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Lindsay, William - - 2011
Infection of a prosthetic joint is a significant adverse event, affecting the patient, the surgical team, and consuming hospital resources. The patient faces multiple operations, a prolonged hospital stay and a more challenging period of rehabilitation. The surgeon must perform longer and more technically demanding revision operations in order to ...
Reed, Helen - - 2011
This article describes the development of a new service--the post-anaesthesia care unit (PACU)--that provides extended care in a recovery unit for patients who would have formerly been 'fast-tracked' through a high dependency unit (HDU). Patients requiring major surgery who stay in the recovery unit overnight are invasively monitored, have tight ...
Ellis, Harold - - 2011
Although the normal thyroid gland is invisible and impalpable, its enlargement gives such an obvious swelling in the front of the neck that this pathology has been observed from ancient times. Old names for the swollen gland included 'bronchocele', which means a cystic mass in the neck, 'struma', (Latin for ...
Wong, James - - 2011
Ever since Themistocles Gluck described the use of an ivory cup as a tibial hemiarthroplasty in 1894, knee arthoplasty has continued to evolve. Both human ingenuity and intensive clinical research has led to an improved understanding of biomaterials and knee kinematics, resulting in the modern total knee replacement which has ...
Clapham, Edward - - 2011
Patients with a pierced tongue are appearing with increasing frequency in our anaesthetic practice and much has been written in the literature over the past decade. Some patients are reluctant to remove their piercing when requested to do so. The literature suggests that it can take between 4 and 6 ...
Abraham, Jenny - - 2011
The drive to improve clinical care and productivity in the NHS has required an innovative approach in the use of the resources and skills of the workforce. With rapidly evolving technology, surgical and anaesthetic techniques, concentration is increasingly being placed on improving patient focused pathways, aiming to return patients back ...
Ellis, Harold - - 2011
Man has suffered from bladder stones since the earliest times. The oldest specimen of a bladder stone so far discovered was obtained at the excavation of a grave of a boy of about 16 in an ancient Egyptian burial ground and was dated at around 4800 BC. Of the triad ...
Litak, Dominika - - 2011
Effective communication within the operating department is essential for achieving patient safety. A large part of the perioperative communication is non-verbal. One type of non-verbal communication is 'object communication', the most common form of which is clothing. The colour coding of clothing such as scrubs has the potential to optimise ...
Vallamkondu, Vamsidhar - - 2011
Tracheostomy is a surgical procedure which is increasingly being performed in the intensive care unit (ICU) rather than the operating room (Griffiths et al 2005, Delaney et al 2006). Procedural knowledge including postoperative care is essential for ENT surgeons and ICU practitioners alike. Our article aims to highlight the operative ...
Brame, Karen - - 2011
This article will reflect on my experiences in becoming an advanced scrub practitioner (ASP), using a reflective model to support the structure. Since Dewey's simple claim (1938, cited by Rolfe 2001) that 'we learn by doing and realising what came of what we did', many other authors have advocated and ...
Sultan, Pervez - - 2011
An anaesthetic preoperative assessment for all patients is the standard of care in UK hospitals. The Royal College of Anaesthetists (RCoA) 2009 guidelines state that a postoperative visit, within 24 hours following surgery, is recommended for patients only in certain circumstances. This article critiques these guidelines and explores factors which ...
Rees, Colin - - 2011
Research ethics relate to three groups of perioperative nurses: those who undertake research within the clinical area, those clinically responsible for patients taking part in research studies or trials, and finally the students and qualified staff who critique research articles and want to ensure that the standard of ethical rigour ...
Spurrier, Edward - - 2011
It is common practice in wrist arthroscopy to suspend the patient's arm using Chinese finger traps and to distract the wrist joint by applying weight to the arm at the elbow. This may apply significant pressure to the fingers, and potentially damage the digital nerves. We examined the pressure applied ...
Onyema, Christopher - - 2011
Knee arthroscopy is a minimally-invasive technique that allows intra-articular assessment and treatment of knee joint pathology. It has proven benefits of reduced patient morbidity, earlier recovery and mobilisation, and it is cost-effective. In this paper we review the anatomy of the knee joint, indications and contra-indications to knee arthroscopic use, ...
Ellis, Harold - - 2011
Most healthcare professionals, if asked, would say that plastic and reconstructive surgery is a recent phenomenon. So most of it is, but, rather surprisingly, the story of replacing the absent nose goes back for many centuries.
Bloodworth, Kerry - - 2011
A new approach: The Productive Ward, facilitates removal of time wastage in a busy modern hospital. The lessons learnt from this system are potentially generic and can be applied to other departments, such as in the operating theatres. Inherent to this innovative approach are the 'lean' principles that are now ...
Ellis, Harold - - 2011
The parathyroid endocrine glands, usually four in number and about the size of a split pea, lie on either side of the posterior aspect of the thyroid gland. Occasionally one or more of these structures are found in an aberrant position in the neck or even in the superior mediastinum. ...
Huntley, James - - 2011
Debridement--the surgical excision of dead and contaminated tissue--is an important component of the management of open wounds and fractures. Key components in the evolution of modern technique of wound management were:
Lipp, Allyson - - 2011
This article examines the evidence base for the use of microbial sealant as a skin preparation prior to surgery. Firstly, using the steps of evidence-based practice the use of cyanoacrylate as a microbial sealant was explored. Next the evidence regarding the use of cyanoacrylate based microbial sealant was sought and ...
Ewart, Luke - - 2011
This article examines some of the evidence to identify the incidence of awareness with explicit recall following general anaesthesia and whether this incidence is reduced through monitoring of the bispectral index (BIS). It can be concluded from the results of these studies that the use of a protocol to guide ...
Sivanandan, Indu - - 2011
Surgical site infections are one of the most important causes of healthcare associated infections (HCAI), accounting for 20% of all HCAIs. Surgical site infections affect 1% of joint replacement operations.
Bosworth, Kerry - - 2011
Objective: To assess the use of balanced and unbalanced crystalloids in adult surgical patients.
Edwards, Zoe - - 2011
Caesarean section as a means of delivering babies has been around for centuries with numerous references to the procedure appearing in ancient writings (Simm & Matthew 2008). It is now the most common major surgical intervention carried out on women in the world, with between 23% and 30% of deliveries ...
Rothwell, Ann - - 2011
Alexis Carrel was awarded the 1912 Nobel Prize for Physiology or Medicine for pioneering surgical techniques in vascular surgery. His triangulation technique enabled successful anastomosis of blood vessels and subsequently led to advances in blood vessel and organ transplantation. However, Alexis Carrel did not limit his research to the vascular ...
Crowley, Aidan - - 2011
This article is one of many written by a student operating department practitioner (ODP) telling their story from the day they entered the operating theatre. Their intention is to share reflections and tips on how they coped with the overwhelming, complex and diverse aspects of perioperative practice.
Findlay, John - - 2011
Venous thromboembolism is the most common preventable cause of hospital death. Rates of thromboprophylaxis were studied prospectively in 158 surgical patients before and after multidisciplinary intervention. Prescription of mechanical prophylaxis improved from 58.8% to 76.6% (p=0.015) following multidisciplinary education. Non-significant increases were seen in pharmacological prescription. Simple multidisciplinary education improves ...
Modi, Neil - - 2011
Glaucoma is a potentially blinding condition that cannot be easily defined. There are various types of glaucoma which may vary in symptoms from none at all to sudden pain and redness. There is a characteristic optic neuropathy, or damage to the optic nerve, which results in progressive loss of visual ...
Ellis, Harold - - 2011
Today, when lives are routinely saved by early open or laparoscopic surgery, it is hard to imagine that young women suffering from ruptured ectopic pregnancy were left to their fate or submitted to procedures which had no possibility of dealing effectively with the haemorrhaging fallopian tube. As we shall describe, ...
Phillips, Steven - - 2011
The role of surgical gloving is to minimise the risk of surgical site infection (SSI) and to protect the surgical team from cross infection. However, different practitioners have different views as to when double gloving is appropriate, with many factors like speciality and procedure dictating their use. This review will ...
Pirie, Susan - - 2011
Documentation and record keeping is an important aspect of healthcare practice and perioperative practice is no exception to this rule. For some time now, recording every activity or intervention that a patient receives has assisted with enhancing perioperative practice; equally, it has played a key part in resolving legal and ...
Chimutengwende-Gordon, Mukai - - 2011
Pelvic fractures are often high energy injuries and are associated with a high morbidity and mortality. The plain antero-posterior pelvis radiograph is part of the advanced trauma life support radiographic trauma series and is used as a screening test. The main limitation of plain anteroposterior pelvic radiographs is the difficulty ...
Ellis, Harold - - 2010
Anderson, Lynne - - 2010
Lipp, Allyson - - 2010
A critique of a research article on preoperative skin antisepsis was undertaken using a recognised framework. This critique drew out issues which may be of use for clinicians in making a judgement regarding implementing change into their clinical practice.
Holland, Joanna - - 2010
As our elderly population increases, theatre staff are frequently presented with the challenges of caring for patients with co-morbidities who are undergoing surgery. This article aims to educate the reader about Parkinson's disease, and suggest interventions that perioperative practitioners may want to consider in order to improve the patient's experience ...
Al-Benna, Sammy - - 2010
Infections, particularly those caused by antibiotic-resistant gram-positive bacteria, such as methicillin-resistant staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE), are a growing concern, particularly in units in which patients are immunosuppressed either intentionally (as for transplantation) or as a result of trauma (severe burns) or disease (such as acquired immunodeficiency disease) ...
Ellis, Harold - - 2010
For centuries the function of the spleen was widely debated. Vesalius, while Professor of Anatomy in Padua in the first part of the 16th century, is reported to have removed the spleen in living animals and to have shown that this was consistent with survival. An English surgeon, Timothy Clark ...
Potty, Anish - - 2010
Diathermy has revolutionised modern surgery and is an important tool for efficient and safe surgical practice. It has evolved to become the modern day scalpel, being used for cutting and coagulating tissues. This article addresses the functioning and safe use of diathermy in the perioperative setting. The various precautionary checks ...
Kaczynski, Jakub - - 2010
A retrospective audit of diabetes glycaemic control optimisation in one primary care practice prior to elective surgery was undertaken. Collected data included: demographics, glycosylated haemoglobin A1c (HbA1c) records, evidence of diabetes related glycaemic control optimisation. Of the 82 patients in this study only 46 had an HbA1c measured pre-operatively and ...
Rogers, Benedict - - 2010
Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), is a common cause of cardiovascular mortality and morbidity. Patients undergoing major orthopaedic surgery, including hip and knee arthroplasty, represent a group that is at particularly high risk for VTE, especially patients with risk factors (age >60 years, ...
Nicholas-Holley, Jane - - 2010
There is increasing need for suitably trained perioperative staff to work within the recovery room (or post anaesthetic care unit) especially where our patients are children. There appears to be a lack of paediatric nurses applying for and taking up recovery posts, therefore making recruitment of staff problematic. A solution ...
Khan, Sohail - - 2010
Knowledge has no borders; wisdom has no race or nationality.
Dhinsa, Baljinder - - 2010
With the ever-increasing number of patients with diabetes undergoing surgical procedures, effective perioperative management of diabetes mellitus has become progressively more important. In this review we discuss a number of strategic approaches to improve perioperative management, where the fine balance between aggressive blood glucose management and prevention of hypoglycaemia must ...
Ellis, Harold - - 2010
I think it is true to say that most of us in healthcare regard blood transfusion as just a routine, although very important, part of the care of patients undergoing major surgery. Yet behind that container of blood dripping into your patient lies a long and fascinating story of the ...
Rothwell, Ann - - 2010
Gas gangrene is a painful, rapidly developing and potentially fatal infection despite antibiotic treatment. During the First World War thousands of soldiers died from this disease. Dr Alexis Carrel pioneered a controversial method of irrigating wounds with Dakin's solution to destroy Clostridium perfringens, a bacterium found in heavily fertilised soils ...
Quick, Julie - - 2010
Julie Quick and Sarah Williams--surgical care practitioners and Sarah Addison--consultant surgeon, present their own experiences of the surgical care practitioner (SCP) role and answer the question posed by Kim Sayers (pseudonym): 'Surgical care practitioners ... why?' (JPP March 2010).
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