Cargando…

Impact of COVID-19 Pandemic on Trauma Theatre Efficiency

Introduction A large transformation in the management of trauma has ensued following the COVID-19 (coronavirus disease 2019) pandemic. There has been an increase in reliance on guidance for decision-making and alterations in the working of the trauma theatre. This has largely been due to the safety...

Descripción completa

Detalles Bibliográficos
Autores principales: Khadabadi, Nikhil Aravind, Logan, Peter C, Handford, Charles, Parekh, Kishen, Shah, Munawar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7755676/
https://www.ncbi.nlm.nih.gov/pubmed/33376649
http://dx.doi.org/10.7759/cureus.11637
_version_ 1783626397631119360
author Khadabadi, Nikhil Aravind
Logan, Peter C
Handford, Charles
Parekh, Kishen
Shah, Munawar
author_facet Khadabadi, Nikhil Aravind
Logan, Peter C
Handford, Charles
Parekh, Kishen
Shah, Munawar
author_sort Khadabadi, Nikhil Aravind
collection PubMed
description Introduction A large transformation in the management of trauma has ensued following the COVID-19 (coronavirus disease 2019) pandemic. There has been an increase in reliance on guidance for decision-making and alterations in the working of the trauma theatre. This has largely been due to the safety measures implemented. Theatre efficiency has gained increasing importance over the years, and with the added pressure of the pandemic, it is essential that trauma theatres operate efficiently. There has been no data analysing the efficiency of trauma theatre during this pandemic. Methods and Results We retrospectively analyzed the data at our hospital and looked into the parameters to assess trauma theatre efficiency. It was noted that the operative time and anaesthetic time went up significantly in 2020 in comparison to 2019. Also, the change over time and the late start time was significantly high in 2020. A large proportion of cases did not start on time in 2020. This resulted in a decrease in the efficiency of theatre usage. Discussion Reduced productivity of the trauma theatre has been due to several reasons, many of which include implementation of safety measures, such as personal protective equipment (PPE), theatre cleaning, recovery of patients, using designated routes for transfer, and many others. The challenge lies in applying these new measures into our daily practice at the same time while providing efficient care. Conclusion Our study highlights the key areas of concern and improvement which need to be addressed in order to render effective trauma care.
format Online
Article
Text
id pubmed-7755676
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-77556762020-12-28 Impact of COVID-19 Pandemic on Trauma Theatre Efficiency Khadabadi, Nikhil Aravind Logan, Peter C Handford, Charles Parekh, Kishen Shah, Munawar Cureus Orthopedics Introduction A large transformation in the management of trauma has ensued following the COVID-19 (coronavirus disease 2019) pandemic. There has been an increase in reliance on guidance for decision-making and alterations in the working of the trauma theatre. This has largely been due to the safety measures implemented. Theatre efficiency has gained increasing importance over the years, and with the added pressure of the pandemic, it is essential that trauma theatres operate efficiently. There has been no data analysing the efficiency of trauma theatre during this pandemic. Methods and Results We retrospectively analyzed the data at our hospital and looked into the parameters to assess trauma theatre efficiency. It was noted that the operative time and anaesthetic time went up significantly in 2020 in comparison to 2019. Also, the change over time and the late start time was significantly high in 2020. A large proportion of cases did not start on time in 2020. This resulted in a decrease in the efficiency of theatre usage. Discussion Reduced productivity of the trauma theatre has been due to several reasons, many of which include implementation of safety measures, such as personal protective equipment (PPE), theatre cleaning, recovery of patients, using designated routes for transfer, and many others. The challenge lies in applying these new measures into our daily practice at the same time while providing efficient care. Conclusion Our study highlights the key areas of concern and improvement which need to be addressed in order to render effective trauma care. Cureus 2020-11-23 /pmc/articles/PMC7755676/ /pubmed/33376649 http://dx.doi.org/10.7759/cureus.11637 Text en Copyright © 2020, Khadabadi et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Khadabadi, Nikhil Aravind
Logan, Peter C
Handford, Charles
Parekh, Kishen
Shah, Munawar
Impact of COVID-19 Pandemic on Trauma Theatre Efficiency
title Impact of COVID-19 Pandemic on Trauma Theatre Efficiency
title_full Impact of COVID-19 Pandemic on Trauma Theatre Efficiency
title_fullStr Impact of COVID-19 Pandemic on Trauma Theatre Efficiency
title_full_unstemmed Impact of COVID-19 Pandemic on Trauma Theatre Efficiency
title_short Impact of COVID-19 Pandemic on Trauma Theatre Efficiency
title_sort impact of covid-19 pandemic on trauma theatre efficiency
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7755676/
https://www.ncbi.nlm.nih.gov/pubmed/33376649
http://dx.doi.org/10.7759/cureus.11637
work_keys_str_mv AT khadabadinikhilaravind impactofcovid19pandemicontraumatheatreefficiency
AT loganpeterc impactofcovid19pandemicontraumatheatreefficiency
AT handfordcharles impactofcovid19pandemicontraumatheatreefficiency
AT parekhkishen impactofcovid19pandemicontraumatheatreefficiency
AT shahmunawar impactofcovid19pandemicontraumatheatreefficiency