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[Which elements are part of preoperative logistics in operating room preparation?]
Franziska Eckert1, Jürgen Weitz1,2, Marius Distler3,4
1Klinik und Poliklinik für Viszeral‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
None:
The preoperative logistics for operating room preparation require interdisciplinary cooperation between surgery, anesthesia, nursing and administration as well as a clear standardization of procedures to ensure safety and efficiency. The starting point is the patient presentation with diagnostics and interpretation of the indications, followed by surgical and anesthesiological preparation, which focuses on the clinical examination, information, additional diagnostics and, if necessary, nutritional measures. This is supplemented by nursing assessments and the clarification of organizational issues, such as insurance status and optional services. Patient blood management for the early diagnosis and treatment of preoperative anemia and enhanced recovery after surgery (ERAS) concepts, which reduce postoperative complications and promote faster recovery through multimodal management, are of particular importance. In order to bundle these diverse processes, a centralized patient management provides an efficient interface that coordinates scheduling, diagnostics and resource allocation. As a result the preoperative preparation can increasingly be carried out on an outpatient basis, while inpatient admission is often only necessary on the day of surgery. This leads to shorter hospital stays, better use of resources and higher patient satisfaction.
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