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Anaesthetic technician

H T Shalabi, M D Price, S T Shalabi, E B Rodas, A L Vicuña, B Guzhñay, R R Price, E Rodas
INTRODUCTION: Five billion people worldwide do not have timely access to surgical care. Cinterandes is one of the only mobile surgical units in low- and middle-income countries. This paper examines the methodology that Cinterandes uses to deliver mobile surgery. METHODS: Founding and core staff were interviewed, four missions were participated in, and internal documents and records were analysed between 1 May and 1 July 2014. RESULTS: Cinterandes performed 7641 operations over the last 20 years (60% gastrointestinal/laparoscopic), travelling 300,000 km to remote areas of Ecuador...
December 2017: Surgical Endoscopy
Pavel Vodicka, Ludovit Musak, Giovanni Fiorito, Veronika Vymetalkova, Ludmila Vodickova, Alessio Naccarati
The lymphocyte cytokinesis-block micronucleus (CBMN) assay has been applied in hundreds of in vivo biomonitoring studies of humans exposed either environmentally or occupationally to genotoxic chemicals. However, there is an emerging need to re-evaluate the use of MN and other biomarkers within the lymphocyte CBMN cytome assay as quantitative indicators of exposure to main classes of chemical genotoxins. The main aim of the present report is to systematically review published studies investigating the use of the lymphocyte CBMN assay to determine DNA damage in subjects exposed to anaesthetic gases...
October 2016: Mutation Research
Jennifer Weller, David Cumin, Jane Torrie, Matthew Boyd, Ian Civil, Dominic Madell, Andrew MacCormick, Nishanthi Gurisinghe, Alexander Garden, Michael Crossan, Wai Leap Ng, Sharee Johnson, Arden Corter, Tracey Lee, Ludvig Selander, Martina Cokorilo, Alan Forbes Merry
AIMS: Communication failures in healthcare are frequent and linked to adverse events and treatment errors. Simulation-based team training has been proposed to address this. We aimed to explore the feasibility of a simulation-based course for all members of the operating room (OR) team, and to evaluate its effectiveness. METHODS: Members of experienced OR teams were invited to participate in three simulated clinical events using an integrated surgical and anesthesia model...
August 7, 2015: New Zealand Medical Journal
J S Rutherford, R Flin, A Irwin
The outcome of critical incidents in the operating theatre has been shown to be influenced by the behaviour of anaesthetic technicians (ATs) assisting anaesthetists, but the specific non-technical skills involved have not been described. We performed a review of critical incidents (n=1433) reported to the Australian Incident Monitoring System between 2002 and 2008 to identify which non-technical skills were used by ATs. The reports were assessed if they mentioned anaesthetic assistance or had the boxes ticked to identify "inadequate assistance" or "absent supervision or assistance"...
July 2015: Anaesthesia and Intensive Care
Mohamed Abdullah Seraj
In this historical report, a new light is shed on details of the development of anesthesiology and medical service in Kingdom Saudi Arabia 1956-2011. What Dr. Al-khawashki has done between the period of 1956-1980 was commendable. He has found himself and few anesthetists from Egypt and Pakistan in the front of huge task. The shortage of anesthetists worldwide and the increasing surgical specialties in Saudi Arabia, imposed a huge dilemma on the service. In order to face this problem, there was only one way to cover the continuous expanding surgical services by establishing technical institutes to produce anesthesia technicians able to work under supervision of consultants...
July 2012: Anesthesia, Essays and Researches
J M Weller, J Torrie, M Boyd, R Frengley, A Garden, W L Ng, C Frampton
BACKGROUND: Sharing information with the team is critical in developing a shared mental model in an emergency, and fundamental to effective teamwork. We developed a structured call-out tool, encapsulated in the acronym 'SNAPPI': Stop; Notify; Assessment; Plan; Priorities; Invite ideas. We explored whether a video-based intervention could improve structured call-outs during simulated crises and if this would improve information sharing and medical management. METHODS: In a simulation-based randomized, blinded study, we evaluated the effect of the video-intervention teaching SNAPPI on scores for SNAPPI, information sharing, and medical management using baseline and follow-up crisis simulations...
June 2014: British Journal of Anaesthesia
H Y El Batawi
INTRODUCTION: Dental rehabilitation under general anaesthesia is gaining more popularity among parents as a result of increasing safety margins of new anaesthetic drugs and the adoption of strict policies and procedures that target patient safety and comfort. Harmony between members of the anaesthesia team and the dental team is a must to produce full dental service with least discomfort to our child patients. AIM: To investigate the possible effect of using local analgesia (lidocaine) during general anaesthesia sessions on stabilising heart rate, respiratory rate and tidal CO2 levels during painful dental procedures...
December 2013: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
Sally Walshaw
Through the years, scientists and technicians, within their laboratories, trained individuals new to animal research. In the mid-1980s, new and revised laws/guidelines for animal research, including training, were instituted. The process of training scientists, technicians and students is recognised as essential for animal welfare and good science. Under the current and future revisions of the mandates, training must include specific topics. Training must include details of various regulations and guidelines, proper handling and care for animals, proper pre-procedural and post-procedural care of animals, aseptic surgical methods and procedures, proper use of anaesthetics, analgesics and tranquilisers, methods whereby deficiencies in animal care and treatment are reported, and a search for alternatives to the use of animals...
June 2004: Alternatives to Laboratory Animals: ATLA
Derryn A Gargiulo, Janie Sheridan, Craig S Webster, Simon Swift, Jane Torrie, Jennifer Weller, Kaylene Henderson, Jacqueline Hannam, Alan F Merry
OBJECTIVE: To evaluate the possibility that anaesthetists are administering potentially pathogenic micro-organisms to their patients. DESIGN: Prospective microbiological and observational study in a realistic simulated setting. PARTICIPANTS: Ten anaesthetists supported by 10 anaesthetic technicians. PRIMARY OUTCOME MEASURE: The presence or absence of organisms cultured from sterile intravenous bags used to collect drugs injected during the simulated cases and from the needles and the contents of the syringes used...
October 2012: BMJ Quality & Safety
W S Flournoy, S Mani
Chronic jugular vein or central venous cannulation is routinely performed in human and animal patients for access to blood circulation. In mature swine, chronic catheter placement techniques have typically involved venous isolation via extensive cut-down, blunt dissection and manipulation of ventral neck tissues prior to catheter placement. More recently, guide-wire-assisted percutaneous techniques have become standard practice in human and veterinary medicine due to the minimization of soft tissue and vessel damages...
October 2009: Laboratory Animals
J M Weller, A F Merry, B J Robinson, G R Warman, A Janssen
Trained assistance for the anaesthetist appears likely to improve safety in anaesthesia. However, there are few objective data to support this assumption, and the requirement for a trained assistant is not universally enforced. We applied a simulation-based model developed in previous work to test the hypothesis that the presence of a trained assistant reduces error in anaesthesia. Ten randomly selected anaesthetists, five trained anaesthetic technicians and five theatre nurses without training in anaesthesia participated in two simulated emergencies, with anaesthetists working alternately with a technician or a nurse...
February 2009: Anaesthesia
Brian Smith, Paul Rawling
The purpose of this article is to share our findings since introducing the recently-developed anaesthetic assistant competencies (NHS Education for Scotland 2006). The term 'anaesthetic assistant' will be used throughout this article to refer to those who support the anaesthetist during anaesthesia. It is in no way meant to be derogatory to any person practising currently in this speciality.
May 2008: Journal of Perioperative Practice
M T Kluger, J Bryant
Anaesthetic technicians play a key role in the operating room, yet little is known about their levels of job satisfaction or workplace stress. A blinded, confidential single mail-out survey was posted to anaesthetic technicians in New Zealand. The survey consisted of demographic information, a job satisfaction survey, the Maslach Burnout Inventory and the Short Form 12. At total of 154 forms were returned (51% response rate). Respondents worked predominantly in public hospitals and many had duties outside the operating room...
March 2008: Anaesthesia and Intensive Care
Ruzica Rozgaj, Vilena Kasuba, Gordana Brozović, Anamarija Jazbec
Genetic damage induced by anaesthetic gases in occupationally exposed populations was investigated using the comet assay and micronucleus test. The study included two groups of subjects: 50 operating theatre medical workers (anaesthesiologists, technicians and nurses) and 50 control subjects corresponding in sex, age and smoking habit. The exposed group revealed an increase in genome damage in both tests. In the comet assay, exposure to anaesthetics was a highly significant predictor of the tail length for technicians, while sex proved to be significant predictor of tail moment for women in exposed group...
January 2009: International Journal of Hygiene and Environmental Health
S Sardas, S Izdes, E Ozcagli, O Kanbak, E Kadioglu
OBJECTIVES: Although the genotoxicity related to waste anaesthetic gases is controversial, a consistent number of observations have provided evidence for an increased level of DNA strand breaks. The goal of the research was to investigate this hypothesis and estimate the genoprotective role of antioxidant supplementation in technical anaesthesiology staff working in operating theatres. METHODS: Heparinized venous blood samples were collected from 17 exposed technical anaesthesiology staff (mean age 34...
November 2006: International Archives of Occupational and Environmental Health
J Kurola, P Pere, L Niemi-Murola, T Silfvast, P Kairaluoma, P Rautoma, M Castrén
BACKGROUND: Because of the importance of airway management in emergency care, alternative methods with shorter learning curves for inexperienced personnel have been looked for as a substitute for endotracheal intubation (ETI). METHODS: We compared the success of insertion, oxygenation and ventilation of the intubating laryngeal mask (ILMA), laryngeal tube (LT) and CobraPLA (COB) in anaesthetized patients when used by paramedical students. After informed consent, 96 patients were monitored and anaesthetized for general surgery without the use of a muscle relaxant...
January 2006: Acta Anaesthesiologica Scandinavica
P J Parker, S A Adams, D Williams, A Shepherd
Two Air Assault Surgical Groups (AASGs) from 16 Close Support Medical Regiment deployed to Kuwait on Operation Telic in February 2003. Each AASG was comprised of a four-table resuscitation facility, a two table FST and a twin-bedded ITU facility. An A+E Consultant and nurse, an experienced radiographer and laboratory technician with two further RGNs and CMTs provided resuscitation support. Each FST had an orthopaedic and a general surgeon, two anaesthetists and eight operating department practitioners. Further equipment consisted of a Polymobil 111 X-ray unit, a Sonosite 180 ultrasound scanner and an ISTAT gas, haematocrit and electrolyte analyser...
September 2005: Journal of the Royal Army Medical Corps
A F Smith
No abstract text is available yet for this article.
November 2005: Anaesthesia
M Hakan Ozdemir, Necmi Cekin, I Ozgür Can, Ahmet Hilal
Deaths which occur during the administration of anaesthetics require medicolegal investigations. The objective of this study is to form a database for future comparisons related to anaesthetic-associated malpractice claims and also to investigate the system of expertise, pertaining to such procedures. The decisions of the Supreme Health Council, whose expert opinion is requested by legal authorities (judges, prosecutors) for health workers brought to trial in a criminal court, were examined retrospectively over the period 1995-1999...
October 29, 2005: Forensic Science International
E M van Soest, L Fritschi
OBJECTIVES: The aims of this exploratory study were to survey the prevalence of certain exposures and health problems among a group of veterinary nurses attending the International Veterinary Nurses' Conference in Brisbane, Australia, 2003 and to identify the main concerns among those veterinary nurses with regard to occupational health hazards they may face. METHODS AND MATERIALS: An anonymous self-administered questionnaire was distributed among all attendees of the International Veterinary Nurses' Conference 2003, Brisbane, Australia (N=147 respondents among 215 surveyed)...
June 2004: Australian Veterinary Journal
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