Abstract：
OBJECTIVE: To report the efficiency of OT utilisation and perioperative outcomes with a dedicated spine team approach in AIS patients who underwent posterior spinal fusion (PSF) surgeries in a consecutive case operation list.
METHODS: Three AIS patients operated in a day (8:00 AM-8:00 PM) by a dedicated spine team were recruited between 2021 and 2022. The dedicated team comprised of three senior spine consultants who operated using a dual attending surgeon strategy, an anaesthetic consultant, dedicated surgical scrub nurses, anaesthesiology nurses, radiographers, and neuromonitoring technicians. Patients were categorised according to the sequence of operation list of the day (Case 1, Case 2, and Case 3). OT efficiency was represented by OT time in five stages (preoperative time, operative time, postoperative time, total OT time, and turnover time). OT time and perioperative outcomes were compared.
RESULTS: 102 cases were analysed. On average, Case 1 began at 8:38 AM whereas Case 3 ended by 5:54 PM. OT efficiency was consistent throughout the day of operation with comparable OT time in all five stages between groups (p > 0.05). The mean turnover time was 15.1 ± 13.5 min and the mean operative time was 123.0 ± 28.1 min. Intraoperative arterial blood gas (ABG) parameters were maintained in an optimal range. The complication rate was 2.0% (N = 2/102).
CONCLUSIONS: Consistent OT efficiency was demonstrated with a dedicated spine team approach. Despite performing three AIS cases in a consecutive case operation list, patients\' safety was not compromised as perioperative outcomes between groups were comparable.
METHODS: Three AIS patients operated in a day (8:00 AM-8:00 PM) by a dedicated spine team were recruited between 2021 and 2022. The dedicated team comprised of three senior spine consultants who operated using a dual attending surgeon strategy, an anaesthetic consultant, dedicated surgical scrub nurses, anaesthesiology nurses, radiographers, and neuromonitoring technicians. Patients were categorised according to the sequence of operation list of the day (Case 1, Case 2, and Case 3). OT efficiency was represented by OT time in five stages (preoperative time, operative time, postoperative time, total OT time, and turnover time). OT time and perioperative outcomes were compared.
RESULTS: 102 cases were analysed. On average, Case 1 began at 8:38 AM whereas Case 3 ended by 5:54 PM. OT efficiency was consistent throughout the day of operation with comparable OT time in all five stages between groups (p > 0.05). The mean turnover time was 15.1 ± 13.5 min and the mean operative time was 123.0 ± 28.1 min. Intraoperative arterial blood gas (ABG) parameters were maintained in an optimal range. The complication rate was 2.0% (N = 2/102).
CONCLUSIONS: Consistent OT efficiency was demonstrated with a dedicated spine team approach. Despite performing three AIS cases in a consecutive case operation list, patients\' safety was not compromised as perioperative outcomes between groups were comparable.
摘要：
目的：报告在连续病例列表中接受后路脊柱融合术（PSF）手术的AIS患者中，采用专门的脊柱团队入路的OT利用效率和围手术期结果。
方法：在2021年至2022年之间招募了三名由专门的脊柱团队在一天（上午8:00-下午8:00）进行手术的AIS患者。专门的团队由三名高级脊柱顾问组成，他们使用双重主治医生策略进行手术，麻醉顾问,专门的外科磨砂护士，麻醉科护士,放射技师,和神经监控技师.根据当天的手术顺序（病例1，病例2和病例3）对患者进行分类。OT效率用五个阶段的OT时间(术前时间，手术时间,术后时间,总OT时间,和周转时间)。比较两组的OT时间和围手术期结局。
结果：102例分析。平均而言,案例1在上午8:38开始,而案例3在下午5:54结束。两组间所有5个阶段的OT效率在手术当天一致，OT时间相当（p>0.05）。平均周转时间为15.1±13.5分钟，平均手术时间为123.0±28.1分钟。术中动脉血气（ABG）参数保持在最佳范围内。并发症发生率为2.0％（N=2/102）。
结论：使用专门的脊柱团队方法证明了一致的OT效率。尽管在连续的案例操作列表中执行了三个AIS案例，患者安全性未受损,因为两组间的围手术期结局具有可比性.
方法：在2021年至2022年之间招募了三名由专门的脊柱团队在一天（上午8:00-下午8:00）进行手术的AIS患者。专门的团队由三名高级脊柱顾问组成，他们使用双重主治医生策略进行手术，麻醉顾问,专门的外科磨砂护士，麻醉科护士,放射技师,和神经监控技师.根据当天的手术顺序（病例1，病例2和病例3）对患者进行分类。OT效率用五个阶段的OT时间(术前时间，手术时间,术后时间,总OT时间,和周转时间)。比较两组的OT时间和围手术期结局。
结果：102例分析。平均而言,案例1在上午8:38开始,而案例3在下午5:54结束。两组间所有5个阶段的OT效率在手术当天一致，OT时间相当（p>0.05）。平均周转时间为15.1±13.5分钟，平均手术时间为123.0±28.1分钟。术中动脉血气（ABG）参数保持在最佳范围内。并发症发生率为2.0％（N=2/102）。
结论：使用专门的脊柱团队方法证明了一致的OT效率。尽管在连续的案例操作列表中执行了三个AIS案例，患者安全性未受损,因为两组间的围手术期结局具有可比性.
