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Results 201 - 250 of 384
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Beckett, Alison - - 2010
Patient positioning is an integral part of perioperative care and yet it is an area of patient care which can easily be compromised as staff try to accommodate surgeons and work through busy operating lists. Inadequate padding and incorrect positioning can cause serious and long term injury and disability, and ...
Ellis, Harold - - 2010
In previous articles in this series, we have written about the great women pioneers who broke down the barriers which prohibited or limited their entry into the various branches of the healthcare professions and who then proved that they could compete, on equal terms, with their male counterparts. Included in ...
Mowatt, Lizette - - 2010
We report an observational prospective study to determine which local anaesthetic technique gave the most comfort during phacoemulsification (cataract) surgery. 1835 patients were recruited. 61.8% were female. Peribulbar (18.2%), subtenons (28.6%), and topical (53.2%) anaesthesia was used. The pain score was assessed by the visual analogue pain scale (VAPS) which ...
Ellis, Harold - - 2009
When I was a medical student in the 1940's, we were familiar with 'Blue Babies' in the children's medical wards. Cyanosed, breathless to the extent of being unable to lie down, and with no effective treatment available, they were condemned to a miserable life and early death. Many of these ...
Frampton, Claire - - 2009
Successful management of acute post-operative pain in the post anaesthesia care unit (PACU) is vitally important. A multimodal approach incorporating analgesics with varying sites of action is recommended. Anti-inflammatory drugs are effective analgesics in the treatment of mild to moderate acute pain (Bandolier Oxford league table of analgesic efficacy 2007). ...
Rimmer, Victoria - - 2009
Diathermy is used in most theatres for every case but how many people think about the contents of diathermy plume or surgical smoke? Surgical smoke is an unpleasant smell that leaves many considering whether surgical masks reduce the risk of inhaling its contents. This article suggests that practitioners should be ...
O'Brien, Val - - 2009
The reprocessing of medical devices, in particular surgical instruments, is an extremely technical and highly regulated industry. There are many guidance documents, and European and international standards that cover different aspects of decontamination. This article provides an outline of the main documents covering the critical elements of reprocessing which aim ...
Barry, Prue - - 2009
This article examines the potential impact of a shortened theatre placement for pre-registration student nurses. The positive nature of a theatre placement is examined. The change in placement length is related to learning styles and Kolb's experiential learning theory as well as the need to bridge the theory-practice gap. The ...
Bonnett, Tessa - - 2009
Post-laparoscopic pain is multi-factorial and many modes of perioperative analgesia have been proposed. We present the case of a patient who experienced severe abdominal pain following gynaecologic laparoscopy. Repeat laparoscopy revealed small bowel hypermotiliy which was successfully treated with intravenous (IV) hyoscine butylbromide. Neostigmine, a widely used muscle relaxant reversal ...
Wilson, Iain - - 2009
Of the more than 230 million patients who undergo surgery each year, 7 million suffer a disabling complication, and one million die (Weiser 2008). These numbers are substantial, and through the WHO Surgical Safety Checklist, the issues surrounding safe surgery are at last receiving attention on the international stage.
Bromiley, Martin - - 2009
In 2005 my late wife died during an attempted operation. I'm an airline pilot and I recognised early on that the factors that lead to Elaine's death mirrored those commonly found in many aviation accidents.
Vats, Amit - - 2009
The advancement of surgical technology has made surgery an increasingly suitable management option for an increasing number of medical conditions. Yet there is also a growing concern about the number of patients coming to harm as a result of surgery. Studies show that this harm can be prevented by better ...
Merry, Alan - - 2009
Iatrogenic harm is a major problem in healthcare, and incident reporting is one of various methods of identifying areas for improvement in patient safety. The World Health Organisation has introduced a three-phase checklist to reduce error and improve teamwork and communication during surgery. Use of this checklist has been shown ...
Woodhead, Kate - - 2009
Research from the United States which explores events related to the surgical count has identified that there are opportunities to review our practice in order to reduce risks to surgical patients. The Safe Surgery Saves Lives Campaign highlights this aspect of perioperative patient safety, ensuring that poor processes and poor ...
Reid, Jane - - 2009
Surgical care has been an essential component of health care worldwide for over a century. As the incidence of traumatic injuries, cancers and cardiovascular disease continues to rise, the impact of surgical intervention on public health systems is growing. Approximately 234 million interventions are now performed every year, representing one ...
Watts, Fran - - 2009
Surgery is an essential component of healthcare worldwide. However in industrialised countries, major complications occur in 3-16% of all inpatient surgical procedures, with permanent disability or death rates affecting approximately 0.4 - 0.8% of patients (Haynes et al 2009).
Meadows, Chris - - 2009
The safe management of medicines within the theatre complex, from storage to administration, is a key component in preventing patient safety incidents. Simple measures, such as double-checking or clear labelling, can be utilised to reduce the risk of inadvertent drug administration. However, the recognition that human factors contribute to errors ...
McMonagle, Claudia - - 2009
Since being asked to write this article for the Journal of Perioperative Practice, I have been thinking a lot more about myself being a patient and not so much as a medical professional. Before this, being an Orthopaedic Nurse Practitioner took precedence as I couldn't get my head around being ...
Agrawal, Yuvraj - - 2009
Traction splints are widely used for immobilisation of fractures of the lower limb. There is brevity of evidence-based research on their efficacy. We present a case of skin complication following traction splint for spiral fracture of femur. It is prudent to identify patients at higher risk of developing complications of ...
Modi, Neil - - 2009
Corbett, Sue - - 2009
Teamwork in the operating room is vital. We must view a picture of the evolving role of operating room practitioners and our educational needs. By raising our profile, we can encourage team work amongst multidisciplinary groups and secure the future of operating room practitioners in this complex matrix of patient ...
Johnson, Rebecca - - 2009
Perioperative fluid and electrolyte management requires an understanding of physiology and fluid losses. Consequences of poor management in postoperative patients can be fatal. This audit assesses the latest consensus guidelines and applies them to a district general hospital setting. Results are concerning and demonstrate a global lack of application of ...
Khan, Wasim - - 2009
Non-steroidal anti-inflammatory drugs are powerful and effective anti-inflammatory, analgesic and anti-pyretic drugs. They are routinely used in orthopaedic conditions and in the perioperative setting. They are however associated with potentially life-threatening side-effects and it is important to appreciate these before these medicines are administered. There is evidence suggesting that these ...
Ellis, Harold - - 2009
Mary Jane Seacole was born Mary Grant in Kingston Jamaica in 1805. Her father was a Scottish army officer and her mother a free Jamaican black, (slavery was not fully abolished in Jamaica until 1838). Her mother ran a hotel, Blundell Hall, in Kingston and was a traditional healer. Her ...
Stephens-Borg, Keith - - 2009
Salt, vinegar and wine sounds more like a recipe from the Saturday kitchen, but in 1667 it was all a surgeon could use to close wounds, along with silk and linen strips. In providing this service, barbers and surgeons found themselves confused and intertwined, struggling for professional recognition that was ...
Ahmad, Z. - - 2009
Pleural effusion is defined as an accumulation of fluid in the pleural space in excess of 15 to 20mls. The aetiology for the development of a pleural effusion includes changes in hydrostatic or colloid-osmotic pressure of pleural and pulmonary capillaries, changes in pleural vascular permeability and impaired lymphatic drainage. About ...
Tame, Susan - - 2009
This article presents an overview of perioperative nurses' perceptions and experiences of continuing professional education (CPE). Four themes emerged from 23 interviews: attitudes and culture (background); deciding to study (going in); student experience (process); and outcomes (going out). My findings indicate transferability of other studies to perioperative nursing, and suggest ...
Smith, Brian - - 2009
Basu, Narendra - - 2009
Introduction--Morphine is used regularly in day surgery despite its known side- effects. We assessed whether this delayed discharge.
Cipelletti, Luisa - - 2009
Working as an agency nurse has not been easy, but it has been a great way to explore Australia and the different hospital systems--private and public.
Ellis, Harold - - 2009
Elizabeth Kenny became world-famous in her day for her treatment of paralysed children especially those suffering from paralytic poliomyelitis. Young doctors and nurses of my generation, in the 1940's and 50's, were really scared of getting 'polio'. A medical student a year ahead of me at Oxford died in an ...
Zaidi, Nadeem - - 2009
The practice of perioperative antibiotics administration in relation to surgical incision was analyzed in 525 elective surgical patients at St Vincent University Hospital, Dublin. 82.86 % (435) patients received the perioperative antibiotics before surgical incision was made and 17.14 % (90) patients received it after the surgical incision was made. ...
Koya-Rawlinson, Christine - - 2009
Recovery units can be busy environments not often conducive to reflective practice. Reflection is, however, an important aspect of high quality care. Using Gibbs model of reflection (see Figure 1), applied to the experience of caring for a 15 year old patient who had undergone surgery to correct a scoliosis ...
Ellis, Harold - - 2009
Sixty years ago, when I was a young house-surgeon at the old Radcliffe Infirmary in Oxford, we were not at all expert at dealing with our dying patients. Of course, we had every pity and sympathy with them and their families, but we were often constrained by the family members ...
Durai, Rajaraman - - 2009
Drains have been used in surgery for several years to remove body fluids thereby preventing the accumulation of serous fluid and improving wound healing. Drains may be classified as closed or open systems, and active or passive depending on their intended function. Closed vacuum drains apply negative suction in a ...
Mitchell, Mark - - 2009
The amount of surgery undertaken on the conscious patient is increasing. However, many patients are anxious and resistant to such surgery. Patients (n=214) were surveyed to determine their related apprehensions. Being awake, feeling or seeing the body cut open and experiencing pain all increased anxiety. The potential for insufficient information ...
O'Connell, Rhona - - 2009
Where a pregnant woman experiences trauma or has acute surgical needs there are additional concerns for the well being of both the woman and her foetus. This article explores obstetric procedures for the pregnant woman and discusses the implications for perioperative staff and midwives.
Ellis, Harold - - 2009
Since earliest times, women have been looked after by women in their confinements. By the Middle Ages the profession of the female midwife, often an experienced older woman, was well recognised. The service of a male doctor was often frowned upon. Indeed, in 1522 a Dr Wertt of Hamburg was ...
Reynolds, John - - 2009
This project aimed to review current practice within a large National Health Service teaching hospital and to provide a rationale for implementing a change to existing working practice. At the time, operating department practitioners only received a period of mentorship as part of the Trust induction course. There is evidence ...
Stephens-Borg, Keith - - 2009
We are becoming victims of change and, unless provisions are made to ensure regular adequate meal times, our ability to help others may be severely damaged. Most of us feel the urge to eat and are turning to fast snacks for temporary solace owing to the toil of busy operating ...
Ellis, Harold - - 2009
In 1971, I was sent by the British Council to Nepal to teach and to operate. There, in the little town of Pokhra, I met the most extraordinary woman surgeon that I have ever encountered before or since. Her name was Ruth Watson. She was a slimly built, smiling young ...
O'Connor, Caroline - - 2009
Focus group data collection can capture what is unknown about nurses' perceptions of routine patient care issues in clinical settings. Using Gibbs Reflective Cycle (1988) novice researchers Caroline O'Connor and Siobhan Murphy critically analysed the practicalities of conducting a focus group interview.
Lipp, Allyson - - 2009
Optimising learning in the operating department is crucial to ensure that all staff are appropriately skilled and knowledgeable in their sphere of practice. Learning in small groups is popular and a good use of limited resources for professional development. This paper explores three types of small groups and how this ...
Bielby, Ray - - 2009
Commissioning the ideal perioperative suite, what does it really mean to the perioperative manager? Negotiating through the maze of design, furniture and equipment needs in healthcare building projects requires a great deal of time and input and there will be many questions the perioperative manager will need to ask if ...
Malik, A.A. - - 2009
Acute compartment syndrome is a life and limb threatening condition. Clinical assessment is the diagnostic cornerstone of compartment syndrome but pressure monitoring also has a role in equivocal cases, in unconscious or uncooperative patients, and in patients with nerve blocks and other forms of regional and epidural anesthesia. A high ...
Khan, Wasim - - 2009
There has been an increasing interest in stem cell applications and tissue engineering approaches in surgical practice to deal with damaged or lost tissue. Although there have been developments in almost all surgical disciplines, the greatest advances are being made in orthopaedics, especially in bone repair. Significant hurdles however remain ...
Gupta, Abha - - 2009
Aim: To compare ease of use, handling, defects and complication rates between single use and reusable instruments in cataract surgery.
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