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Effective leadership is critical to ensuring safety, efficiency and maximum productivity in the operating room (OR). This practical, evidence-based third edition focuses on the dynamics of a successful OR environment to underline the key techniques for management of policies, systems, staff members and teams. Fully updated to include recent clinical guidelines, the book provides the 'A-Z' of OR management, including sections on metrics, scheduling, human resource management, leadership principles, economics, quality assurance, recovery, ambulatory practice and topics specific to anesthesia and pain service providers. Featuring new chapters on the role of artificial intelligence in transforming operating room perform, training, certification and career development, instrumentation management, and safety of operating room personnel. With contributions from authors with unrivalled experience in the field, this new edition continues to be an essential guide for anyone working in the OR including anaesthesiologists, surgeons, nurses, and administrators.
This chapter will focus on what is historically and currently known from the published literature about healthcare leadership, leadership theories, and styles. Additional discussions will further describe the complex operating room (OR) suite environment, challenges inherent to an OR leadership position, physician leadership, organizational culture, and conflict resolution strategies.
Today, there are an increasing number of procedures requiring moderate and deep sedation being performed outside the surgical suite. As a result, qualified non-anesthesia providers are administering varying levels of sedation to patients for a variety of diagnostic, therapeutic, and/or surgical procedures. Practitioners should provide patients with the benefits of sedation and/or analgesia while minimizing the associated risks. To do so, providers should understand the pharmacology of the agents being administered as well as the role of pharmacologic antagonists for opioids and benzodiazepines. Today’s practitioners are equipped with an abundance of versatile sedative agents that can be used alone and in combination. Furthermore, combinations of sedative and analgesics should be administered as appropriate for the procedure being performed and the condition of the patient. Policies and standards regarding administration of sedation and analgesia by non-anesthesia providers are addressed elsewhere in the book. This chapter focuses on the pharmacology of the drugs most used to provide moderate and deep sedation and their available reversal agents.