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Surgical technician

Thierry de Baere
Early focus of interventional oncologists was developing tools and imaging guidance, performing "procedures" acting as a skillful technician without knowledge of clinical patient outcomes, beyond post-treatment image findings. Interventional oncologists must deliver "treatments" and not "procedures", and focus on clinically relevant outcomes, provide clinical continuity of care, which means stand at multidisciplinary tumor boards, see patients in consultation before treatment and for follow-up. Interventional oncologists have fought for the same "market" with surgery in a head to head, bloody competition called red ocean strategy in marketing terms, resulting in many aborted trials...
November 21, 2016: Cardiovascular and Interventional Radiology
Chih-Chun Chang, Chin-Chuan Yeh, Fang-Yeh Chu
The Formosa Fun Coast explosion, occurring in a recreational water park located in the Northern Taiwan on 27 June 2015, made 499 people burn-injured. For those who had severe burn trauma, surgical intervention and fluid resuscitation were necessary, and potential blood transfusion therapy could be initiated, especially during and after broad escharotomy. Here, we reviewed the literature regarding transfusion medicine and skin grafting as well as described the practicing experience of combined tissue and blood bank in the burn disaster in Taiwan...
October 2016: Transfusion and Apheresis Science
Megumi Nakao, Shimpei Aso, Yuichiro Imai, Nobuhiro Ueda, Toshihide Hatanaka, Mao Shiba, Tadaaki Kirita, Tetsuya Matsuda
This study was performed to quantitatively analyze medical knowledge of, and experience with, decision-making in preoperative virtual planning of mandibular reconstruction. Three shape descriptors were designed to evaluate local differences between reconstructed mandibles and patients' original mandibles. We targeted an asymmetrical, wide range of cutting areas including the mandibular sidepiece, and defined a unique three-dimensional coordinate system for each mandibular image. The generalized algorithms for computing the shape descriptors were integrated into interactive planning software, where the user can refine the preoperative plan using the spatial map of the local shape distance as a visual guide...
2016: PloS One
M Maktabi, T Neumuth
PURPOSE: Hospitals' effectiveness and efficiency can be enhanced by automating the resource and time management of the most cost-intensive unit in the hospital: the operating room (OR). The key elements required for the ideal organization of hospital staff and technical resources (such as instruments in the OR) are an exact online forecast of both the surgeon's resource usage and the remaining intervention time. METHODS: This paper presents a novel online approach relying on time series analysis and the application of a linear time-variant system...
August 29, 2016: International Journal of Computer Assisted Radiology and Surgery
Lauren Schiff, Ziv Tsafrir, Joelle Aoun, Andrew Taylor, Evan Theoharis, David Eisenstein
BACKGROUND AND OBJECTIVES: Robotic surgery has introduced unique challenges to surgical workflow. The association between quality of communication in robotic-assisted laparoscopic surgery and surgical outcomes was evaluated. METHODS: After each gynecologic robotic surgery, the team members involved in the surgery completed a survey regarding the quality of communication. A composite quality-of-communication score was developed using principal component analysis...
July 2016: JSLS: Journal of the Society of Laparoendoscopic Surgeons
E Kishiki, K van Dijk, P Courtright
PurposeWe sought to conduct a systematic literature review on follow-up of children with ocular surgical management (primarily childhood cataract) in developing countries. Second, we sought to determine the current practices regarding follow-up for clinical, optical, low vision, rehabilitation, and educational placement among children receiving surgical services at Child Eye Health Tertiary Facilities (CEHTF) in sub-Saharan Africa (SSA) and South Asia.MethodsA systematic literature review was conducted. Separately, we conducted a cross-sectional study among CEHTF in SSA and South Asia (India, Nepal, and Bangladesh) to assess current capacities and practices related to follow-up and educational placement...
September 2016: Eye
Giovanni de A P Di Giacomo, Patricia R Cury, Airton M da Silva, Jorge V L da Silva, Sergio A Ajzen
STATEMENT OF PROBLEM: Extensive occlusal adjustments and misfit of the prosthesis to prosthetic components are frequent problems related to fixed interim prosthesis fabrication with immediate dental implant loading. PURPOSE: The purpose of this clinical trial was to evaluate a prosthetic guide made with a rapid prototype model based on virtual surgical planning. This prosthetic guide was used to fabricate fixed interim prostheses that would allow immediate implant loading after computer-guided implant installation...
July 23, 2016: Journal of Prosthetic Dentistry
Lynn Y Choi, Rosalicia Torres, Sohail Syed, Sean Boyle, Ashar Ata, Todd D Beyer, Carl Rosati
BACKGROUND: The hospital is a place of high risk for sharps and needlestick injuries (SNI) and such injuries are historically underreported. METHODS: This institutional review board approved study compares the incidence of SNI among all surgical personnel at a single academic institution via an anonymous electronic survey distributed to medical students, surgical residents, general surgery attendings, surgical technicians, and operating room nurses. RESULTS: The overall survey response rate was 37% (195/528)...
July 5, 2016: Journal of Surgical Education
Kemi M Doll, Jessica A Lavery, Anna C Snavely
There is evidence that systems-based factors influence surgical outcomes of intraoperative and postoperative morbidity. The goal of this study was to provide an exploratory analysis of systems-based variables and their associations with surgical outcomes in gynecologic oncology patients. We merged electronic records from operating room software with billing claims from major surgeries performed from 2011 to 2013, at a tertiary care academic medical center. Univariate and bivariate analyses were performed to evaluate the relationship between baseline demographic and clinical covariates (age, comorbidity, procedure type, and surgeon volume), the main exposure variables (case start time, case order, and personnel handoffs), and the primary outcome of 30-day postoperative complications...
June 24, 2016: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
Colleen A Weeks, Stephen Preston, James L Howard, Edward M Vasarhelyi, Jacob Matz, Brent A Lanting
The direct anterior approach for total hip arthroplasty (THA) requires the use of intraoperative imaging, exposing the patient and surgical team to radiation. The authors hypothesized that calculation of the preoperative pelvic tilt angle and communication of this value with the fluoroscopy technician may result in a decrease in intraoperative fluoroscopy use. The study also examined total radiation exposure during the procedure to ensure that it was within safe limits. The pelvic tilt was calculated preoperatively for 100 consecutive patients undergoing THA by the direct anterior approach...
September 1, 2016: Orthopedics
Debbie McKetta, T Eugene Day, Virginia Jones, Alexis Perri, Susan C Nicolson
BACKGROUND: Managing service disruptions is a challenge in every health care environment. Discrete event simulation (DES)--a computer modeling tool used to build in silico (that is, in a digital computer) testbeds for potential changes in complex systems--has been deployed in health care for research and quality improvement (QI), specifically in surgical suite management. A strategy for managing a 6-week planned service disruption needed to be enacted 12 weeks after the announcement, in late October 2014, of the closure of the Hybrid Suite (operating room/catheterization laboratory) for renovation, at The Children's Hospital of Philadelphia's Cardiac Center's Cardiac Operative and Imaging Complex (COIC)...
July 2016: Joint Commission Journal on Quality and Patient Safety
Tony Kyle, S le Clerc, A Thomas, I Greaves, V Whittaker, J E Smith
BACKGROUND: The insertion of a surgical airway in the presence of severe airway compromise is an uncommon occurrence in everyday civilian practice. In conflict, the requirement for insertion of a surgical airway is more common. Recent military operations in Afghanistan resulted in large numbers of severely injured patients, and a significant proportion required definitive airway management through the insertion of a surgical airway. OBJECTIVE: To examine the procedural success and survival rate to discharge from a military hospital over an 8-year period...
December 2016: Journal of the Royal Army Medical Corps
Heiko Thereza Santana, Maria Cristina Soares Rodrigues, Maria do Socorro Nantua Evangelista
BACKGROUND: According to the World Health Organization, the WHO surgical safety checklist can prevent complications, improve communication and contribute to postsurgical safety culture; hence, there is a need to investigate the attitudes and opinions of surgical teams regarding safety utilizing the WHO instrument. The aim of this study was to assess the attitudes and opinions towards surgical safety among operating room professionals in three public hospitals in the Brazilian Federal District...
2016: BMC Research Notes
Devin N Patel, Jennifer T Anger
PURPOSE OF REVIEW: Surgical repair of pelvic organ prolapse remains one of the most commonly performed inpatient procedures. New evidence has helped establish risk factors for recurrence and helped define the outcomes of native tissue repairs. The role of transvaginal mesh and minimally invasive techniques continues to evolve. RECENT FINDINGS: Recent emphasis on mesh complications and litigation has led to new research showing native tissue vaginal repairs to have higher success rates than previously reported...
July 2016: Current Opinion in Urology
D M Pesson, O D Bakou, E L E Didia, A Kouame, M R J J Blohoua, K B Djeredou
INTRODUCTION: Access to cervical margins allows the practitioner to record the entire cervical margin in order to provide a true copy to the technician. This requires a gingival displacement obtainable by different techniques. This study aimed to assess the implementation of gingival displacement methods prior to impression taking in fixed prosthodontics. MATERIALS AND METHODS: This is a descriptive and cross-sectional survey of sample of 71 dentists practising in Abidjan, Ivory Coast; which ran from October 2nd, 2010 to November 14th, 2010...
December 2015: Odonto-stomatologie Tropicale, Tropical Dental Journal
Kai-Ling Yong, Hai V Nguyen, Howard Y Cajucom-Uy, Valencia Foo, Donald Tan, Eric A Finkelstein, Jodhbir S Mehta
Descemet stripping automated endothelial keratoplasty (DSAEK) is the most common corneal transplant procedure. A key step in the procedure is preparing the donor cornea for transplantation. This can be accomplished via 1 of 3 alternatives: surgeon cuts the cornea on the day of surgery, the cornea is precut ahead of time in an offsite facility by a trained technician, or a precut cornea is purchased from an eye bank. Currently, there is little evidence on the costs and effectiveness of these 3 strategies to allow healthcare providers decide upon the preferred method to prepare grafts...
February 2016: Medicine (Baltimore)
Steven M Cain, Robert Moore, Lauren Sturm, Travis Mason, Caitlin Fuhrman, Robin Smith, Irfan Bojicic, Brandon Carter
OBJECTIVE: This paper describes how a clinical team at Landstuhl Regional Medical Center (LRMC) successfully integrated synchronous telehealth (TH) into their routine clinical practice. METHODS AND MATERIALS: Synchronous TH encounters were performed using Polycom® software on surgeons' computers with high-definition (HD) cameras on monitors at distant sites and PolyCom HDX9000® Telehealth Practitioner Carts at originating sites. Patients provided consented and were presented to general surgeons by nurses and medical technicians at Army health clinics throughout the European Theater...
March 1, 2016: Journal of Telemedicine and Telecare
Matthew R Cohn, Guang-Ting Cong, Benedict U Nwachukwu, Minda L Patt, Pingal Desai, Lester Zambrana, Joseph M Lane
BACKGROUND: Hip fractures are common in the elderly and are likely to become more prevalent as the US population ages. Early functional status is an indicator of longer term outcome, yet in-hospital predictors of functional recovery, particularly time of surgery and composition of support staff, after hip fracture surgery have not been well studied. METHODS: Ninety-nine consecutive patients underwent hip fracture surgery by a single surgeon between 2009 and 2013...
March 2016: Geriatric Orthopaedic Surgery & Rehabilitation
Tomoko Ikawa, Yuko Shigeta, Rio Hirabayashi, Shinya Hirai, Kentaro Hirai, Naohiko Harada, Noboru Kawamura, Takumi Ogawa
PURPOSE: The purpose of this report is to propose a computer assisted mandibular reconstruction procedure, utilizing a custom-made Ti-mesh tray with particulate cancellous bone and marrow, and a removable denture. This procedure was based on the top-down treatment technique, and reviews the case of a representative patient with mandibular continuity defect. METHODS: The patient was a 74-year old female with a chief complaint of facial asymmetry and masticatory dysfunction...
February 16, 2016: Journal of Prosthodontic Research
Don K Nakayama
Georgia and the Atlanta area are associated with three important figures in the history of surgery. Crawford Long (1815-1878) discovered the anesthetic effects of ether while in practice in Jefferson. Born in Culloden, Alfred Blalock (1899-1964) was a pioneer researcher in shock and resuscitation, and developed the Blalock-Taussig shunt for Tetralogy of Fallot. His technician, African-American Vivien Thomas (1910-1985), was a full partner in the landmark advances. Louis T. Wright (1891-1952) was born in LaGrange and grew up in the Jim Crow South...
February 2016: American Surgeon
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