{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T18:40:15Z","timestamp":1743532815629,"version":"3.40.3"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>The performance of regional anesthesia (RA) in a block room (BR) may have an impact on the efficiency of the orthopaedics operating room (OR). The aim of this study was to understand the knowledge of healthcare professionals regarding RA and BR.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>Two types of pilot surveys were developed and applied in three independent hospitals. Statistical validation of the survey was performed (Cronbach alpha coefficient and factor analysis), followed by its restructuring. Validated surveys were randomly delivered to orthopaedists and OR nurses from our institution, and a descriptive analysis was performed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>The pilot surveys presented a Cronbach alpha of 0.533 and 0.417 in the orthopaedic and OR nurse groups, respectively. Two questions in each survey were removed, increasing the internal consistency of the final restructured surveys. There was a total of 126 validated surveys completed (46 by orthopaedists and 76 by OR nurses). Both groups consider that, compared with general anesthesia, RA is associated with better pain control (95.7%\/93.4%), fewer side effects (63%\/73.7%), and improved patient satisfaction (84.7%\/69.7%). Both groups would choose RA for themselves (89.1%\/89.5%) and recommend it to a family member (89.1%\/92.1%). Regarding BR, 80.4% of orthopaedists agreed that it is associated with less time wasted in anesthetic preparation, higher productivity (65.2%), and greater efficacy (65.2%).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Most orthopaedists and OR nurses recognized the various benefits of RA. Orthopaedists agreed that BR improves outcomes and provides efficiency gains in the OR. Genuine support from the entire OR team can play a critical role in the change.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/j.pbj.0000000000000288","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T18:03:09Z","timestamp":1743530589000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge and perceptions of regional anesthesia and block room usage among orthopaedic surgeons and nurses"],"prefix":"10.1097","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8700-2265","authenticated-orcid":false,"given":"\u00c2ngela Barbosa","family":"Mendes","sequence":"first","affiliation":[{"name":"Servi\u00e7o de Anestesiologia, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Porto, Portugal"}]},{"given":"Carlota Carvalho","family":"da Silva","sequence":"additional","affiliation":[{"name":"Instituto Ci\u00eancias Biom\u00e9dicas Abel Salazar, Universidade do Porto, Porto, Portugal"}]},{"given":"Raquel","family":"Dias","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Anestesiologia, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Porto, Portugal"}]},{"given":"Catarina S.","family":"Nunes","sequence":"additional","affiliation":[{"name":"Universidade Aberta, Departamento de Ci\u00eancias e Tecnologia, Porto, Portugal"},{"name":"Centro de Investiga\u00e7\u00e3o Cl\u00ednica em Anestesiologia, Servi\u00e7o de Anestesiologia, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Porto, Portugal"}]},{"given":"Humberto","family":"Machado","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Anestesiologia, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Porto, Portugal"},{"name":"Instituto Ci\u00eancias Biom\u00e9dicas Abel Salazar, Universidade do Porto, Porto, Portugal"},{"name":"Centro de Investiga\u00e7\u00e3o Cl\u00ednica em Anestesiologia, Servi\u00e7o de Anestesiologia, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Porto, Portugal"},{"name":"UMIB\u2014Unidade Multidisciplinar de Investiga\u00e7\u00e3o Biom\u00e9dica, ICBAS\u2014Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar, Universidade do Porto, Porto, Portugal"}]},{"given":"Neusa","family":"Lages","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Anestesiologia, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Porto, Portugal"}]}],"member":"276","published-online":{"date-parts":[[2025,3]]},"reference":[{"issue":"2","key":"R2-20250401","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.bjae.2017.10.002","article-title":"Regional anaesthesia and outcomes","volume":"18","author":"Hutton","year":"2018","journal-title":"BJA Educ"},{"issue":"11","key":"R3-20250401","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1136\/rapm-2021-102545","article-title":"Developing a business case for a regional anesthesia block room: up with efficiency, down with costs","volume":"46","author":"Mazda","year":"2021","journal-title":"Reg Anesth Pain Med"},{"issue":"8","key":"R4-20250401","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1007\/s12630-011-9518-2","article-title":"A \u201cswing room\u201d model based on regional anesthesia reduces turnover time and increases case throughput","volume":"58","author":"Head","year":"2011","journal-title":"Can J Anaesth"},{"issue":"5","key":"R7-20250401","doi-asserted-by":"crossref","first-page":"1486","DOI":"10.1213\/01.ANE.0000113549.98873.B1","article-title":"A survey of orthopedic surgeons' attitudes and knowledge regarding regional anesthesia","volume":"98","author":"Oldman","year":"2004","journal-title":"Anesth Analg"},{"issue":"suppl 1","key":"R8-20250401","doi-asserted-by":"crossref","first-page":"i90","DOI":"10.1093\/bja\/aer340","article-title":"Does regional anaesthesia really improve outcome?","volume":"107","author":"Kettner","year":"2011","journal-title":"Br J Anaesth"},{"issue":"9","key":"R9-20250401","first-page":"166","article-title":"A block room in parallel processing shortens the anesthesia utilization time in orthopedic operating rooms; A prospective cross-sectional study","volume":"100","author":"Tangwiwat","year":"2017","journal-title":"J Med Assoc Thai"},{"issue":"8","key":"R10-20250401","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1017\/S026502150200090X","article-title":"Impact of the reduction of anaesthesia turnover time on operating room efficiency","volume":"19","author":"Sokolovic","year":"2002","journal-title":"Eur J Anaesthesiol"},{"issue":"5","key":"R11-20250401","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1097\/AAP.0000000000000648","article-title":"Regional anesthesia \u201cblock rooms\u201d: should they be universal? Look to goldilocks (and her 3 bears) for the answer","volume":"42","author":"Ilfeld","year":"2017","journal-title":"Reg Anesth Pain Med"},{"issue":"6","key":"R12-20250401","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1177\/0310057X1704500611","article-title":"The effectiveness of regional anaesthesia before and after the introduction of a dedicated regional anaesthesia service incorporating a block room","volume":"45","author":"Chin","year":"2017","journal-title":"Anaesth Int Care"}],"container-title":["Porto Biomedical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/j.pbj.0000000000000288","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T18:03:50Z","timestamp":1743530630000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/j.pbj.0000000000000288"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/j.pbj.0000000000000288","relation":{},"ISSN":["2444-8672"],"issn-type":[{"value":"2444-8672","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"2023-12-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}