TY - JOUR
T1 - An analysis of surgical and nonsurgical operating room times in high-volume shoulder arthroplasty
AU - Padegimas, Eric M.
AU - Hendy, Benjamin A.
AU - Lawrence, Cassandra
AU - Devasagayaraj, Richard
AU - Zmistowski, Benjamin M.
AU - Abboud, Joseph A.
AU - Lazarus, Mark D.
AU - Williams, Gerald R.
AU - Namdari, Surena
N1 - Publisher Copyright:
© 2016 Journal of Shoulder and Elbow Surgery Board of Trustees
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2017/6
Y1 - 2017/6
N2 - Background A significant portion of operating room time in shoulder arthroplasty is devoted to nonsurgical tasks. To maximize efficiency and to increase access to care, it is important to accurately quantify surgical and nonsurgical time for shoulder arthroplasty. This study aimed to evaluate surgical vs. nonsurgical time and to assess the viability of using a 1-surgeon, 2-operating room model. Methods An institutional database was used to identify all primary and revision shoulder arthroplasty cases from February 2011 through December 2013. Time intervals were analyzed, including anesthesia and positioning time, surgical time, conclusion time, and turnover time. Results We identified 1062 shoulder arthroplasties. The average anesthesia and positioning time was 48.2 ± 11.7 minutes, surgical time was 122.7 ± 36.4 minutes, and conclusion time was 10.5 ± 7.0 minutes. Average turnover time at our institution was 40 minutes. An average of 58.8 ± 13.8 minutes (33.2%) of the patient's time in the operating room was not surgical. A 1-room surgical model, with each case following the next, would allow 3 arthroplasties to be performed in a 10-hour surgical day. A 2-room model would allow 4 cases to be performed in a 9-hour surgical day or 5 in an 11-hour day. In this 2-room model, there would be no time in which the surgeon is absent for any surgical portion of the case. Conclusion For a high-volume shoulder arthroplasty practice, a 2-room model leads to greater efficiency and patient access to care without sacrificing the surgeon's presence during surgical portions of the case.
AB - Background A significant portion of operating room time in shoulder arthroplasty is devoted to nonsurgical tasks. To maximize efficiency and to increase access to care, it is important to accurately quantify surgical and nonsurgical time for shoulder arthroplasty. This study aimed to evaluate surgical vs. nonsurgical time and to assess the viability of using a 1-surgeon, 2-operating room model. Methods An institutional database was used to identify all primary and revision shoulder arthroplasty cases from February 2011 through December 2013. Time intervals were analyzed, including anesthesia and positioning time, surgical time, conclusion time, and turnover time. Results We identified 1062 shoulder arthroplasties. The average anesthesia and positioning time was 48.2 ± 11.7 minutes, surgical time was 122.7 ± 36.4 minutes, and conclusion time was 10.5 ± 7.0 minutes. Average turnover time at our institution was 40 minutes. An average of 58.8 ± 13.8 minutes (33.2%) of the patient's time in the operating room was not surgical. A 1-room surgical model, with each case following the next, would allow 3 arthroplasties to be performed in a 10-hour surgical day. A 2-room model would allow 4 cases to be performed in a 9-hour surgical day or 5 in an 11-hour day. In this 2-room model, there would be no time in which the surgeon is absent for any surgical portion of the case. Conclusion For a high-volume shoulder arthroplasty practice, a 2-room model leads to greater efficiency and patient access to care without sacrificing the surgeon's presence during surgical portions of the case.
KW - Shoulder arthroplasty
KW - operating room efficiency
KW - overlapping surgery
KW - practice management
KW - prolonged operative time
KW - revision shoulder arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=85010282227&partnerID=8YFLogxK
U2 - 10.1016/j.jse.2016.11.040
DO - 10.1016/j.jse.2016.11.040
M3 - Article
C2 - 28131689
AN - SCOPUS:85010282227
SN - 1058-2746
VL - 26
SP - 1058
EP - 1063
JO - Journal of Shoulder and Elbow Surgery
JF - Journal of Shoulder and Elbow Surgery
IS - 6
ER -