Roma F. Miguel MD,

Related Institution

Department of Anesthesia - Vicente Sotto Memorial Medical Center

Publication Information

Publication Type
Research Report
Date

Abstract

Design:


       Retrospective, and descriptive medical chart review of all patients undergoing direct to operating room cases in Vicente Sotto Memorial Medical Center during a five year period.


Setting:


      Vicente Sotto Memorial Medical Center (VSMMC) is an urban, tertiary-level, government-operated hospital in B. Rodriguez Street, Cebu City Philippines. It has eight fully operational operating room theaters twenty-four daily, seven a week.


Study Population:


     All patients at VSMMC  undergoing direct to operating room cases between June 01, 2001 and June 30,2006


Results & Conclusion: 


    There were a total of 500 study patients, the ,,majority of which are females. These were eight department services that catered to the surgical needs of these patients;each surgical intervention is unique as to its surgical indication.

Objectives

Objectives of the Study:


       To determine, and identify the most common surgical intervention and profile among patients undergoing direct to operating room (DTOR) cases in Vicente Sotto Memorial Medical Center for 2001-2006.


 Specific:


     1. To determine the clinical demography of patients undergoing DTOR cases at VSMMC based on gender, age,group, and department service.


    2. To identify the time interval from time of arrival to the emergency room to the time of referral to the surgical department, the time interval from time of referral to the surgical department to the time he patients arrived to the operating room, and the time interval from the time of patients arrival to the operating room to the time of anesthesia induction among patients undergoing DTOR cases at VSMMC.


   3. To determine the demography of patients undergoing DTOR cases at VSMMC based on anesthesia time.


   4. To know the most commonly used anesthetic techniques, inducting agents, and post-operative analgesics used among undergoing DTOR cases at VSMMC.


   5. To identify the immediate post-operative conditions, and outcome among patients undergoing DTOR cases at VSMMC.


 

References

1. Barash , , Cullen, , Steolting, . Clinical Anesthesiology, Fourth Edition. 530 Walnut Street Philadelphia, PA 19106,USA: Lippincott Williams & Wilkins, 2001.
2. Canales, Miguel MD. . "Can peri-operative quality be maintained in the drive for operating room efficiency? An America Perspective,;Best Practice Anesthesia & Research Clinical Anaestheiology" 15(4): 607-619, 2001
3. Macario, Alex . " Economics and Health System Research: Hospital Profitability per Hour of Operating Room Time Can Vary Among Surgeons; Anesthesia & Analgesia" (93): 669-675, 2001
4. Hanss, Robert MD . "Overlapping Induction of Anesthesia: An Analysis of Benefits and Cost; Anesthesiology," The Journal of the America Society of Anesthesiologist, Inc 2, 103, August 2005
5. Dexter, Franklin, MD . "Economics and Health System Research: Scheduling Surgical Cases into Overflow Block time-Computer Simulation of the effects of Scheduling Strategies on Operating Room Labors Costs." Anesthesia & Analgesia 90, 980-988, 2000
6. St.Jacques, Paul MD. . "Improving anesthesiologist performance through profiling and incentives" Journal of Clinical Anesthesia 16(7): 523-528, November 2004
7. VSMMC Nursing Division Manual of Policies, Procedure & Standards.

Physical Location

LocationLocation CodeAvailable FormatAvailability
Vicente Sotto Memorial Medical Center Fulltext Print Format

 
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