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Monica Saucedo Ulloa; Evaluation of effectiveness of the arc sterile as a solution to ambulatory ophthalmologic surgery. Invest. Ophthalmol. Vis. Sci. 2018;59(9):2238. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
The aim of this study is to evaluate the effectiveness of the ARC STERILE by reducing interoperative time in cataract surgeries and increasing the productivity of surgeries, as well as the sterility of the surgical area.
Retrospective observational study carried out in the INSTITUTO DE OFTALMOLOGIA FUNDACION CONDE DE VALENCIANA during a period of 3 months.Cataract phacoemulsification surgery was performed by a MD of the anterior segment department without complications, and during the study the following parameters were evaluated and were recorded in the collection format.Surgical time: Time that takes from the patient enters the room, until the patient leaves the room.Trans-surgical time: It is the time between a patient leaves the surgical room and another patient enters for procedure. During this time the room is cleaned, garbage are collected, and the material is prepared for the next surgery.Total effective surgery time: It is the total time in a surgical day during cataract surgeries were carried out.Total not effective surgery time: It is the total time during the surgical room was not performed during the surgical day, usually it is the time dedicated to cleaning the room and preparation for the following procedure.Sterility of surgical area: It is the presence or absence of pathogenic microorganisms within our surgical area.
During the second period, the total surgeries of the service were 150 phacoemulsification surgeries.The average daily hours of operation of the equipment was 6.5 hours per day; The effective surgery time did not show a decrease with respect to the conventional room; however, the trans-surgical time decreased by 50% compared to conventional rooms, with an average of 8 minutes between surgeries.The total non-effective time of surgeries also decreased by about 40%, being able to demonstrate a higher productivity in the same time in comparison with conventional rooms.No statistically significant difference was found between the sterility found in the surgical rooms; not finding pathogenic microorganisms or data of intraocular infections in the procedures performed
It is concluded that the arc sterile is an important solution for the reduction of the surgical times, managing to increase the productivity of the surgical procedures maintaining the parameters of sterility quality in the surgical rooms.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.
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