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Cited by 22Healthcare Operations and Scheduling OptimizationCOVID-19 and healthcare impactsCardiac, Anesthesia and Surgical Outcomes

The DOI matches its Crossref record.

Analysis of 43 Intraoperative Cardiac Surgery Case Cancellations

Fitzsimons, Michael G., Dilley, Joshua D., Moser, Chris, Walker, Jennifer D.·2016·Journal of Cardiothoracic and Vascular Anesthesia
DOI 10.1053/j.jvca.2015.08.007
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Abstract

Objective Late cancellation of surgery cases imposes significant emotional distress on the patient and their family and results in wasted resources, including loss of operating room and personnel time. This study was designed to determine the causes of cancellation, preventability, total operating room time, and postoperative destination. Design This study was a retrospective review of the 43 cardiac surgical cases that were cancelled while the patient was in the operating room (OR) but prior to surgical incision. Setting The cases were performed at the Massachusetts General Hospital, a teaching hospital of Harvard Medical School. Participants Forty-three out of 5,110 scheduled cardiac cases were identified that were cancelled after the patient had entered the operating room between January 1, 2010 and December 31, 2013. Interventions No interventions were made. This was a retrospective study. Measurements and main results The most common causes of cancellation included a change in the patient's health status (44%), problems associated with central catheter placement (18.6%), and unsatisfactory donor organs for planned transplantation (12%). The majority were inpatients (65%) prior to the procedure. The cumulative OR time for all cancelled cases was 5,374 minutes (89 hours and 34 minutes). Conclusions The reason for cancellation, preventability, total operating room time, and postoperative destination were determined. The information can be utilized to decrease the number of…

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Research works printed but not linked: 15

  1. McKendrick, 2014, A 5-year observational study of cancellations in the operating room: Does the introduction of preoperative preparation have an impact?, Saudi J Anaesth, 8, S8, 10.4103/1658-354X.144053 · DOI
  2. Smith, 2014, Same-day cancellation of cardiac surgery: a retrospective review at a large academic tertiary referral center, J Thorac Cardiovasc Surg, 148, 721, 10.1016/j.jtcvs.2014.03.002 · DOI
  3. Sultan, 2012, Reasons for cancellation of elective cardiac surgery at Prince Sultan Cardiac Centre, Saudi Arabia, J Saudi Heart Assoc, 24, 29, 10.1016/j.jsha.2011.10.006 · DOI
  4. Ivarsson, 2002, Patient reactions to cancelled or postponed heart operations, J Nurs Manag, 10, 75, 10.1046/j.0966-0429.2001.00293.x · DOI
  5. Ivarsson, 2004, Postponed or cancelled heart operations from the patient's perspective, J Nurs Manag, 12, 28, 10.1111/j.1365-2834.2004.00400.x · DOI
  6. Lau, 2010, Retrospective analysis of surgery postponed or cancelled in the operating room, J Clin Anesth, 22, 237, 10.1016/j.jclinane.2009.10.005 · DOI
  7. Farasatkish, 2009, Can preoperative anesthesia consultation clinic help to reduce operating room cancellation rate of cardiac surgery on the day of surgery?, Middle East J Anaesthesiol, 20, 93
  8. Chang, 2014, Case review analysis of operating room decisions to cancel surgery, BMC Surg, 14, 47, 10.1186/1471-2482-14-47 · DOI
  9. Rupp, 2012, Practice guidelines for central venous access: A report by the American Society of Anesthesiologists Task Force on Central Venous Access.American Society of Anesthesiologists Task Force on Central Venous Access, Anesthesiology, 116, 539, 10.1097/ALN.0b013e31823c9569 · DOI
  10. Troianos, 1991, Ultrasound guided cannulation of the internal jugular vein. A prospective, randomized study, Anaesth Analg, 72, 823, 10.1213/00000539-199106000-00020 · DOI
  11. Oliver, 1997, The incidence of artery puncture with central venous cannulation using a modified technique for detection and prevention of arterial cannulation, J Cardiothorac Vasc Anesth, 11, 851, 10.1016/S1053-0770(97)90119-1 · DOI
  12. Lau, 2001, Delayed airway obstruction secondary to inadvertent arterial puncture during percutaneous central venous cannulation, Acta Anaesthesiol Sin, 39, 93
  13. Kusminsky, 2007, Complications of central venous catheterization, J Am Coll Surg, 204, 681, 10.1016/j.jamcollsurg.2007.01.039 · DOI
  14. Macario, 2010, What does one minute of operating room time cost?, J Clin Anesth, 22, 233, 10.1016/j.jclinane.2010.02.003 · DOI
  15. Schofield, 2005, Cancellation of operations on the day of intended surgery at a major Australian referral hospital, Med J Aust, 182, 612, 10.5694/j.1326-5377.2005.tb06846.x · DOI

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Metadata

Authors
Fitzsimons, M. G., Dilley, J. D., Moser, C., & Walker, J. D.
Affiliations
  • Massachusetts General Hospital (US)
  • Lahey Hospital and Medical Center (US)
  • UMass Memorial Medical Center (US)
Corresponding author
Dilley, Joshua D.
ORCID
Venue
Journal of Cardiothoracic and Vascular Anesthesia
Publisher
Elsevier BV
Published
2016-01
Volume
30
Issue
1
Pages
19-22
ISSN
1053-0770 (ISSN-L)
DOI
10.1053/j.jvca.2015.08.007
OpenAlex
W1472457117
Cited by
22
References
0
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 1
FWCI
2.88
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Cardiothoracic and Vascular Anesthesia (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Healthcare Operations and Scheduling Optimization
  • Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac, Anesthesia and Surgical Outcomes
Keywords
cardiac surgery, operating room time, preventability, central venous catheterization, operating room utilization
MeSH terms
Appointments and Schedules, Cardiac Surgical Procedures, Humans, Operating Rooms, Preoperative Care, Retrospective Studies, Elective Surgical Procedures

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