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https://www.readbyqxmd.com/read/29232253/postoperative-nausea-and-vomiting-after-unrestricted-clear-fluids-before-day-surgery-a-retrospective-analysis
#1
Graham C McCracken, Jane Montgomery
BACKGROUND: Guidance on pre-operative fluids fasting policy continues to evolve. Current European guidelines encourage the intake of oral fluids up to 2 h before the induction of general anaesthesia. From October 2014, Torbay Hospital Day Surgery Unit commenced an unrestricted fluid policy, encouraging patients to drink clear fluids up until the time of transfer to theatre. OBJECTIVE: The aim of this study was to assess the incidence of postoperative nausea and vomiting before and after the change to the unrestricted pre-operative clear oral fluids...
December 11, 2017: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/29232194/persistent-ventricular-bigeminy-during-anesthesia-in-pediatric-patients-a-case-report-of-an-11-year-old-child
#2
Sheetal Dalal, Vikas Chaudhari
An 11-year-old male child with fractures in both bones in his left forearm presented for open reduction and internal fixation. The pre-anesthetic check-up and investigations did not reveal any pre-existing underlying cardio-respiratory disease. The patient had an uneventful peri-operative period during the operation and was comfortable without any anxiety or restlessness. After an uneventful induction and intubation as per routine protocol, the patient received 600 mg of amoxicillin+clavunate intravenously as an antibiotic...
December 12, 2017: Journal of Basic and Clinical Physiology and Pharmacology
https://www.readbyqxmd.com/read/29231957/eating-disorders-in-non-dance-performing-artists-a-systematic-literature-review
#3
REVIEW
Marianna E Kapsetaki, Charlie Easmon
PURPOSE: Previous literature on dancers and athletes has shown a large impact of eating disorders (EDs) on these individuals, but there is limited research on EDs affecting non-dance performing artists (i.e., musicians, actors, etc.). This systematic review aimed to identify and evaluate the literature on EDs in non-dance performing artists. METHODS: A systematic review of the literature was performed on 24 databases, using search terms related to EDs and non-dance performing artists...
December 2017: Medical Problems of Performing Artists
https://www.readbyqxmd.com/read/29227054/auditing-surgical-service-provision-at-a-south-african-tertiary-institution-implications-for-the-development-of-district-services
#4
G L Laing, D L Skinner, J L Bruce, C Aldous, V Govindasamy, S R Thomson, D L Clarke
BACKGROUND: The optimal management of resources within South African state hospitals has been hampered by a paucity of data due to a lack of robust auditing information systems. This study reviews the use of a Hybrid Electronic Medical Record (HEMR) system to capture and aggregate data pertaining to the inpatient service demands on a South African tertiary surgical service. This dataset was used to analyse the appropriateness of tertiary surgical resource utilisation. METHOD: The HEMR system was implemented at Greys Hospital, in the city of Pietermaritzburg, Kwa-Zulu Natal, South Africa on 1 January 2013...
November 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/29222590/technical-accuracy-of-the-integration-of-an-external-ultrasonography-system-into-a-navigation-platform-effects-of-ultrasonography-probe-registration-and-target-detection
#5
Frederic A Wanis, Lars Wessels, Marcus H T Reinges, Eberhard Uhl, Andreas Jödicke
BACKGROUND: Intraoperative navigated ultrasonography has reached clinical acceptance, while published data for the accuracy of some systems are missing. We technically quantified and optimised the accuracy of the integration of an external ultrasonography system into a BrainLab navigation system. METHODS: A high-end ultrasonography system (Elegra; Siemens, Erlangen, Germany) was linked to a navigation system (Vector Vision; BrainLab, Munich, Germany). In vitro accuracy and precision was calculated from differences between a real world target (high-precision crosshair phantom) and the ultrasonography image of this target in the navigation coordinate system...
December 8, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29222580/-use-of-antibiotics-in-bones-prophylaxis-and-current-treatment-standards
#6
REVIEW
L Frommelt
BACKGROUND: Treatment of bone infection is difficult due the systemic administration of antibiotics, which means that only low concentrations reach the inflamed bone tissue. Loss of bone stock is common in osteomyelitis and device associated infection. Local antibiotics are administered in several ways for prophylactic purposes and also for treatment of bone infection. We intend to show the options and limitations of clinical use of antibiotic-loaded bone grafts. SUITABILITY: Bone grafts are a suitable carrier system for antibiotics...
December 8, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/29214159/quality-of-care-during-neonatal-resuscitation-in-kakamega-county-general-hospital-kenya-a-direct-observation-study
#7
Duncan N Shikuku, Benson Milimo, Elizabeth Ayebare, Peter Gisore, Gorrette Nalwadda
Background: Birth asphyxia is the leading cause of neonatal mortality in Kenya. Quality care during neonatal resuscitation (NR) can contribute to a reduction in neonatal mortality related to birth asphyxia by 30 percent. This study assessed the quality of care (QoC) during NR for newborns with birth asphyxia. Methods: Direct observations of 138 newborn resuscitations were done in labor ward and maternity theatre. Twenty-eight healthcare providers were observed 3-5 times using a structured checklist...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29212821/trabeculectomy-bleb-needling-and-antimetabolite-administration-practices-in-the-uk-a-glaucoma-specialist-national-survey
#8
Karl Mercieca, Brett Drury, Archana Bhargava, Cecilia Fenerty
AIMS: To evaluate, describe and quantify the diversity in postoperative antimetabolite administration and bleb needling practices among glaucoma specialists performing trabeculectomy surgery within the UK and Ireland. METHODS: A cross-sectional online survey was distributed to all consultant glaucoma specialists who are on the United Kingdom and Eire Glaucoma Society (UKEGS) contact list. Participants were asked specific questions about their current practices for post-trabeculectomy antimetabolite administration followed by questions directly related to bleb needling procedures...
December 6, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/29212674/iatrogenic-articular-cartilage-injury-the-elephant-in-the-operating-theatre-the-surgeons-role-in-chondroprotection
#9
EDITORIAL
A K Amin, A H R W Simpson, A C Hall
No abstract text is available yet for this article.
December 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/29193169/electronic-remote-blood-issue-combined-with-a-computer-controlled-automated-refrigerator-for-major-surgery-in-operating-theatres-at-a-distance-from-the-transfusion-service
#10
Franco Verlicchi, Pasqua Pacilli, Arianna Bragliani, Silvia Rapuano, Daniele Dini, Daniele Vincenzi
BACKGROUND: The difficulty of supplying red blood cells within an adequate time to patients undergoing surgery is a known problem for transfusion services, particularly if the operating theater is located at some distance from the blood bank. The consequences frequently are that more blood is ordered than required; several units are allocated and issued; and unused units must be returned to the blood bank. Some sparse reports have demonstrated that remote blood issue systems can improve the efficiency of issuing blood...
November 29, 2017: Transfusion
https://www.readbyqxmd.com/read/29187216/use-of-a-flowable-haemostat-versus-an-oxidised-regenerated-cellulose-agent-in-primary-elective-cardiac-surgery-economic-impact-from-a-uk-healthcare-perspective
#11
Mayur R Joshi, Jacqueline Latham, Gabriel Okorogheye
BACKGROUND: Flowable haemostatic agents have been shown to be superior to non-flowable agents in terms of haemostatic control and need for transfusion products in patients undergoing cardiac surgery. We investigated the economic impact of the use of a flowable haemostatic agent (Floseal) compared with non-flowable oxidised regenerated cellulose (ORC) agent in primary elective cardiac surgery from the perspective of the UK National Health Service (NHS). METHODS: A cost-consequence framework based upon clinical data from a prospective trial and an observational trial and NHS-specific actual reference costs (2016) was developed to compare the economic impact of Floseal with that of ORC...
November 29, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29184657/hand-eye-calibration-using-a-target-registration-error-model
#12
Elvis C S Chen, Isabella Morgan, Uditha Jayarathne, Burton Ma, Terry M Peters
Surgical cameras are prevalent in modern operating theatres and are often used as a surrogate for direct vision. Visualisation techniques (e.g. image fusion) made possible by tracking the camera require accurate hand-eye calibration between the camera and the tracking system. The authors introduce the concept of 'guided hand-eye calibration', where calibration measurements are facilitated by a target registration error (TRE) model. They formulate hand-eye calibration as a registration problem between homologous point-line pairs...
October 2017: Healthcare Technology Letters
https://www.readbyqxmd.com/read/29182126/a-comparison-of-ketamine-sedation-and-general-anaesthesia-for-manipulation-of-paediatric-forearm-fractures
#13
R W Jordan, A Aquilina, D J Westacott, S Cooke
The purpose of the study was to compare the use of ketamine sedation and general anaesthesia for manipulation of paediatric wrist and forearm fractures. A retrospective analysis was performed of patients under 16 years treated at our centre between October 2014 and October 2015. Exclusion criteria were open fractures and fractures with complete displacement. Outcomes measured were fracture reduction, the quality of the cast, fracture redisplacement, further surgical intervention and use of theatre time. 66 children were manipulated over the study period; 31 received ketamine sedation and 35 general anaesthesia...
December 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29180162/using-a-community-theatre-as-a-self-directed-introductory-pharmacy-practice-experience-sd-ippe-site
#14
Thomas S Franko
OBJECTIVE: To describe a novel setting and method for self-directed introductory pharmacy practice experiences (SD IPPE). METHODS: Students presented health care information relative to the plot of a production at a local community theater throughout the season. Students developed a poster and handout that were presented in the theater lobby prior to each production. ASSESSMENT: A six-question survey was provided to students after each presentation that identified their perceived benefit to play patrons and their overall experience using a 5-point Likert scale...
January 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29179884/mortality-pattern-in-otorhinolaryngology-ward-a-5-years%C3%A2-retrospective-study-at-an-urban-tertiary-health-care-center-in-india
#15
Vivek Kumar, Satish Kumar, Naresh Chandra Sharma, Badal Kumar
BACKGROUND: To recognize deaths in the otorhinolaryngology indoor wards, determine the reason behind the mortalities and recommend modifications for betterment of patient care and surgical outcomes. METHOD: Data was collected from the mortality register, operation theatre registers, ward registers and case notes of patients declared dead at an urban tertiary health care center in India for a period of 5 years; from January 2012 to December 2016. The data included date of admission, age, sex, educational status, residence, and clinical diagnosis, course of hospital stay and medical cause of death...
October 2017: Biomedical Journal
https://www.readbyqxmd.com/read/29176495/soft-factors-smooth-transport-the-role-of-safety-climate-and-team-processes-in-reducing-adverse-events-during-intrahospital-transport-in-intensive-care
#16
Markus Latzke, Michael Schiffinger, Dominik Zellhofer, Johannes Steyrer
BACKGROUND: Intrahospital patient transports (IHTs) in intensive care involve an appreciable risk of adverse events (AEs). Research on determinants of AE occurrence during IHT has hitherto focused on patient, transport, and intensive care unit (ICU) characteristics. By contrast, the role of "soft" factors, although arguably relevant for IHTs and a topic of interest in general health care settings, has not yet been explored. PURPOSE: The study aims at examining the effect of safety climate and team processes on the occurrence of AE during IHT and whether team processes mediate the effect of safety climate...
November 15, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/29175969/time-and-motion-studies-of-national-health-service-cataract-theatre-lists-to-determine-strategies-to-improve-efficiency
#17
Harry W Roberts, James Myerscough, Simone Borsci, Melody Ni, David P S O'Brart
AIM: To provide a quantitative assessment of cataract theatre lists focusing on productivity and staffing levels/tasks using time and motion studies. METHODS: National Health Service (NHS) cataract theatre lists were prospectively observed in five different institutions (four NHS hospitals and one private hospital). Individual tasks and their timings of every member of staff were recorded. Multiple linear regression analyses were performed to investigate possible associations between individual timings and tasks...
November 24, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/29174807/impact-of-hydration-and-nutrition-on-personal-performance-in-the-clinical-workplace
#18
REVIEW
D Parry, R S Oeppen, H Gass, P A Brennan
As clinicians we sometimes fail to look after ourselves at work. We often do not drink enough during the day or miss lunch breaks while caring for patients, and this can be particularly evident during an all-day operating list when procedures are long and complex. Some operating theatre staff do not even eat breakfast regularly. Inadequate intake of fluids or nutrition can impair performance, lead to tiredness and headaches, and may compromise both our own health and the care we provide to patients. Other high-risk organisations, including aviation, have recognised that employees must look after themselves if they are to optimise their performance...
November 23, 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29172067/improving-communication-at-handover-and-transfer-reduces-retained-swabs-in-maternity-services
#19
Katie Lean, Bethan F Page, Charles Vincent
OBJECTIVE: To reduce the incidence of retained vaginal swabs and near misses. STUDY DESIGN: A review of previous retained swab incidents and near misses in a large maternity unit identified handovers and transfers as a key point of vulnerability. Interventions were introduced to improve communication at handover from the delivery suite to theatre and from theatre to the high dependency unit. Process data was collected to monitor compliance. The outcome measures were the incidence of retained swab never events and the incidence of near misses...
November 9, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29170338/41%C3%A2-simultaneous-trauma-patients-in-emergency-department-s-a-difference-in-mortality
#20
Laura Morrow, Tim Nutbeam
BACKGROUND: The presentation of multiple simultaneous trauma patients in an Emergency Department, is likely to place significant stress and strain on trauma care resources. Currently there is limited data available to understand the impact simultaneous trauma demands on patient outcomes. For the purposes of this project we define simultaneous trauma as occurring when there is more than one TARN qualifying major trauma patient within an Emergency Department at any one time. We hypothesise that with increasing numbers of simultaneous trauma patients a relative increase in mortality will be seen...
December 2017: Emergency Medicine Journal: EMJ
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