# The central role of the anesthesiologist in operating room management: toward an integrated clinical-organizational-technological paradigm

## TL;DR

This paper suggests that anesthesiologists should lead in integrating clinical, organizational, and technological aspects in the operating room for better efficiency.

## Contribution

Proposes a new multidisciplinary model with anesthesiologists as central integrators in operating room management.

## Key findings

- Traditional models of operating room efficiency are insufficient for modern surgical care.
- Anesthesiologists can bridge clinical and managerial aspects with emerging technologies.
- The proposed model supports patient-centered care alongside organizational and technological needs.

## Abstract

Efficiency in the operating room is often considered either in terms of clinical excellence or in terms of performance optimization through managerial approaches. However, these dichotomous models—clinician-centered versus engineer-led—fail to capture the complexity of modern surgical care. This paper therefore proposes a multidisciplinary model in which the anesthetist plays a central role, acting as an integrator of clinical needs and organizational logistics. As new technologies emerge, they should support a comprehensive vision that combines patient-centered care with organizational and technological considerations. This approach should complement, rather than replace, clinical judgment.