Ophthalmology service recovery with ‘general anaesthesia to local anaesthesia conversion’ or GALA initiative: a new surgical service pilot

BMJ Open Quality

article

Christine A Putri¹  Jennifer HY Tan¹ 

[1]Ophthalmology , Sheffield Teaching Hospitals NHS Foundation Trust

关键词: COVID-19;    healthcare quality improvement;    anaesthesia;    waiting lists;    surgery;   

DOI  :  10.1136/bmjoq-2022-002083

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

We report on the establishment of “general anaesthesia (GA) to local anaesthesia (LA) conversion" or GALA initiative at Sheffield Teaching Hospitals NHS Foundation Trust. Through GALA initiative, long waiters for cataract surgery under GA or LA with intravenous sedation were counselled for LA surgery. With careful surgical planning and personalised solutions to LA barriers, LA-converted patients reported good visual and surgical experience outcomes. The GALA initiative reduced cataract surgery waiting times of participants by 11 weeks and increased GA list capacity by three to four theatre lists in its four months of pilot run. This initiative did not limit training opportunities for ophthalmology trainees whose training was affected significantly during the pandemic.COVID-19healthcare quality improvementanaesthesiawaiting listssurgeryhttp://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND