Morning 'best time for surgery'!

Discussion in 'Nutrition, Health & Beauty' started by Mini, 14 August 2006 Social URL.

  1. Mini

    Mini Administrator Staff Member

    Posts:
    31,878
    Likes Received:
    1,005
    Start Weight:
    18st0lb
    Current Weight:
    16st7lb
    Goal Weight:
    10st0lb
    Lost(%):
    1st7lb(8.33%)
    Mornings 'best time for surgery'

    [​IMG] Morning operations came out best

    Mornings are the best time to have an operation, according to research which shows more complications occur when surgery is performed in the afternoon.
    A US team at Duke University analysed the outcomes of over 90,000 operations carried out at their hospital.
    Adverse events were most common when surgery started between 3pm and 4pm and least common with 9am-noon operations.
    The authors say natural changes in the body's pain levels during the day and staff fatigue could be involved.
    Afternoon dip
    Lead researcher Dr Melanie Wright said: "Healthcare is a 24-hour-a-day business, and it is not unexpected that factors such as fatigue, circadian rhythms, personnel shift changes and scheduling may affect patient care over the course of a day."
    Very few of the adverse events Dr Wright's team identified caused lasting harm to the patients.
    Most were related to problems with pain management and postoperative nausea and vomiting.
    [​IMG][​IMG] It perhaps does mean that we should caution against suggesting that we go to round-the-clock operating to get better use of operating theatres [​IMG]


    Professor Alistair Chambers, honorary secretary of the Association of Anaesthetists of Great Britain and Northern Ireland,


    Other problems included prolonged sedation, wound infection, dangerous changes in blood pressure and operating room equipment problems.
    The analysis also highlighted 9,497 administrative delays which, although not categorised as adverse events, may have influenced them, say the researchers.
    When they matched the adverse events with the time that the patient's surgery began they found a striking pattern.
    "We found that adverse events were most common for operations starting between 3pm and 4pm," said Dr Wright, from the university's Human Simulation and Patient Safety Center.
    She said many factors could explain why this might be.
    Stress and fatigue
    For example, patients may be more susceptible to pain or postoperative nausea and vomiting in the late afternoon.
    Issues such as not having eaten all day or spending a stressful day waiting to have the surgery might also be important.
    Late afternoon is also a time when the anaesthetic teams in the hospital changed shifts and when the body's has a dip in its natural circadian rhythm, which regulates sleep, brain wave activity and other bodily functions.
    The researchers are planning another study to compare each step in the delivery of care for patients having surgery during two time periods - 9am to noon and 3pm to 6pm.
    Their current work is published in the journal Quality and Safety in Healthcare.
    Professor Alistair Chambers, honorary secretary of the Association of Anaesthetists of Great Britain and Northern Ireland, said the findings would need to be replicated, pointing out that working hours and procedures differed between hospitals and countries. If other studies corroborate the findings, the factors causing the difference would also need to be identified, he said. "But it is interesting. It perhaps does mean that we should caution against suggesting that we go to round-the-clock operating to get better use of operating theatres."


    http://news.bbc.co.uk/1/hi/health/4783163.stm?ls
     
  2. Avatar

    MiniMins.com Matched Content

  3. halo1984

    halo1984 Member

    Posts:
    49
    Likes Received:
    0
    Start Weight:
    12st10lb
    Current Weight:
    11st12lb
    Goal Weight:
    10st10lb
    Lost(%):
    0st12lb(6.74%)
    Diet:
    Slimming World
    interesting
     
  4. MissUno

    MissUno World Class Oddball

    Posts:
    168
    Likes Received:
    2
    Diet:
    Slimming World
    When I can afford me some cosmetic surgery, I may have to schedule it for the morning....ah one day.
     
Popular Forums
  1. MiniMins.com is a weight loss support community helping each other on their weight loss journey. We have a multitude of forums, from Slimming World and Exante, to Success Stories. Click the logo at the top right to return to the forum home page at any time.
Loading...