Search Results
Results 251 - 300 of 384
< 1 2 3 4 5 6 7 8 >
Wicker, Paul - - 2009
While this article mainly applies to practitioners who have responsibilities for leading teams or supervising practitioners, many of the skills and tools described here may also apply to students or junior practitioners. The purpose of this article is to highlight some of the main points about organisation, some of the ...
Richmond, Samantha - - 2009
Much press speculation has projected the controversy of infection control amidst raised public concern over fatalities caused by nosocomial infections. Attention to detailed ultra-cleanliness can never be compromised in the preservation of life, health and wellbeing of the evermore discerning patient. Moreover, complacency to best practice and theatre etiquette potentially ...
Ellis, Harold - - 2009
Within living memory of some of us, liver disease was a Cinderella subject. If you look up the first edition of the standard medical textbook of the time, Sir William Osler's 'Principles and Practice of Medicine', published in 1892, you will find a mere 24 of its 1079 pages devoted ...
Williams, Marilyn - - 2009
This paper is a personal journey through nurse training and perioperative practice. Nurse education is also explored alongside some of the social, academic and political changes that have influenced healthcare in the United Kingdom between 1966 and 2008. The views expressed are those of the author only, and the anecdotal ...
Ellis, Harold - - 2009
Women have had to fight a long and hard battle to break into the medical profession. In 1876, after a long and hard battle, the General Medical Council (the GMC) agreed to accept women for registration as medical practitioners. In 1895 the staff of the London School of Medicine for ...
Ellis, Harold - - 2009
Marie Charlotte Carmichael Jones was a truly remarkable woman. In the face of enormous opposition and difficulties, she pioneered safe and effective birth control for women. She wrote the first popular book on this subject, which first appeared 90 years ago and which became an instant best seller. Marie was ...
Schindler, Oliver - - 2009
Articular cartilage in adults has a poor ability to self-repair after injury. A variety of cartilage resurfacing techniques have the potential to improve the repair of cartilage defects and reduce the patient's disability. The most advanced of these techniques is autologous chondrocyte implantation. It promises to provide normal organogenesis leading ...
Ellis, Harold - - 2009
Middleton, Patrick - - 2009
This article is based on a literature review comparing insertion techniques of the laryngeal mask airway (LMA). I will be looking at the manufacturer's recommended technique and identifying alternative methods, adapted for ease of use, patient comfort or individual circumstances. Risks associated with LMA use will be identified and examples ...
Nelson, Lisa - - 2009
There are increasing demands for surgical interventions in Human Immunodeficiency Virus (HIV)-infected patients as a consequence of antiretroviral therapy. This article will discuss various risk factors involved in the surgical management of patients with HIV infection including: anaesthetic and surgical risk to patients with HIV infection undergoing surgical procedures; risk ...
Haushofer, Lisa - - 2009
Postoperative visual loss following spinal surgery in the prone position may be the most limiting to the quality of a patient's life and the most likely to entail medico-legal consequences for medical and theatre personnel. We analyse the incidence of occular complications after 181 consecutive spinal surgery in the prone ...
Hardcastle, Teresa - - 2009
Cleft lip and palate is one of the most common craniofacial anomalies. The surgery is not performed usually until the baby is three months of age. The anaesthesia technique is dependent on the difficulty of the airway. The anaesthetic practitioner therefore requires knowledge of the paediatric airway and of this ...
Pennington, Bernard - - 2008
Academic writing can fill pre- and post-registration students with fear and dread. Students often construct written work around re-worded passages from their sources. This results in poor quality work, low marks and frustration. The aim of this article is to inform students embarking on courses in higher education about what ...
Modi, Neil - - 2008
Through the process of evolution, the position of the eyes within the head has moved from lateral to frontal. Although reducing the panoramic view afforded by the lateral positioning, this new arrangement allowed stereopsis (depth perception) (Hubel and Wiesel 1965).
Grainger, Hannah - - 2008
The use of Intraoperative Cell Salvage (ICS) is an important facet in establishing the recommendations of Better Blood Transfusion (DH 2007). Training in ICS often varies and has been identified as a challenge in the establishment of the routine use of ICS (UKCSAG 2007a). To help address this, the UK ...
Ellis, Harold - - 2008
Abraham, Jenny - - 2008
This literature review sets out to investigate the effectiveness of acupressure and acupuncture in preventing and managing postoperative nausea and vomiting (PONV) in adult patients. PONV is problematic, affecting patient satisfaction, delayed discharge and even patient re-admission. Current treatment of PONV constitutes a variety of drug therapies, which are only ...
McMain, Lorraine - - 2008
Acute pain is a predominant feature of the perioperative experience for the majority of patients. This paper aims to describe the adverse effects of poorly controlled acute, postoperative pain and provides an overview of the organisational aspects involved in pain management in hospitals. Following this there will be an examination ...
Ellis, Harold - - 2008
As a young surgeon in the early 1950s, I trained in various orthopaedic units. Much of the work was concerned with children and young adults suffering from two devastating diseases: tuberculosis and poliomyelitis. These were to vanish almost entirely from our hospitals soon afterwards, thanks to Bacillus Calmette-Guerin (BCG), antibiotics ...
Brown, Donna - - 2008
The assessment and management of pain in the acute hospital setting is an important issue for practitioners (Layman Young et al 2005). Despite advances in pain management (Fotiadis et al 2004, Powell et al 2004, Wu & Richman 2004) and the use of multimodal analgesic techniques in the theatre/recovery environment ...
Briggs, Emma - - 2008
Bedouin women tend to remain quiet and expressionless while giving birth despite reporting high levels of pain and fear (Harrison 1991). Culture undoubtedly influences pain perception and expression but there are dangers in making assumptions about particular groups. This article explores the underlying research and the complex clinical picture highlighting ...
Bourne, Nicola - - 2008
Managing acute pain in opioid tolerant patients can be a significant challenge. This article will provide an overview of the terminology used when managing acute pain in these patients. This understanding is essential to ensure adequate pain relief while avoiding opioid withdrawal. It is also crucial that these patients are ...
Ashley, Elizabeth - - 2008
The treatment of pain continues to be a major concern in the critically ill patient. Despite advances in pain management, a greater understanding of the mechanisms of pain and advanced methods of analgesic delivery, the treatment of pain is not always a priority on the intensive care unit. Difficulties with ...
Marsh, Ann - - 2008
Pacemaker technology has advanced rapidly over the last decade. A lot of everyday interference can be regarded as transient. The media tend to cover stories of relatively insignificant transient interference incurred by pacemaker wearers while many manuals gloss over the high risks, some potentially life-threatening. These include the reliability of ...
Kannan, Anand - - 2008
Using heparinised saline as a flush to maintain the patency of arterial and central venous lines is a well-known practice. A literature search was undertaken but found no evidence to support the use of heparinised saline over normal saline. In addition, the use of heparinised saline may be associated with ...
Ellis, Harold - - 2008
Nowadays well over half the new graduates coming out of the medical schools in the United Kingdom are women. Women are found in the highest ranks in the profession and are well represented on the Councils of the Royal Colleges and the other medical institutions. Yet it was only during ...
Durai, Rajaraman - - 2008
Vacuum-assisted closure (VAC) wound dressing is increasingly used to assist closure in various wounds ranging from simple finger pulp defect to complex wounds such as laparostomy or infected sternotomy. The traditional application of direct vacuum therapy can cause discomfort and put the patient at risk of injuring the affected area ...
Clark-Burg, Karen - - 2008
An Australian College of Operating Room Nurses (ACORN) submission (ACORN 2002-2008) recently stated that the specialities that suffered significantly from the transition of hospital-based nursing training to university training were the perioperative specialty, critical care and emergency. The main reason for this was that perioperative nursing was not included in ...
Stringer, Bernadette - - 2008
Elevated operating theatre noise can be hazardous to patient safety and may cause occupational stress. In a nine-hospital study, background noise and average noise were measured, during operations in different subspecialties, and found to be higher than noise levels recommended by the World Health Organization (WHO) for hospital areas in ...
Mitchell, Lucy - - 2008
What are 'non-technical' skills and why would they be relevant to theatre practitioners? This is a new area of research for healthcare based on a well developed approach from the world of aviation. Non-technical skills are the cognitive and social skills that complement technical skills to achieve safe and efficient ...
Lipp, Allyson - - 2008
Abortion is controversial and often sparks polemic debate. Nevertheless, theatre staff need to know the different methods of abortion, to be aware of the current UK legal position and possible future directions. Theatre staff must be mindful of their own ethical and emotional position in order to play a vital ...
Ellis, Harold - - 2008
In starting this series of articles on distinguished women in nursing, medicine and the related healthcare professions, the choice of the first name is obvious. Florence Nightingale is, I suggest, the most famous female in the long history of medicine and is a name that is known and revered throughout ...
Cutler, Ian - - 2008
You are trained and skilled in the practice of safe clinical procedures. Are you aware however that the safety of the medical devices, which includes medical equipment, that you use routinely in your clinical working day have been designed to be safe for both you and for patients? This is ...
Tanner, Judith - - 2008
For 150 years members of the surgical team have been washing their hands with solutions designed to remove micro-organisms and therefore reduce surgical site infections in patients. This article discusses the evidence surrounding aspects of surgical hand antisepsis.
Lewsey, Claire - - 2008
This study used a quantitative, descriptive survey design to examine the level and nature of support that newly-registered Operating Department Practitioners (ODPs) receive in the clinical area. The findings suggest that support provided directly by people, such as preceptorship/mentorship and peer support, is rated as being more useful than support ...
Hewkin, Kimberley - - 2008
This article is the result of discussions with groups of young people about my job as an Operating Department Practitioner (ODP) and about general health-related issues. Study days had been arranged for these young people so they could be given an insight into various healthcare-based careers. As well as to ...
Ellis, Harold - - 2008
Not much more than a century ago, a ruptured ectopic pregnancy was a death sentence. In 1876, John Parry wrote in his book on this subject: 'Here is a wife in the most useful period of her existence, which good authorities have said is never cured; and for which, even ...
Corfield, Lorraine - - 2008
Perioperative practitioners encounter consent issues constantly in their practice, both in terms of the main procedure listed and procedures they will undertake personally to enable the main procedure to be carried out safely. The law on consent has previously been governed by case (common) law but is now also partly ...
Bhutia, Sherab - - 2008
Varicose veins are common and often asymptomatic. A variety of treatment methods are available for those who develop symptoms or complications. The traditional open surgical treatment still forms the mainstay of treatment. Endovenous treatment methods offer a new alternative but have their own limitations. Foam sclerotherapy holds much promise as ...
Williams, Marilyn - - 2008
The personal and financial consequences of avoidable infection are enormous in personal and global terms (DH 2003, Stone, Larson & Kawar 2002). Patients expect to be treated and cared for in clean conditions, and not be exposed to the risks of acquiring an infection by poor practice on the part ...
Stephens-Borg, Keith - - 2008
Everyday use of a simple cotton bud should remind us of our not so distant past and of the appalling trade in people. Harvesting this precious commodity required forced labour eventually leading to a key turning point in the history of surgery, as civil war raged in America during the ...
McDonnell, Gerald - - 2008
Prion diseases present unique challenges to healthcare facilities, both in the care and treatment of patients. A significant cause for concern is in the routine reprocessing of medical devices used on patients and how disease transmission can be prevented on the reuse of devices. Investigations have shown that prion disease ...
Gilmour, Diane - - 2008
In February 2007 AfPP asked its members for their feedback on decontamination services. For example, decontamination services to perioperative areas and issues experienced on a daily basis, particularly service issues from those outsourced services. AfPP asked its members to share their experiences, concerns and issues--both positive and negative.
Gilmour, Diane - - 2008
Surgical instruments, whether single use or reusable, are defined by the University of Newcastle's Online Medical Dictionary as 'Hand held tools or implements used by health professionals for the performance of surgical tasks' (CancerWEB 1998). This definition, in its broadest terms, recognises that the inter-professional team (health professionals) are involved ...
Woodhead, Kate - - 2008
The theme of last year's Congress was Realising Potential. The road to success is always under construction, and there are many choices that we make along the way, such as our partner in life, career, or how we spend spare time. A fortuitous choice of mine was to get involved ...
Venkatraman, Ramya - - 2008
Errors in medicine administration often go unnoticed and unreported. This article describes three medicine-related errors and provides recommendations to reduce risk. All medicine-related errors should be reported locally and to the National Patient Safety Agency (NPSA) so that they can be collated and trends identified. Electronic prescribing and patient/medicine identification ...
Tanner, Judith - - 2008
Estimates suggest one in 20 patients develop an infection following surgery, costing the NHS around 1bn [pounds sterling] each year (SSHAIP 2004). This article discusses surgical site infections and the commonest bacteria which cause them. It then explores two practices, preoperative body washing and preoperative hair removal, and their effect ...
Reid, Jane - - 2008
In recent years we have experienced considerable interest in new roles but since the demise of the National Practitioner Programme (England) in 2007, much has gone quiet. NHS Education Scotland (NES) continues with the Physician Assistant pilots and there is evidence of developments at individual SHA level, but nothing like ...
Ellis, Harold - - 2008
To operate on the abdominal aorta is difficult enough today, even with all the appurtenances of the modern operating theatre. Yet the first time this was performed, as an emergency by Astley Cooper of Guy's Hospital in 1817, it was carried out without any form of anaesthetic, in the patient's ...
< 1 2 3 4 5 6 7 8 >