Custom Surgical Tray in ACLR Procedure
Condition: Anterior Cruciate Ligament Reconstruction
Study type: Observational

Summary: 
      In the Toulouse University Hospital, the Custom Surgical Tray (CST) were not referenced. The
      nurse had to prepare and open all the components of the procedure separately. This is a long
      and wasteful process.

      CST brings together all the single-use medical devices necessary for an intervention,
      including draping and dressing elements, in the same single packaging.

      Following the new local call for tenders on draping kits, and with the aim of standardizing
      and rationalizing practices, the implementation of CST within the requesting blocks whose
      orthopedic and traumatology block has been validated.

      The hypothesis is that the CST would save time on preparing the trolley and on opening
      single-use equipment in the room while limiting the amount of waste.
    

Detailed description: 
      To determine the social impact, the study assess the quality of life at work by measuring the
      difference, after implementing CST, in time needed for preparation of the trolley before
      entering the OR, for opening the instruments necessary by the surgical and circulating
      certified perioperative nurse (CNOR) in the Operating Room (OR), and for sorting the waste
      derived from the instrument's packages between plastic and paper after the intervention. In
      addition, the study assessed the biomechanical risk factors related to musculoskeletal
      disorders by evaluating the number of movements made by the CNOR when opening the instruments
      and sorting the waste, with and without CST. Finally, the study evaluate CNOR and surgeon's
      satisfaction after the implementation of CST.

      To determine the ecologic impact, the difference in the number and weight of waste due to
      packaging of the disposable instruments, with and without CST was evaluated.

      To determine the economic impact, the difference in cost of the instruments used, with and
      without CST was evaluated.

      The hypothesis is that the use of CST enhances Sustainable Development (SD) by maintaining
      social development and environment protection, despite a possible additional cost.
    

Intervention name(s): Anterior Cruciate Ligament reconstruction (ACLR)
Intervention type(s): Procedure
Intervention description(s): A comparison between the two groups were done regarding the three following stages: (a) the preparation time of the trolley, which is the time taken by the CNOR to recover from the reserves all the single-packed sterile instruments (SPSI) necessary for the intervention or to recover the CST (b) the opening time of the instruments by the circulating nurse who opens the packages and gives them to the surgical nurse while respecting the sterility of the items, and by the surgical nurse who prepares the table for the intervention, and (c) the sorting time of the waste between plastic and paper at the end of the intervention.
Observational model: Other
Time perspective: Prospective
Sampling method: Non-Probability Sample
Study population: 
        All surgery of Anterior Cruciate Ligament reconstruction were study during the period
        between 15 february 2021 and 15 August 2021.
      
Keywords: Custom Surgical Tray; Sustainable Development