SciELO - Scientific Electronic Library Online

 
vol.32 issue1ALVEOLAR BONE PATTERN AND SALIVARY LEPTIN LEVELS AMONG PREMENOPAUSAL OBESE WOMENENHANCED RECOVERY (ERAS) AFTER LIVER SURGERY:COMPARATIVE STUDY IN A BRAZILIAN TERCIARY CENTER author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Print version ISSN 0102-6720On-line version ISSN 2317-6326

Abstract

DAVRIEUX, Carlos Federico et al. STAGES AND FACTORS OF THE “PERIOPERATIVE PROCESS”: POINTS IN COMMON WITH THE AERONAUTICAL INDUSTRY. ABCD, arq. bras. cir. dig. [online]. 2019, vol.32, n.1, e1423.  Epub Feb 07, 2019. ISSN 2317-6326.  https://doi.org/10.1590/0102-672020180001e1423.

Background:

The aeronautical industry is one of the disciplines that most use control systems. Its purpose is to avoid accidents and return safer flights. The flight of an airplane, from its takeoff to its landing is a process divided into stages under strict control. A surgical procedure has the same characteristics. We try to identify and develop the stages of the surgical process using the experience of the aviation industry in order to optimize the results and reduce surgical complications.

Aim:

To identify and develop the stages of the surgical process so that they could be applied to surgery departments.

Methods:

A search, review and bibliographic analysis of the application of aeronautical control and safety to medical practice in general and to surgery, in particular, were carried out.

Results:

Surgical process comprises the perioperative period. It is composed of Preoperative Stage (it is divided into 2 “sub-steps”: hospital admission and control of preoperative studies) Operative Stage (it is divided into 3 “sub-steps”: anesthetic induction, surgery, and anesthetic recovery) and Postoperative Stage (it is divided into 2 “sub-steps”: control during hospitalization and ambulatory control). Two checkpoints must be developed. Checkpoint #1 would be located between the preoperative and operative stages, and checkpoint #2 would be located between the operative and postoperative stages. Surgical factors are surgeons, instrumental and technology, anesthesiology and operating room environment.

Conclusion:

It is possible and necessary to develop a systematic surgical procedure. Its application in the department of surgery could optimize the results and reduce the complications and errors related to daily practice.

Keywords : Surgical procedur; Perioperative perio; Aviatio; Safety.

        · abstract in Portuguese     · text in English | Portuguese     · English ( pdf ) | Portuguese ( pdf )