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https://www.readbyqxmd.com/read/28745243/-an-image-says-more-than-a-thousand-words-standardising-video-registration-in-the-operating-theatre
#1
F W van de Graaf, A G Menon, M M Lange
Today, video imaging is a major part of laparoscopic surgery. Despite continuous efforts to improve or innovate laparoscopic techniques, the registration of laparoscopic imaging for quality of care purposes remains an afterthought. By recording the essential steps of a surgical procedure, it is possible to inquire in more detail about what actually occurred in the operating theatre. However, it is necessary to take the legal framework into account. Questions concerning patient consent, permission from healthcare providers, whether video documentation should enter the patient record, and the length of the period it is retained must be answered...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28743206/outpatient-photodynamic-guided-diagnosis-of-carcinoma-in-situ-with-flexible-cystoscopy-an-alternative-to-conventional-inpatient-photodynamic-guided-bladder-biopsies-in-the-operating-theatre
#2
Karin Mogensen, Anders Glenthøj, Birgitte Grønkær Toft, Thomas Scheike, Gregers Gautier Hermann
OBJECTIVE: The aim of this prospective open comparative study was to establish whether conventional photodynamic-guided bladder biopsies using general anaesthesia and rigid resectoscopes (inpatient) can be replaced with less traumatic flexible cystoscopy in non-sedated patients (outpatient), without compromising the diagnosis of carcinoma in situ (CIS). MATERIALS AND METHODS: Thirty-one patients were included. After BCG instillation for CIS, bladder biopsies were obtained using photodynamic-guided flexible cystoscopy...
July 26, 2017: Scandinavian Journal of Urology
https://www.readbyqxmd.com/read/28743153/-how-much-alarm-can-the-human-being-tolerate
#3
Benedikt Lorenz, Jürgen Peters, Ulrich H Frey
Due to growing technisation of intensive care the number of devices with integrated alarm systems is steadily increasing. However, most of the sounding alarms are false alarms causing high levels of frustration, aggression and inappropriate behaviour amongst the medical personnel. All this jeopardises patient care. The high number of alarms also disturb the patients interrupting their sleep and provokes anxiety, and also increases the already high noise level in intensive care units and the operating theatre alike...
July 2017: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/28742690/do-surgeons-react-a-retrospective-analysis-of-surgeons-response-to-harassment-of-a-colleague-during-simulated-operating-theatre-scenarios
#4
Hannah Gostlow, Camila Vega Vega, Nicholas Marlow, Wendy Babidge, Guy Maddern
OBJECTIVE: To assess and report on surgeons' ability to identify and manage incidences of harassment. BACKGROUND: The Royal Australasian College of Surgeons is committed to driving out discrimination, bullying, harassment, and sexual harassment from surgical training and practice, through changing the culture of the workplace. To eradicate these behaviors, it is first critical to understand how the current workforce responds to these actions. METHODS: A retrospective analysis of video data of an operating theatre simulation was conducted to identify how surgeons, from a range of experience levels, react to instances of harassment...
July 24, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28741148/simultaneous-navigated-cervico-thoracic-and-thoraco-lumbar-fixation
#5
Krunal Patel, Tamara Tajsic, Karol P Budohoski, Mathew R Guilfoyle, Rikin A Trivedi
STUDY DESIGN: Case report. OBJECTIVE: To investigate the feasibility of using two independent image guidance systems to simultaneously fix multiple segment spine fractures. Image guidance is increasingly used to aid spinal fixation. We describe the first use of multiple navigation systems during a single procedure allowing for multi-segment spinal fixations to be performed simultaneously and capitalizing the advantages of navigation. METHOD: Two Medtronic Stealth Station S7™ systems with O-arm image capture were used to guide fixation of C6 and T12, unstable, AO A4, three-column fractures, in a patient with ankylosing spondylitis...
July 24, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28733939/comparison-of-endotracheal-tube-cuff-pressure-values-before-and-after-training-seminar
#6
Ayça Tuba Dumanlı Özcan, Cihan Döğer, Abdülkadir But, Işık Kutlu, Şemsi Mustafa Aksoy
It is recommended that endotracheal cuff (ETTc) pressure be between 20 and 30 cm H2O. In this present study, we intend to observe average cuff pressure values in our clinic and the change in these values after the training seminar. The cuff pressure values of 200 patients intubated following general anesthesia induction in the operating theatre were measured following intubation. One hundred patients whose values were measured before the training seminar held for all physician assistants, and 100 patients whose values were measured after the training seminar were regarded as Group 1 and Group 2, respectively...
July 22, 2017: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/28727237/pre-hydrated-sterile-acellular-dermal-matrix-allograft-in-breast-reconstruction-review-of-a-single-unit-s-experience
#7
Justin James, Brigid Corrigan, Christobel Saunders
BACKGROUND: The acellular dermal matrix (Flex HD) (FHD) became available for use in Western Australia in 2014 to aid prosthetic breast reconstruction and this descriptive study aims to review and discuss a single institution's experience since its introduction. METHODS: By retrospective case note, review data were collected for all patients who underwent prosthetic breast reconstruction with the aid of FHD between January 2014 and August 2015 in our institution...
July 20, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28719036/a-novel-method-for-achieving-optimal-neck-extension
#8
David Black, Thomas Snooks, Matthew Clark
From tonsillectomies to major neck dissections, a large proportion of ENT operations require the neck to be extended. This is normally achieved by a gel pad or sand bag shoulder bolster, or in more frugal hospitals - a bag of normal saline. In our theatres two sizes of shoulder bolster are generally available. This article is protected by copyright. All rights reserved.
July 18, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28709485/biofilm-colonization-of-mycobacterium-abscessus-new-threat-in-hospital-acquired-surgical-site-infection
#9
Roumi Ghosh, Soumen Das, Harish Kela, Asmita De, Jayeeta Haldar, Prasanta Kumar Maiti
INTRODUCTION: Rapidly growing non-tuberculous mycobacteria (NTM) are hazardous cause of post-operative soft tissue infection leading to nosocomial outbreaks following various surgical procedures, especially laparoscopic surgeries using heat sensitive, non-autoclavable surgical instruments. METHODOLOGY: Surgery department of our hospital noticed increase in rate of post-laparoscopic abdominal port site infection (PSI) and informed the Microbiology Department. A prospective investigational study of defined cases with the aim of source tracing and formulation of infection control measures was initiated...
July 2017: Indian Journal of Tuberculosis
https://www.readbyqxmd.com/read/28707782/exchanging-implements-the-micro-materialities-of-multidisciplinary-work-in-the-operating-theatre
#10
Christian Heath, Paul Luff, Marcus Sanchez-Svensson, Maxim Nicholls
Surgical procedures rely upon an array of commonplace tools, implements and materials that mediate practice and disciplinary collaboration within the operating theatre. Substantial time is dedicated to the issue and provision of these artefacts and their timely exchange is critical to the successful accomplishment of surgical procedures. In this article, we consider the practice, knowledge and agency that informs how particular implements and materials are passed by the scrub nurse to the surgeon that in turn enables their deployment with regard to the particular procedure and the contingencies 'at hand'...
July 14, 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/28694536/orbital-fractures-treated-in-auckland-from-2010-2015-review-of-patient-outcomes
#11
Lanit Anand, Christopher Sealey
AIM: The purpose of this study was to review patient outcomes from surgical reconstruction of isolated orbital fractures, performed by the Auckland District Health Board (ADHB) Oral and Maxillofacial Surgery service (OMFS), from 2010 to 2015. In particular, we wished to assess titanium as an orbital reconstructive material and compare outcomes with the international literature. METHOD: Hospital records for 103 adults (>18 years old) who underwent repair of isolated orbital fractures by the OMFS department at Middlemore Hospital, between 2010 and 2015, were reviewed...
July 7, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28694086/an-outbreak-of-post-craniotomy-propionibacterium-acnes-infections-at-a-tertiary-hospital-england-2011-a-case-control-study-identifies-dural-implants-as-a-risk-factor-for-infection
#12
Caoimhe McKerr, Nic Coetzee, Obaghe Edeghere, Shakeel Suleman, Neville Q Verlander, Krishna Banavathi
BACKGROUND: In 2011, 15 deep-seated Propionibacterium acnes infections were identified in patients following craniotomies in a hospital in the UK. AIM: To describe the outbreak and report findings from the investigation undertaken in order to identify the source & risk factors and inform control measures. METHODS: Data were obtained from hospital clinical records and included patient and surgical variables. Cases were defined as patients with microbiologically confirmed deep or organ space surgical site infection (SSI) caused by P...
July 7, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28691756/surgical-specimen-handover-from-the-operating-theatre-to-laboratory-can-we-improve-patient-safety-by-learning-from-aviation-and-other-high-risk-organisations
#13
Peter A Brennan, Marieke T Brands, Lucy Caldwell, Felipe Paiva Fonseca, Nic Turley, Susie Foley, Siavash Rahimi
Essential communication between healthcare staff is considered one of the key requirements for both safety and quality care when patients are handed over from one clinical area to other. This is particularly important in environments such as the operating theatre and intensive care where mistakes can be devastating. Healthcare has learned from other high-risk organisations (HRO) such aviation where the use of checklists and human factors awareness has virtually eliminated human error and mistakes. To our knowledge, little has been published around ways to improve pathology specimen handover following surgery, with pathology request forms often conveying the bare minimum of information to assist the laboratory staff...
July 10, 2017: Journal of Oral Pathology & Medicine
https://www.readbyqxmd.com/read/28691631/web-review-risky-business
#14
(no author information available yet)
Risky Business In the early 2000s, a quality improvement project brought together a group of healthcare professionals with experts from the world of motor racing. They compared handovers of critically ill infants and children from operating theatre to intensive care team after complex heart surgery with the processes of a Formula 1 pitstop.
July 10, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/28690738/-e-training-program-for-sterilization-in-isolated-military-operations-areas-solution-adopted-by-the-french-army
#15
Mederic Rouault, Marie-Audrey Vonesch, Claude Dussart
French Army Health Service provides medical support for armed forces deployed on external missions.In order to ensure the same health care quality in the theatre and in the metropolis, the Military Health Service provides sterilization of reusable medical devices by its own means. Army pharmacists carrying out an on-site mission comes from different domains: medical biology laboratory, research, medical supplies, hospital pharmacy or yet pharmaceutical laboratory for some reservists. Training program for sterilization in isolated military operations areas is therefore necessary in order to ensure knowledge uniformity...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28685017/traumatic-diaphragmatic-rupture-with-underlying-lung-laceration-and-tension-pneumoperitoneum
#16
Zexi Allan, Calvin Peng, Raaj Chandra
Tension pneumoperitoneum is commonly caused by gastrointestinal perforation and pulmonary causes are extremely rare. We present a case of a 47-year-old male post motor vehicle accident with a suspected left-sided haemopneumothorax on initial chest x-ray. CT of the chest post chest tube insertion showed a left-sided diaphragmatic rupture and an extensive diaphragmatic hernia. While en-route to the operating theatre, the intubated patient developed tension pneumoperitoneum with positive pressure ventilation and required immediate surgical intervention and repair...
June 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28682219/task-shifting-of-orthopaedic-surgery-to-non-physician-clinicians-in-malawi-effective-and-safe
#17
Torsten J Wilhelm, Kondwani Dzimbiri, Victoria Sembereka, Martin Gumeni, Olaf Bach, Henning Mothes
There is a shortage of orthopaedic surgeons in Malawi. Orthopaedic clinical officers (OCOs) treat trauma patients and occasionally perform major orthopaedic surgery. No studies have assessed the efficacy and safety of their work. The aim of this study was to evaluate their contribution to major orthopaedic surgery at Zomba Central Hospital. Data about orthopaedic procedures during 2006-2010 were collected from theatre books. We selected major amputations and open reductions and plating for outcome analysis and collected details from files...
January 1, 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28682133/outcomes-of-an-innovative-training-course-in-laparoscopic-hernia-repair
#18
D Light, S Bawa, P Gallagher, L Horgan
INTRODUCTION The Ethicon™ laparoscopic inguinal groin hernia training (LIGHT) course is an educational course based on three days of teaching on laparoscopic hernia surgery. The first day involves didactic lectures with tutorials. The second day involves practical cadaveric procedures in laparoscopic hernia surgery. The third day involves direct supervision by a consultant surgeon during laparoscopic hernia surgery on a real patient. We reviewed our outcomes for procedures performed on real patients on the final day of the course for early complications and outcomes...
July 6, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28679461/cost-analysis-of-injection-laryngoplasty-performed-under-local-anaesthesia-versus-general-anaesthesia-an-australian-perspective
#19
D Chandran, C M Woods, M Schar, N Ma, E H Ooi, T Athanasiadis
OBJECTIVE: To conduct a cost analysis of injection laryngoplasty performed in the operating theatre under local anaesthesia and general anaesthesia. METHODS: The retrospective study included patients who had undergone injection laryngoplasty as day cases between July 2013 and March 2016. Cost data were obtained, along with patient demographics, anaesthetic details, type of injectant, American Society of Anesthesiologists score, length of stay, total operating theatre time and surgeon procedure time...
July 6, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28675797/delivery-of-anoxic-gas-mixtures-in-anaesthesia-case-report-and-review-of-the-struggle-towards-safer-standards-of-care
#20
M Pauling, C M Ball
In 1983 a patient at The Alfred Hospital, Melbourne died during general anaesthesia for emergency surgery, in the weeks following maintenance to the operating theatre gas supply. In the ensuing investigation, it was revealed that he had been given 100% nitrous oxide throughout the anaesthetic due to the inadvertent crossing of the nitrous oxide and oxygen pipelines during the repair work. In this article we review the published literature on the delivery of hypoxic and anoxic gas mixtures, and the associated morbidity and mortality...
March 2017: Anaesthesia and Intensive Care
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