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Wilson, Rachel - - 2012
There are a number of desirable healthcare practices, such as the requirement for consent and confidentiality, and a respect for the patient, that are ethically sound and legally required (Staunton & Chiarella 2008). The purpose of the law is to provide a deterrent to malpractice, and compensation when things go ...
Ellis, Harold - - 2012
There is no doubt that the widespread habit of cigarette smoking, which commenced among the troops in the First World War and which became almost universal in the second, was responsible for the rise in incidence of cancer of the lung throughout the Western World to its position today as ...
Ghorbani, Azam - - 2012
This study was performed to compare the effects of two hand decontamination methods on the microbial burden of operating room staff hands. The surgical hand washing methods compared were a traditional surgical hand scrub using a povidone iodine solution, and a social wash using a liquid non-antibacterial soap followed by ...
Litak, Dominika - - 2012
The article reviewed is: Parental presence during resuscitation in the PICU: the parents' experience. Sharing and surviving the resuscitation: a phenomenological study (Maxton 2008). The article provides an insight into parents' experiences of being present or absent during successful or unsuccessful resuscitation attempts on their child. It can help healthcare ...
Pirie, Susan - - 2012
The aim of this article is to provide guidance to perioperative practitioners on some of the legal and professional issues associated with their practice. It is anticipated that students and practitioners new to the perioperative environment will find this article can assist them in relating the issues discussed to their ...
Bulfone, Giampiera - - 2012
To explore the incidence of intraoperative pressure sores, the associated risk factors and the preventive strategies adopted by nurses, we adopted a longitudinal study in a 900-bed teaching hospital with multiple operating theatres, located in the North of Italy. Patients who underwent major surgery were evaluated four times: at the ...
Lydon, Christina - - 2012
The aim of this literature review was to explore Irish student nurses' experiences of theatre allocations as limited research has been conducted in this area.
Byrne, Clare - - 2011
Methicillin resistant Staphylococcus aureus (MRSA) is defined as any strain of Staphylococcus aureus resistant to beta-lactam antibiotics, including the penicillins and cephalosporins. Over the past ten years the UK has seen a dramatic increase in MRSA prevalence in healthcare facilities and the community, with an estimated 30-50% of healthy adults ...
Pastides, Philip - - 2011
The purpose of preoperative investigations is to provide diagnostic and prognostic information. Preoperative tests requested for a cohort of patients admitted for simple trauma related procedures were retrospectively reviewed. Adherence to the NICE guidelines was found to be 5%. No result from a blood test led to a change in ...
Parry, Andrew - - 2011
Local anaesthetics have been used within surgical practice since the late 1800s, when the ophthalmologist Carl Koller discovered the tissue numbing properties of cocaine (Odedra & Lyons 2010). Since that time, the ongoing development of anaesthetic drugs has provided many different local anaesthetics (LA) to clinical practice. The techniques for ...
Skillman, Joanna - - 2011
When intermittent compression devices (ICDs) are used to prevent venous thromboembolism (VTE) they can cause pressure sores in a selected group of women, undergoing long operations. A prospective audit pre and post intervention showed a reduced risk with an alternative device, without increasing the risk of VTE.
Hirst, Guy - - 2011
The Association for Perioperative Practice has taken a leading role in raising awareness of the importance of human factors in healthcare. We at Atrainability (2011) have been privileged to run training courses on human factors to association members at the last two annual conferences and also at venues throughout the ...
Ellis, Harold - - 2011
In numerous examples in this series of essays on 'The Early Days of ...' there is argument and debate about who should be given the credit for introducing a particular major advance in treatment. However, in the story of the management of tumours involving the spinal cord, there is no ...
Randle, Jacqueline - - 2011
Bullying is a sensitive issue which is no longer confined to the school playground; adults are increasingly aware that workplace bullying is on the rise. Healthcare workers as well as patients are affected by bullying which can result in anxiety, dismay and powerlessness. The impact of workplace bullying on patient ...
Reid, Jane - - 2011
Surgical procedures are intended to save lives and improve the quality of life, however omissions in essential practices (system and human error) contribute to unsafe surgical care, and cause significant harm to patients. For centuries it was believed that patients' co-morbidities and the surgeon's technical competence were the key determinants ...
Quick, Julie - - 2011
The notion of different professional groups working and learning together is by no means new in healthcare. Members of each professional group within the perioperative environment frequently work and learn together in order to improve the care of the surgical patient. However traditional perioperative teamwork is being transformed as national ...
Sultan, Pervez - - 2011
Tracheal intubation constitutes a routine part of anaesthetic practice both in the operating theatre as well as in the care of critically ill patients. The procedure is estimated to be performed 13-20 million times annually in the United States alone. There has been a recent renewal of interest in the ...
Ellis, Harold - - 2011
Severe arterial bleeding must have been a common, much feared and often fatal complication of trauma since man appeared on Earth. The early surgeons would have used direct pressure on the wound, which would only have provided temporary relief, or learned to apply a tight dressing. If it was an ...
Timmons, Jean - - 2011
The assistant theatre practitioner (ATP) is increasingly being developed across a range of healthcare settings to support the role of the registered practitioner (Skills for Health 2010). Where ATPs take on roles that were previously the domain of registered practitioners, it is essential that safety and quality of care is ...
Rymaruk, Sophy - - 2011
'On the day' cancellations carry significant consequences. This article reviews all cases that were cancelled on the day of surgery within the general surgical directorate of the Royal Hallamshire Hospital, Sheffield from 2005 - 2010. 978 cancellations were made on the day of surgery. Most significant reasons were due to ...
Dawkins, Sarah - - 2011
A review of current literature highlighted the lack of national or local guidelines for post anaesthetic care unit (PACU) practitioners/recovery room nurses to extubate their own patients. This article documents the findings of a systematic literature review and gives simple diagrammatic representations from a comprehensive flow chart that has been ...
Findlay, John - - 2011
The UK Hospital at Night (H@N) programme is hypothesised to improve efficiency of out-of-hours care. No studies have assessed a surgical programme or mechanisms of effect. This prospective study aimed to do so in a trauma and orthopaedic department over 10 weeks. Senior house officers recorded night shift activity. Mean ...
Ellis, Harold - - 2011
The syndrome of bladder neck obstruction, often leading to retention of urine, in ageing men has been recognised since earliest times.
Chewter, Michelle - - 2011
I am an operating department practitioner (ODP) who routinely applies cricoid pressure under the direction of an anaesthetist in order to prevent gastric aspiration. This article examines the current use of cricoid pressure in anaesthetics.
Parizkova, Barbora - - 2011
New technologies are being introduced every day in the perioperative setting and perioperative practitioners will need to become increasingly familiar with transoesophageal echocardiography (TOE). TOE is used as a diagnostic tool during cardiac surgery in the operating theatre to direct the surgical procedure and to detect acute complications. TOE is ...
Simon, Mary - - 2011
Lasers are used for a wide range of applications in operating departments and all persons working in a laser environment are required to understand the safety issues involved. This article details the various hazards associated with laser use and the management structure, procedures and control measures that should be implemented ...
O'Dowd-Booth, Christopher - - 2011
Bone cement has been increasingly used in orthopaedic surgery over the last 50 years. Since Sir John Charnley pioneered the use of polymethylmethacrylate cement in total hip replacements, there have been developments in cementing techniques and an expansion in the number of orthopaedic procedures that use cement. This review covers ...
Bagshaw, Maria - - 2011
There appears to be little literature in paediatric anaesthetic practice relevant to children suffering with autism (Rainey & Van der Walt 1998). Recent findings suggest a need for rigorous study of the potential problems that autistic children may have when undergoing an anaesthetic (Kirz 2007). Some healthcare professionals do not ...
Meachin, James - - 2011
Airway management is a fundamental skill in the implementation and maintenance of a general anaesthetic. An anaesthetised patient does not have full control over their airway, and without management a partial obstruction or other more serious complication may occur (Griffiths 1999). There are many ways to reduce the risk of ...
Jones, Susan - - 2011
Safe surgery is a world-wide recognised issue. The World Health Organization statistics show that the occurrence of major complications is between 3 and 16%, and the occurrence of disability and death is between 0.4 and 0.8% (WHO 2009).
Khoyratty, Saleem - - 2011
Patients awaiting surgery are often fasted preoperatively well in excess of the recommended fasting times. Educated perioperative practitioners were asked to discuss preoperative starvation with patients. Preoperative starvation period for clear fluids was significantly reduced from a mean of 8 hours 30 minutes in the original audit, to 6 hours ...
Dhinsa, Baljinder - - 2011
With the increasing use of oral anticoagulation therapy the appropriate management of perioperative anticoagulation is of surgical importance. There is a delicate balance between the risk of a perioperative thromboembolic event and the risk of operative bleeding from anticoagulation. Whilst there are a range of options available to the clinician, ...
Siddique, Khurram - - 2011
Hydrocolloid dressings are impermeable dressings that provide an optimal environment for wound healing. These dressings are very effective in healing chronic wounds but evidence regarding their use for the post-operative knee and hip surgery is scarce. Our experience shows that hydrocolloid dressing (Duoderm[R]) helps in preventing not only superficial surgical ...
Ellis, Harold - - 2011
To the lay public, the very idea of an operation on that vital structure, the heart, seems to be out of the question. (In fact, the heart muscle is an incredibly tough machine that can go on pumping, without a single service, for 90 or more years!) Even to the ...
Grainger, Hannah - - 2011
The use of Intraoperative Cell Salvage (ICS) in obstetrics has been slow to develop as a result of theoretical concerns relating to amniotic fluid embolism and fetal red cell contamination. In this article we examine the current UK position on the use of ICS in this clinical speciality and the ...
O'Shea, Maria - - 2011
The purpose of this paper is to present the findings of an evaluation study which examines the perceived effectiveness of a pre-admission visit for children (and their parents) undergoing day surgery procedures in the Republic of Ireland. This follow on paper provides the findings of an evaluation study subsequent to ...
Benna, Sammy - - 2011
Data from the NHS Information Centre reveals that more than one in three adults (36.9%) is overweight. In addition, almost a quarter of adults (24% of men and 25% of women aged 16 or over) are obese, with their need for treatment placing a growing burden on the NHS (The ...
Kelliher, Leigh - - 2011
The concept of 'enhanced recovery' following elective surgery is becoming increasingly prominent in the world of perioperative practice. Enhanced recovery pathways (ERP) are being implemented in more and more trusts throughout the UK, and in multiple different surgical specialties. But what does enhanced recovery actually mean and how does it ...
Thomas, David - - 2011
Historically, tuberculosis (TB) in the UK was primarily associated with pulmonary infection. However, as the rates of TB in the UK have risen, so has the proportion of extra pulmonary disease. In 1987, the total number of new TB cases was 5,085 and 21% of these were extra pulmonary. By ...
Ellis, Harold - - 2011
There can be little doubt that fractures and wounds would have been among the first problems that the healers within primitive communities would have been called upon to treat. Indeed, this has been amply confirmed by anthropologists and archaeologists. The Australian aboriginals seem to have taken the adage 'splint the ...
Holmes, Norah - - 2011
Aspiration pneumonitis (Mendelson's syndrome) is universally accepted as a complication of general anaesthesia. According to Ellis et al (2007) death from aspiration was first described by Simpson in 1848, and it was not until 1946 that Mendelson identified acid aspiration in a significant number of obstetric patients undergoing facemask anaesthesia. ...
Mitchell, Lucy - - 2011
Adverse events are unintended injuries or complications that are caused by the management of a patient's care rather than by their underlying medical condition. Research into adverse events in hospitals has demonstrated that the operating theatre is one area of healthcare where there is room for improvement, with 41% of ...
White, Jonathan - - 2011
Hip fracture is a major cause of morbidity, mortality and loss of independence for the elderly. Surgical fixation of the fractured hip remains the standard of care to allow for early mobilisation and a return to independence. Operative management in this population carries its own set of problems. The altered ...
Jones, Chris - - 2011
Advances in liver resection surgery have lead to reductions in both mortality and morbidity. However morbidity remains high so effective multidisciplinary teamwork is essential to optimise the perioperative care of this patient group. In this article we review the current literature on the perioperative management of patients undergoing liver resection ...
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