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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2010  |  Volume : 15  |  Issue : 3  |  Page : 90-92

Cancellation of elective cases in pediatric surgery: An audit

1 Department of Anaesthesiology, Chacha Nehru Bal Chikitsalaya, Affiliated to Maulana Azad Medical College, Geeta Colony, Delhi - 110 031, India
2 Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, Affiliated to Maulana Azad Medical College, Geeta Colony, Delhi - 110 031, India

Correspondence Address:
Sapna Bathla
C-91, Lajpat Nagar -I, New Delhi - 110 024
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-9261.71748

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Aim: To determine the main reasons for cancellation of elective cases on scheduled date of surgery in pediatric patients. Materials and Methods: The audit was conducted in a 216 beds tertiary care pediatric super-specialty hospital. Two operation theatres (OT) provide elective surgical services to pediatric surgery, orthopedics, ophthalmology and otorhinolaryngology. The audit included all those patients who were posted for elective surgery over a period of one year. Cancelled cases were identified from predesigned OT utilization formats and the reasons for cancellation were evaluated. Results: A total of 2473 cases were posted for the elective surgery in the year 2009 and 189 (7.64%) patients had their surgery cancelled. The main reasons for cancellation were upper respiratory infections (30.68%) and shortage of time (29%). Other reasons were medically unfit patients (15.34%), precedence of emergency cases (3.7%); non-availability of ventilator and intensive care bed (4.7%); no-show by patient (4.76%); non-availability of blood (4.2%); incomplete work up (2.64%); administrative reasons (1.58%); patient not fasting (1.58%) and unspecified reasons (2.1%). Overall, 38.6% causes were preventable. Conclusions: Elective surgery cancellation is a significant problem with multifactorial etiology. Most common reasons for cancellation of planned surgery were sudden onset of respiratory tract infection in the admitted patient and shortage of time. It suggests that on many occasions, surgeons take more time than anticipated for performing the procedure.


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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

Online since 1st May '05