Search Results
Results 151 - 200 of 384
1 2 3 4 5 6 7 8 >
Chimutengwende-Gordon, Mukai - - 2010
Plain cervical spine radiographs are the first line investigation in trauma patients to exclude cervical spine fractures and dislocations. Adequate views are essential to reduce the risk of missing diagnoses. Injuries may however not be visible on plain cervical spine radiographs despite adequate views. Additional imaging such as computer tomography ...
Rogers, Benedict - - 2010
An audit was performed to review the compliance and applicability of the Royal College of Surgeons of England (RCSEng) guidelines for operation notes in a regional plastic surgery department. 137 operation notes were initially audited revealing a variable quality when compared to the guidelines. An aide-memoire (Figure 1) was used ...
O'Riley, Michael - - 2010
'The yron is most excellent but that it is offensive to the eye and bringeth the patient to great sorrowe and dread of the burning and the smart'. Inscription on a 15th century cautery instrument, The Guild of Barber Surgeons, St Audoens Church, Dublin.
Ellis, Harold - - 2010
Today most of us take antibiotics used in our everyday practice very much for granted. Few of us, indeed, have escaped being dosed with them at one time or another. Yet professionals of my generation, as nurses, medical students or doctors in the 1940's, will well remember our amazement at ...
Clarke, Sue - - 2010
In the study of holistic perspectives in perioperative care the following article focuses on the care required for paediatric patients through the perioperative period. This incorporates an understanding of the anatomical, physiological and pharmacological differences from adult practice, acknowledging the most important principles of patient safety. The planning, implementation, equipment ...
Bale, Emma - - 2010
The authors have combined experience of over forty years working within the NHS and private hospitals as registered operating department practitioners.
Armitage, Amanda - - 2010
Amanda Armitage, Anita Pearson and Jane Smith from South Yorkshire, share their experience of a week-long charitable surgical event.
Cobbold, Angela - - 2010
Regional anaesthesia has become more popular in recent years with an emphasis on cost effectiveness, bed occupancy, and reduction in hospital acquired infections (HAIs). Anaesthesia is a worrying time for any patient, but now the emphasis is to encourage patient empowerment by involving patients in their own care throughout their ...
Baillie, Lesley - - 2010
UK health policy has increasingly recognised that the quality of patients' experiences is important and there is a clear expectation that patients' dignity should be promoted in healthcare. Patients undergoing surgery are particularly vulnerable to their dignity being diminished. Operating department staff should ensure that dignity is promoted through attention ...
Chimutengwende-Gordon, Mukai - - 2010
The decision to transfuse patients perioperatively is made on an individual basis and should consider factors such as duration and severity of anaemia, symptoms, physiological parameters and comorbidities. Autologous blood transfusion has the benefit of avoiding some of the immunological and infective complications associated with allogenic blood transfusion. Pharmacological agents ...
Ellis, Harold - - 2010
If you should ask me to name the most important date in the whole history of surgery, I would reply, without a moment's hesitation, Friday October 16th 1846. The operation was a simple, almost trivial procedure, the removal of a small benign lump in the neck, but it marked the ...
Sivathasan, Niroshan - - 2010
Chlorhexidine is an effective cleansing skin-preparation agent and has many user benefits. It has, however, been associated with a number of complications which are highlighted in this paper. All users of chlorhexidine must be aware of these risks and employ insightful use of this chemical.
Quick, Julie - - 2010
The arrival of work-based learning awards in professional education offers an alternative route for healthcare professionals looking to undertake post-registration education. The unique way that work-based learning integrates individual learning needs with that of role requirements makes the award an ideal choice for the advanced perioperative practitioner (APP) who wishes ...
Pirie, Susan - - 2010
This article focuses on issues relating to patient positioning, by providing an overview of various patient positions, pressure area care and an awareness of some preventative measures to ensure safe patient care.
Raven-Vause, Anne - - 2010
Many operating department practitioners believe that career success depends solely on technical ability. In this article Anne Raven-Vause challenges the nature of competent performance in busy perioperative settings and explores the skill set that needs to be developed in tomorrow's leaders.
Ellis, Harold - - 2010
Aneurysms of the abdominal aorta, usually due to arteriosclerosis, have been long recognised as presenting a formidable challenge to the surgeon. At first symptomless, the aneurysm then presents as a pulsatile swelling. Once it reaches about 6cm in diameter, it is at risk of rupture, and this danger increases as ...
Khan, Wasim - - 2010
The ankle and foot are functionally important and complex joints. Bony fractures and ligamentous injuries are common. In this review paper we will discuss the functional anatomy, imaging, classification and the management of common ankle and foot injuries including ankle fractures, Achilles tendon ruptures, Lisfranc joint injuries, calcaneo fractures and ...
Scott, Bevan - - 2010
Reducing the number of catheter-associated urinary tract infections (CAUTI) in the National Health Service (NHS) has the potential for large cost savings. This review identifies factors which affect the incidence rate of CAUTI, as well as the need for further studies investigating cost-effectiveness, particularly in the areas of silver alloy ...
Pirie, Susan - - 2010
Surgical gowning and gloving is an essential element of perioperative practice and is undertaken by the members of the anaesthetic and surgical teams involved in a perioperative intervention or procedure. Gowning and gloving will take place immediately after surgical hand antisepsis and the whole process is often referred to as ...
Amin, Avnita - - 2010
Children are not just 'small adults'. They have specific physical, psychological and social requirements that must be identified and addressed to optimise their well-being in the perioperative period. The healthcare practitioner should be trained to understand the needs of the paediatric patient in hospital, including the ever increasing need to ...
Masud, Dhalia - - 2010
Performing surgery at an incorrect site has devastating outcomes. The National Patient Safety agency and Royal College of Surgeons England have provided recommendations to promote correct site surgery with emphasis on surgical markings. There is little published data on surgical site marking practices amongst surgeons. A prospective audit on surgical ...
O'Shea, Maria - - 2010
The hospital experience can bring about a range of negative emotions for children. The literature clearly states that children who are prepared for surgery recover faster and have fewer negative effects. Pre-admission programmes seek to prepare children (and their parents) for surgery. This paper describes in detail how a pre-admission ...
Ewart, Luke - - 2010
This article evaluates whether avoidance of nitrous oxide in general anaesthesia can improve clinical outcomes in surgical patients by reducing postoperative nausea and vomiting, and whether avoidance should become part of a routine clinical management strategy. Despite some controversy, the greatest strength of evidence suggests that avoidance of nitrous oxide ...
Ellis, Harold - - 2010
Surgeons and obstetricians, over the centuries, were only too aware that accidental open injuries during their work, especially in a septic case, could lead to an infected wound, a fulminating illness and often death. Even before the bacterial nature of infection had been established in the mid 19th century, it ...
Prime, Matthew - - 2010
Ionising radiation is used extensively in trauma and orthopaedic perioperative practice for operative planning and intraoperative decision making. Radiation poses risks to patients and theatre staff, and it is important to always justify, optimise and limit the exposure. This is facilitated by a thorough understanding and awareness of radiation, as ...
Williams, John - - 2010
Oral sodium phosphate (NaP) solution is used globally as a bowel preparation for colonoscopy, surgery and medical-imaging (Balaban 2008). We present a case of a patient who suffered sudden hypotensive syncope and iatrogenic mandibular fractures within an hour of ingesting a NaP solution. We discuss the uses of these medicines ...
Collier, Shirley - - 2010
This article reviews the benefits of pre-assessment with cardio-pulmonary exercise testing (CPX) and the effectiveness of preoperative interventions in high-risk patients undergoing major surgery. Three patient case studies will be presented from local practice, to give examples of how patients' co-morbidity has been improved prior to surgery or how decisions ...
Pirie, Susan - - 2010
Hand hygiene has always been an important element of perioperative practice and is a topic that has gained even more importance in recent years for healthcare workers. In the mid 19th century Semmelweis first noted the link between hospital acquired diseases and hand hygiene (Semmelweis 1847, NATN 2000). More recently, ...
Ellis, Harold - - 2010
The story of the early days of caesarian section is shrouded in mystery, myths and old folk tales. The very name itself is the subject of debate. One thing is certain--it is nothing at all to do with Julius Caesar; his mother was still alive when he invaded Britain in ...
Quick, Julie - - 2010
Advances within the NHS have recognised nurses in roles that go beyond the historical parameters of their initial training and role characteristics (DH 1999, DH 2000). Working within such a role creates added responsibilities of advancing practice and the continuing development of knowledge and skills. Nurses working at a higher ...
Adedeji, Rimi - - 2010
Patient positioning in theatre pertains to how a patient is transferred and positioned for a specific procedure. Patient safety is a central focus of care within the NHS and every healthcare practitioner must ensure that patients are protected from harm where possible. Mal-positioning of the patient has important implications in ...
Dheerendra, Sujay - - 2010
Total hip replacement is a commonly performed procedure with good results. The implants could be cemented or cementless, and there has been a resurgence of resurfacing procedures. It is important that special consideration is given to the choice of the material used at the bearing surfaces. There have been many ...
Scott, Bevan - - 2010
A core component of healthcare courses involves reflective learning. This article discusses a student's learning experience while undertaking the diploma in operating department practice. Core skills development is important in facilitating the learning process, and can be identified through reflective practice. Reflecting on individual learning experiences can support students in ...
Solomon, Livingstone - - 2010
Aim: To assess the documentation of postoperative adhesions as a potential complication of laparotomy on consent forms.
Ellis, Harold - - 2010
Gall stones have been found in ancient Egyptian mummies, and have presumably caused symptoms and suffering since the early days of mankind. 'Inflammation of the liver' was well recognised by the Greeks, and, in many cases, might well have represented attacks of biliary colic. Giovanni Morgagni, Professor of Anatomy in ...
Nicholas, Michael - - 2010
The role of the surgical care practitioner has been in existence for many years in some form or another with a variety of job titles and a wide range of duties. With the adoption of the European Working Time Directive and the need for skilled assistance, not only at the ...
Khoyratty, Saleem - - 2010
Summary
Brent, Rachel - - 2010
Recovery rooms hold an undeniably important place in the perioperative journey for the patient. It is here that possible complications following anaesthesia or surgery can be detected and rectified and patients can be made comfortable before returning to the ward. This article explores the vital aspects of patient assessment which ...
Al-Rashid, Mamun - - 2010
Fractures are common injuries and their management has evolved over the last 30 years with a greater propensity to treat fractures surgically. There have also been advances in the understanding of the principles of bone healing and the implications on implant choice. This article highlights the various surgical fixation devices ...
Ellis, Professor - - 2010
In the 19th century, gastric cancer was the commonest cause of deaths from malignant disease in the Western World. (Interestingly enough, for no certain reason, it has progressively dropped down to seventh place).
Quick, Julie - - 2010
Changes within the NHS have established perioperative practitioners, as well as other healthcare professionals, in roles that include obtaining informed consent. Practitioners involved in these roles require highly developed communication skills (Church 2008a). This article examines the philosophy of risk communication and explores the often complex skill of communication in ...
Barr, Lynne - - 2010
Use of a tourniquet for performing surgery in order to create a bloodless surgical field and reduce blood loss has been in use for many years. Tourniquets may fail perioperatively for various reasons, leading to ongoing bleeding. An important cause of tourniquet failure is calcification of the underlying artery. A ...
Rogers, Benedict - - 2010
Heparin-induced thrombocytopenia (HIT) is a serious postoperative complication of low-molecular-weight heparin (LWMH) prescribed following surgery and recent evidence based guidelines recommend routine platelet count monitoring for all at-risk patients. With the implementation of these guidelines this clinical study demonstrated a significant improvement (2--56% p<0.05) in HIT diagnosis in postoperative patients ...
McMain, Lorraine - - 2010
Recovery room practitioners lay the corner stone for postoperative recuperation in patients undergoing surgical procedures. This article highlights how some aspects of the role, such as pain assessment, commencement of the prescribed analgesic regimen and pain control can be very challenging, for a variety of reasons. The aim, therefore, is ...
Malik, Atif - - 2010
Ellis, Harold - - 2010
I can well remember as a house surgeon in 1948 how amazed we were that surgeons could pass a finger through the wall of the beating heart and split a stenosed mitral valve or even dilate a narrowed pulmonary valve. In those far-off days, mitral stenosis as a late result ...
Hardcastle, Teresa - - 2010
Since the early 1980s pain has been recognised in neonates. Much research has been performed over the years into the analgesic effect of sucrose administered for painful procedures performed on the neonate and infant. Studies have reported the endogenous effect of sucrose when used in conjunction with non-nutritive sucking (pacifiers). ...
Timpany, Michaela - - 2010
This report describes the service evaluation of a newly developed fast-track advanced scrub practitioner (ASP)/dual role training programme. The evaluation examines whether the introduction of new policies and training based on risk assessment have strengthened quality assurance measures and controls which aim to ensure that staff work safely within their ...
Pirie, Susan - - 2010
An essential component of any clinical intervention or clinically invasive procedure in the perioperative setting will involve the use of instruments. It is therefore essential that all practitioners in the perioperative setting are able to identify the instruments required for a case, for both preparation and checking purposes, be able ...
1 2 3 4 5 6 7 8 >