title: Designing an operating theatre for awake procedures: A solution to improve multimodality information input.
abstract: OBJECTIVE
  Many neurosurgical procedures are now performed with the patient aware in order to allow interactions between the patient and healthcare professionals. These procedures include awake brain surgery and spinal cord stimulation (SCS), lead placement for treatment of refractory chronic back and leg pain. Neurosurgical procedures under local anaesthesia require optimal intraoperative cooperation of the patient and all personnel involved in surgery. In addition to accommodating this extra source of intraoperative information all other necessary sources of data relevant to the procedure must be presented. The concept of an operating room dedicated to neurosurgical procedures performed aware and accommodating these concepts is presented, and some evidence for improvements in outcome presented, deriving from a series of patients implanted with spinal cord stimulators before and after the operating theatre was brought into service.
  
  
  CONCLUSIONS
  In addition to the description, two videos demonstrate the facility online. Beyond this qualitative evidence, quantitative improvement in patient outcome is evidenced by the series presented: 91.3% of patients operated in the awake anaesthesia-dedicated theatre obtained adequate low back pain coverage, versus 60.0% for patients operated before (p = 0.028).
  
  
  CONCLUSIONS
  The concept of such an operating room is a step in improving the outcome by improving the presentation of all types of information to the operating room staff most notably in the example of aware procedures.
authors.affiliation: a Department of Neurosurgery , University Hospital , Poitiers , France.
authors.forename: Michel
authors.initials: M
authors.lastname: Wager
authors.affiliation: a Department of Neurosurgery , University Hospital , Poitiers , France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Rigoard
authors.affiliation: a Department of Neurosurgery , University Hospital , Poitiers , France.
authors.forename: Benoit
authors.initials: B
authors.lastname: Bataille
authors.affiliation: b Department of Anaesthesiology , University Hospital , Poitiers , France.
authors.forename: Claude
authors.initials: C
authors.lastname: Guenot
authors.affiliation: c Department of Biomedical Engineering , University Hospital , Poitiers , France.
authors.forename: Aurélie
authors.initials: A
authors.lastname: Supiot
authors.affiliation: a Department of Neurosurgery , University Hospital , Poitiers , France.
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Blanc
authors.affiliation: d Department of Clinical Neurophysiology , University Hospital , Poitiers , France.
authors.forename: Veronique
authors.initials: V
authors.lastname: Stal
authors.affiliation: e Department of Neurology , Neuropsychology and Speech Therapy Unit, University Hospital , Poitiers , France.
authors.forename: Claudette
authors.initials: C
authors.lastname: Pluchon
authors.affiliation: e Department of Neurology , Neuropsychology and Speech Therapy Unit, University Hospital , Poitiers , France.
authors.forename: Coline
authors.initials: C
authors.lastname: Bouyer
authors.affiliation: e Department of Neurology , Neuropsychology and Speech Therapy Unit, University Hospital , Poitiers , France.
authors.forename: Roger
authors.initials: R
authors.lastname: Gil
authors.affiliation: e Department of Neurology , Neuropsychology and Speech Therapy Unit, University Hospital , Poitiers , France.
authors.forename: Foucaud
authors.initials: F
authors.lastname: Du Boisgueheneuc
mesh_terms: D000758:Anesthesia; D001921:Brain / Q000601:surgery; D006749:Hospital Design and Construction; D006801:Humans; D019451:Information Management; D017116:Low Back Pain / Q000601:surgery; D019635:Neurosurgical Procedures / Q000379:methods*; D009873:Operating Rooms / Q000458:organization & administration*; D010146:Pain / Q000601:surgery; D059408:Pain Management / Q000379:methods; D010148:Intractable Pain / Q000601:surgery; D058996:Quality Improvement; D062187:Spinal Cord Stimulation; D016896:Treatment Outcome; D014851:Wakefulness
keywords: integrated operating room; neurosurgery under local anaesthesia; operative network; pain surgery; spinal cord stimulation