BACKGROUND: The authors studied the causes of the cancellation of elective surgeries and identified higher and lower cancellation rate groups. The most common cause of cancellation was excessive scheduling. Till now many studies were focused on anesthesia-controlled time (ACT) in operating room utilization. Therefore, we thought that there must be differences in the surgery-controlled time (SCT) of the high cancellation rate group and the low cancellation rate group. METHODS: We examined elective operations of the high and low cancellation rate groups which do not require arterial and central venous lines in an University Hospital for 15 days. The examined SCT variables were total case time (TCT), the time when the operator started the surgical procedure, operator procedure time (OPT), closing time, and OPT/TCT. ACT and between case time (BCT) were also examined. RESULTS: We found that ACT, TCT, the time when the operator started the surgical procedure and operator procedure time showed statistically significant differences in the two groups. Other variables showed no significant differences. CONCLUSIONS: These findings show that higher cancellation rate group of surgeries have longer SCT. The most meaningful difference between two groups is total case time.
Operating Rooms

PURPOSE: To measure the annual radiation exposure of staff in the orthopaedic surgical room. MATERIALS AND METHODS: From January 2010 to December 2010, we measured the radiation exposure of a tumor surgeon, spine surgeon, trauma surgeon, six residents, and six scrub nurses. Radiation was monitored with the use of thermoluminescent dosimeters placed on the chest under the lead apron. The annual dose of radiation exposure was compared to the maximum yearly permissible dose (20 mSv). During the study period, the trauma surgeon made a deliberate effort to minimize the radiation time and maintain a distance of 1 m from the image intensifier. RESULTS: The annual exposure levels were 0.04 mSv (radiation time, 34 min 50 s), 0.08 mSv (151 min 46 s), and 0.12 mSv (135 min 27 s) for the tumor surgeon, trauma surgeon, and spine surgeon, respectively. The mean exposure was 0.0146 mSv (range, 0.4~0.39 mSv) for the residents and 0.06 mSv (range, 0.04~0.13 mSv) for the scrub nurses. Overall, the annual radiation exposure was 0.2~1.95% of the maximal yearly permissible dose. Despite the longer period of radiation exposure, the trauma surgeon was exposed to a lower dose of radiation than the spine surgeon. CONCLUSION: The annual radiation exposure of a trauma surgeon can be reduced by a deliberate effort to decrease exposure time and maintain a distance of at least 1 m from the image intensifier.
Operating Rooms ; Spine ; Thorax

PURPOSE: This study was an analysis of the relationship between perception for appraisal of staff nurses in operating rooms and performance and organizational commitment. METHOD: The survey was conducted with 176 staff nurses in operating rooms in 2 hospitals in Seoul. Data were analyzed using frequency, one-way ANOVA, Pearson correlation analysis, and stepwise multiple regression. RESULT: 1. Perception for appraisal including accuracy and justice was significantly related to organizational commitment (r=.496, P=.000). Perception for appraisal including accuracy and justice was slightly related to performance (r=.220, P=.003). 2. In order to determine the percentage of the variance of performance and organizational commitment that could be predicted by perception for appraisal, perception for appraisal was entered in the regression equation. Accuracy accounted for 25% of the variance in the organizational commitment. To determine the percentage of the variance of performance that could be predicted by perception for appraisal and organizational commitment, the perception for appraisal and organizational commitment were entered in the regression equation. Organizational commitment accounted for 21% of the variance in the performance. Consequently accuracy predicted organizational commitment. Organizational commitment predicted performance. CONCLUSIONS: Findings indicate the need to increase accuracy of performance appraisal to promote organizational commitment and performance in perioperative nurses.
Operating Rooms ; Social Justice

No Abstract Available.
Latex Hypersensitivity* ; Latex* ; Operating Rooms*

PURPOSE: To identify the effects of the aromatherapy on stress of nurses working in operating room. METHODS: The study design was nonequivalent control-group pretest-posttest design. The subjects were 45 nurses working in the operating room. Experimental group were 24 nurses in G Hospital and control group were 21 nurses in U Hospital. All of the subjects were measured of the subjective stress, stress responses and the job stress. For aromatherapy, lavender, bergamot, and ylang were mixed in the ratio of 2:2:1. RESULTS: 1) "The subjective stress of experimental group is lower than that of the control group" was supported(t=-2.70, p=.01). 2) "The stress responses of experimental group is lower than that of the control group" was supported(t=-2.49, p=.01). 3) "The job stress of experimental group is lower than that of the control group" was supported(t=-7.97, p=.00). CONCLUSION: This study suggested that such aroma inhalation method could be effective on stress of nurses working in operating room.
Aromatherapy* ; Inhalation ; Lavandula ; Operating Rooms*

This article introduces a novel scavenger for waste anesthetic gas which makes use of negative pressure in operating room. This setting can scavenge the exhaust gas absolutely without affection the normal work of anaesthesia.
Anesthetics ; Gas Scavengers ; Operating Rooms

PURPOSE: The purpose of this study was to identify the factors influencing on burnout in operating room nurses.METHODS: Using a cross-sectional design, a total of 109 operating room nurses working at 7 general hospitals with 300 beds or more in B city were analyzed. The instruments used for this study assessed job stress, resilience, professional identity, and burnout. Data was analyzed using descriptive statistics, a t-test, an ANOVA, a Pearson's correlation coefficient and a multiple regression analysis.RESULTS: There was a statistically significant correlation between burnout and job stress (r=.53, p < .001), resilience (r=-.59, p < .001), and professional identity (r=-.47, p < .001). The factors influencing burnout include job stress (β=.27, p < .001), resilience(β=-.37, p < .001), dissatisfaction with the nursing job (β=.32, p < .001), and moderate satisfaction with the nursing job (β=.19, p=.014), and the explanatory power was 53.0%.CONCLUSIONS: The results suggest that intervention to reduce job stress and to improve resilience, which were the factors influencing burnout in operating room nurses, is necessary.
Hospitals, General ; Nursing ; Operating Rooms

PURPOSE: Developing a curriculum(DACUM) is a method of analyzing job focused competency, which is obtained from the data of an expert belonging to a certain career. In this study the DACUM method was used to analyze the jobs of operating room nurses. METHOD: Through the DACUM workshop which was arranged by two DACUM facillitators, a definition of the role of operating room nurses was developed and then duties and tasks of operating room nurses' were identified. For the workshop, a DACUM committee with 10 operating room nurses was organized. Finally, the duties and tasks which were identified were validated by 422 nurses for importance, difficulty, and frequency. RESULTS: Thirteen duties and 105 tasks were identified on the DACUM chart, where importance, difficulty, and frequency of tasks were represented by alphabet letters A, B, and C as higher degree of importance. The determinant coefficient(DC) showed that the most important duty was assisting with operations(DC=6.61), and the least, managing operating materials(DC=4.22). For tasks, the most important ones were assisting in orthostatic surgery(DC=7.60), and assisting in thoracic surgery(DC=7.38), and the least important making gauze ball(DC=2.39), and saving of operation site((DC=3.27). CONCLUSION: The results suggest a need to develop an education program using the DACUM chart as a basis for the development and as a clinical career ladder and for curriculum of operating room nursing.
Career Mobility ; Curriculum ; Job Description ; Operating Room Nursing ; Operating Rooms

Leiomyosarcoma of the duodenum is an uncommon tumor and have not specific symptoms and signs, almost all cases of tumor were diagnosed in operating room. This tumor is generally firm, relatively well encapsulated, lobulated and often soft if they undergo hemorrhagic necrosis. Most authors emphasized the relative number of mitosis as the most reliable findings of leiomyosarcoma. Recently, we experienced a case of leiomyosarcoma of duodenum which was confirmed by operative and pathological diagnosis.
Diagnosis ; Duodenum* ; Leiomyosarcoma* ; Mitosis ; Necrosis ; Operating Rooms

In the operation room, members of the surgical team have the ultimate responsibility of safe guarding the patient from electrical devices. The electrosurgical unit is one instrument commonly used during surgical procedures. We have experienced accidental burning. Sixty-seven years-old patient received burn at the site of the ECG electrode which was caused by an electrocautery used in conjunction with electronic monitoring equipment. Although cutting and coagulation powers were very low, the normal size of the ECG electrodes led to the generation of a high current density. Prevention of interactions of this kind between properly functioning monitoring and surgical units requires good communication among all members of the operating room team and every electrical instruments should inspected, tested regularly.
Burns* ; Electrocardiography* ; Electrocoagulation ; Electrodes* ; Humans ; Operating Rooms