The success of surgery is determined by the superposition of countless small steps. Therefore, careful preoperative preparation, careful intraoperative operation, careful postoperative care and rehabilitation are very important, and the surgeon, the patient, and the surgical conditions are all important for the surgical outcome. The following excerpts are some operating room-related requirements Yuan Haifeng, Department of Spinal Orthopedics, Ningxia Medical University General Hospital Operating room preparation includes general requirements, operating room equipment, operating room disinfection and operating room management system. This is a necessary condition for carrying out spinal surgery. (A) General requirements of the operating room The following issues should be noted when selecting an operating room for spine surgery: The operating room must conform to the principles of asepsis and also facilitate the performance of various tasks during surgery. The location of the operating room should be chosen in a quiet environment, high floor school, far from the clearing operating room and the digestive tract operating room, and easy to contact with the blood bank, radiology and pathology departments. The area of the operating room should be more than 30 O. The ground, walls and roof should be smooth, and the intersection should be curved so that there are no dead ends and it is easy to scrub. The operating room door is required to open in both directions, and the electric door is required to set up a foot control switch. Operating rooms with windows require the installation of double-glazed and screened windows. Doors and windows with tight gaps can prevent mosquitoes, flies and small insects from flying in. Operating room lighting should be soft, avoid direct light, operating room wall color to light blue or green is appropriate. The wall is set up with film reading lights and wall clocks. If available, air conditioning equipment can be installed to maintain the operating room temperature at 20oC to 25oC and humidity at about 48%. The fully enclosed operating room with laminar air flow is in better condition. (B) operating room equipment in addition to the general equipment with instrument tables, anesthesia tables, drugs and dressing cabinets, oxygen cylinders, anesthesia machines, suction, infusion rack, stools, footrests. The operating table surface should be able to rise and fall. Angle and tilt adjustable to adapt to the requirements of different positions of spinal surgery, shadowless lights should be used to suspend the “mother and child lights. Electric knife, electrocoagulation in spinal surgery is commonly used, need to be routinely configured. According to the needs of surgery, sometimes also need physiological monitor, removable X-ray machine or C-shaped arm, evoked potential recorder, chainsaw, electric drill and other equipment. (C) operating room disinfection after each operation is completed to thoroughly remove stains, blood, dressings and debris. Clean the suction bottle. Clean the floor twice with a mop and then replace the surgical tablecloth. Thoroughly scrub the floor and disinfect with 2% Lysol solution after completing daily surgery. Use UV lamp indoors at 1 to 2W per O floor area for 2 hours. Thoroughly disinfect the operating room at least once a week. After completing the cleaning of the room, scrub the interior walls, shadowless lights and other equipment with 1‰ Neosporin solution. Daily air disinfection with lactic acid or formaldehyde vapor and trioxane disinfector. (D) operating room management operating room management is a very important work, there should be a person in charge. Including personnel and equipment management. All personnel entering the operating room, must change the operating room clean shoes, hats, clothing and pants and wear a mask to completely cover the nostrils, hair. Personnel with upper respiratory infections, septic skin diseases and eczema are prohibited from entering the operating room. Personnel from other operating rooms, especially those who have performed contaminated surgeries, are also prohibited from entering to avoid cross-infection. Strictly limit the number of visitors entering the operating room. No more than 3 to 5 people should visit each operation, and visitors should enter after the operation has been prepared and are forbidden to walk around and talk to each other in the operating room. Keep a distance of more than 30 cm from the operating personnel and stand no higher than the operator. Before the start of surgery, the traveling nurse prepares as fully as possible the items needed for the operation, such as surgical instruments, dressings, hemostatic gelatin, drugs, liquids, drains, bone wax, etc. In order to minimize the entry of bacteria into the operating room, a four-wheeled push bed can be used to push from the operating room to each ward to pick up (send) the patient to reduce the number of times in and out of the operating room. In the operating room without surgery, other personnel are not allowed to enter at will. All kinds of equipment in the operating room should be registered and checked routinely after daily surgery to see if all kinds of equipment are intact, such as whether the electric knife and electrocoagulator can work properly, whether the shadowless bulb needs to be replaced, whether the negative pressure suction tube is clear, and whether the oxygen pressure is sufficient, etc. Any equipment that is faulty should be discharged promptly to ensure that the next day’s surgery goes smoothly. —————- extracted to Spinal Surgery