What Is Happening in the Operating Room?

What Is Happening in the Operating Room?

What Is Happening in the Operating Room?

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So, you have decided to have surgery. You have been to your pre-op appointment and had the whole procedure explained. You explain it to your family by saying “they said it would only take an hour” so the day of surgery your family is freaking out because you’ve been in there two hours.

Let’s talk……

When we, as medical providers, talk to patient’s about surgery, we tend to only explain the time after the patient is asleep and before they wake up; the time the patient is with the surgeon.  What families are not aware of are all the preparations that take place before the surgeon even steps in the room.

The room is prepared by the OR staff.  All instruments are opened and arranged, the surgical table requested is brought into the room, all equipment is checked to be in good working order, and all emergency supplies are verified.

The surgical first assist oversees all of this, representing their surgeon.  He or she makes sure all necessary films, supplies and staff are available for the case that was booked.

The patient is checked and marked by the surgeon and brought into the room. This is where the family is informed the patient is in the room and start noticing the actual time.  Meanwhile in the operating room the patient is being put on a monitor, given oxygen and once stable, sedated and intubated. The patient is then put on a ventilator until the end of the surgery. They are monitored closely by anesthesia throughout the case.

Once the patient is asleep the surgical assistant and OR staff position the patient according to surgical protocol.  This alone can often take up to 30 minutes.  Once the patient is positioned, the OR staff scrubs and dons sterile gowns, gloves, and masks.  The patient is then draped, x-ray is moved in, and the surgeon comes into the room.  The surgeon then double checks the patient, the surgery, the anesthesia (medications), and the positioning of the patient.  Generally, for most spine surgeries, the patient is now in the operating room for almost an hour.

When the case starts, the first thing the surgeon does, is verify the level of the spine that he/she is working on.  This is generally done with a needle and x-ray.  Once the level is verified the surgery begins.

After surgery is over, anesthesia backs off on the medication, makes sure the patient is able to breathe on their own, takes the patient off the ventilator and removes the breathing tube. The patient is put on oxygen and transferred to recovery room. This takes approximately 15-20 minutes after the surgeon leaves the room.

This scenario is for a spine patient under general anesthesia, but relates somehow to most types of surgery. Please ask your surgeon or assistant what the “total time in the OR will be” and plan accordingly. Your safety and peace of mind will always be our priority, but we want a calm, happy family also.

Citations

  • Mitello L, D'Alba F, Milito F, Monaco C, Orazi D, Battilana D, Marucci AR, Longo A, Latina R. [Improving operating room efficiency: an observational and multidimensional approach in the San Camillo-Forlanini Hospital, Rome]. Prof Inferm. 2017 Apr-Jun;70(2):66-75. PubMed PMID: 28763180

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Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

Top Ten Most Liked Spine Surgeons on the Internet – July 2016

2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

One of Ten Leaders of Certified Spine Programs – December 2011

 

The Best Orthopedics in Tampa

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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