do you run 4 rooms at the same time?

[urge]

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Mils OB thread made me wonder

PP guys, how often are you running 4 rooms? How do you manage to start them all at the same time? Who does the central lines, epidurals, a-lines, fiberoptics, blocks,...? I can understand starting 4 easy cases, but if you get 2 complicated cases at a time somebody is going to have to wait. Happens to me all the time. I work with residents and everything has to be supervised. How about PP? Do you let the CRNA's do their thing? How many rooms do you run when doing big cases?

Academic guys, do you ever run 3-4 rooms with just CRNA's or do you cap it at 2 rooms? Do you only run one room for difficult cases such as cardiac, livers,....? We always run 2 rooms no matter what. Sometimes 3 when all are CRNA's.

 

[militarymd]

I do 3 or 4 all the time.....We have only experienced CRNA's....Our MD's work in a team...There is always someone available to take care of stuff.

We all carry UHF radios.....CRNA radios for induction, and if I'm tied up with something, I radio out that I'm tied up, and one of my partners cover me....as I do for them.

Extremely rare to have a problem...as a matter of fact, I can't remember the last time we had a problem.

 

[Laryngospasm]

I do 3 or 4 all the time.....We have only experienced CRNA's....Our MD's work in a team...There is always someone available to take care of stuff.

We all carry UHF radios.....CRNA radios for induction, and if I'm tied up with something, I radio out that I'm tied up, and one of my partners cover me....as I do for them.

Extremely rare to have a problem...as a matter of fact, I can't remember the last time we had a problem.

Ditto

 

[Gas]

10 OR's in the AM. One MD supervises 4 CRNA's, another supervises 3, and MD's alone in the other 3 rooms. Makes for a hectic morning and a lot of running around, but hey, that's private practice.

ALines, spinals/epidurals, and blocks done by MD only. Surgeon has to wait a few minutes sometimes, but it's rare that all 10 rooms start at exactly the same time. Sometimes surgeons come late/consent issues/preop workup issues, etc, so you have a few minutes leeway.

The way we divide the rooms makes a difference. The one with 4 rooms will get easier cases/healthier patients/MAC cases if possible. On some days, we have an extra MD to give breaks/help start the morning cases. We never supervise 5 rooms.

 

[pd4emergence]

3-4 rooms 90% of the time. We see every pt preop and are present before drugs are given for induction. We try to keep somebody reasonably free to cover ob epidurals/csections/see limited number of clinic patients/or to cover if someone is busy and can't make it to an induction or emergence.