Investigating the Level of Readiness to Encounter Critical Situations in the Operating Room of Ayatollah Taleghani Hospital as a Trauma Center in Kermanshah in 2018

Operating room crises, such as malignant hyperthermia or unexpected bleeding, are rare; however, they are serious threats to the patient’s life in these critical situations. According to global statistics, 234 million surgeries are performed annually in the world. At least 3 million of them are faced the crises in the operating room. The aim of this study is to investigate the level of readiness for dealing with critical situations in the operating room of Ayatollah Taleghani Hospital as a trauma center in Kermanshah in 2018.

This study was performed as a descriptive-analytical study. The study population included members of the surgical teams of Ayatollah Taleghani Hospital’s operating room (anesthesiologist, technician of anesthesia, surgeon and surgeon assistant) and sampling method was the census. After receiving the letter from Kermanshah University of Medical Sciences and the School of Paramedical Sciences, the researcher distributed the standard questionnaire of surveying the readiness of the surgical team in the face of operating room crises among the members of the surgical team. After collecting the questionnaires, the data was analyzed using SPSS software version 22.

The number of participants was 40 members of the surgical team. The interpretation of the data showed that the readiness of the surgical team in the operating room of Taleghani hospital is in very good level for controlling and managing fire crises, asystole and cardiac arrest (VF or VT). On the other hand, the level of readiness and awareness of the surgical team is at a low level to control air embolism crises, anaphylactic shock and malignant hyperthermia.
Discussion and

The results of the present study show that the surgical team’s readiness against air embolism crisis, anaphylactic shock and malignant hyperthermia is at a low level. In addition the awareness of the surgical team to control this crisis is low. Thus, educational interventions are essential to increase awareness of the surgical team for controlling and managing these crises.