Non-Operating-Room-Anesthesia Efficiency for Gastrointestinal Endoscopic procedures. A different application of Pandit’s formula: a pilot study.

Abstract Background The demand for Non-Operating-Room Anesthesia for gastrointestinal procedures is increasing, and the main goal is to achieve an efficient elective non-surgical list use like those who work in operating rooms. Aims We decided to adopt and validate the Pandit formula used to measure efficiency and list utilization in the operating room to Non-Operating-Room Anesthesia for gastrointestinal procedures. Methods Data requested by Pandit’s formula were prospectively recorded from 1 April 2023 to 30 June 2023 and retrospectively analyzed to calculate the efficiency and list utilization. An isogram plot was used to illustrate the efficiency and list utilization as percentages. Results The mean value of efficiency and list utilization were: 94.98 % and 93.19%. The average duration of GA-NORA was 5h 35mins. On four occasions it started with a delay of over 20 minutes. The total amount of scheduled cases was 136, four patients were cancelled (2.9%) and one added. Conclusion This formula represents a valuable and easy-to-use tool that provides a reference point for reasoning and analysis, and the goal of achieving 90% efficiency and list utilization was easily accomplished. The authors believe that the best way to measure efficiency inside or outside the operating rooms is to have a unique and user-friendly instrument or formula like the one that was presented.