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Results 301 - 350 of 384
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Weaving, Paul - - 2008
Continuing advances in surgical techniques, asepsis, operating theatre protocols and ventilation systems that ensure an uninterrupted supply of clean air, should allow all patients to undergo both invasive and minimally-invasive procedures with reduced risk. Patients having surgery in the United Kingdom are probably less vulnerable to surgical site infections (SSIs) ...
Studholme, Suki - - 2008
The focus of this article is to discuss the care given to an elderly lady, Mrs Pitt, (a pseudonym) who is suffering from Diabetic Retinopathy (DR) and attending our Out Patient Department (OPD). It will start with a brief description of diabetes and the associated complications, and then give a ...
Smith, Brian - - 2008
The purpose of this article is to share our findings since introducing the recently-developed anaesthetic assistant competencies (NHS Education for Scotland 2006). The term 'anaesthetic assistant' will be used throughout this article to refer to those who support the anaesthetist during anaesthesia. It is in no way meant to be ...
Ellis, Harold - - 2008
The first time the abdomen was opened at an elective operation, the pathology excised and made a smooth recovery was not, as you might guess, performed in some famous university hospital in the British Isles or mainland Europe about a hundred years ago, but in a private house in the ...
Bhattacharyya, Mayukh - - 2008
This prospective, single-centre study compared wound closure methods in patients undergoing arthroscopy. Closure of arthroscopic portal wounds with sterile adhesive strips is effective and convenient for wound management. The method was associated with a reduced potential for infection, faster renewal of tensile strength, greater cost effectiveness, and better cosmetic effects ...
Ellis, Harold - - 2008
Because of its vivid manifestations of blood-stained mucus passed per rectum, the violent abdominal colic, the easily palpable abdominal mass and, in late cases, a prolapsing 'tumour' to be seen extruding through the anal verge, it is not suprising that intussusception in infants was one of the earliest causes of ...
Edwards, Peggy - - 2008
Surgery at the wrong site is fortunately an infrequent event, but when it does happen the consequences can be devastating for the patient, their family and the surgical team. Wrong site surgery doesn't just refer to taking out the wrong organ, it is also includes such errors as making an ...
Bowers, Mark - - 2008
This article discusses the safe learning and assessment for a component of the anaesthetic apparatus check. It reports on an innovation to facilitate a realistic medical gas pressure check. For clarity, the term 'anaesthetic practitioner' (Wicker & Smith 2006) is used to refer to operating department practitioners and perioperative nurses ...
Nunney, Robert - - 2008
While working on my first placement in the operating department recovery room, I was surprised by the frequency of patients coming into recovery with mild hypothermia, having taken their temperature on arrival. In many cases the patient did not arrive with a forced-air warming blanket, or any device other than ...
Healy, Kathleen - - 2008
This article aims to describe the review and modification process of the perioperative nursing documentation forms within a large urban theatre complex. It is hoped that by making this process more transparent other perioperative practitioners will be encouraged to review and update the documentation used within their departments.
Younker, Jackie - - 2008
This paper discusses airway management in the post anaesthetic care unit (PACU). Many patients will be extubated on arrival to the PACU, however a small number will need further support with tracheal intubation. Patient assessment is a key role for the PACU staff and using the ABCDE approach will provide ...
Peiris, Kawshala - - 2008
Securing the airway is a core skill in anaesthesia, the gold standard of which is tracheal intubation. Normally this is achieved after induction of anaesthesia. However, some circumstances demand an awake approach. Awake intubation can be achieved via several methods. Using the fibreoptic laryngoscope is the most widely used technique ...
Faber, Peter - - 2008
Thoracic surgical procedures account for only a small fraction of all surgery undertaken in the NHS. Thoracic surgery is performed in specialist centres as patients often suffer serious co-morbidities and require vigilant care and observation by staff involved in their treatment. Anaesthesia for thoracic surgery challenges the theoretical and practical ...
Ellis, Harold - - 2008
The year 1933 was remarkable in the history of lung surgery in that five surgeons, in five separate medical centres in the USA and Canada, performed the first, and successful, pneumonectomies for tumours of the lung.
Chethan, Doddamanegowda - - 2008
Tracheal intubation is used when a clear airway is difficult to achieve with a face mask or laryngeal mask, or if there is a risk of dislodgement of other forms of airway control. Tracheal intubation is considered to be an important part of patient management when a major intraoperative complication ...
Carbery, Catherine - - 2008
Mechanical ventilatory support is a major component of the clinical management of critically ill patients admitted into intensive care. Closely linked with the developments within critical care medicine, the use of ventilatory support has been increasing since the polio epidemics in the 1950s (Lassen 1953). Initially used to provide controlled ...
Putnis, Soni - - 2008
Purpose: Audit of the use of preoperative blood tests in elective general surgery in a district general hospital. Comparison is made with the National Institute for Health and Clinical Excellence (NICE) guidelines and recommendations. Methodology: Retrospective audit of preoperative blood tests performed for elective general surgical patients in a district ...
Newey, Martyn - - 2008
This article describes the condition known as carpal tunnel syndrome and reviews a carpal tunnel service that was started in Leicester in 1999. We look at how the service has developed to meet patient needs, and how we now aim to return patients back to function and employment as quickly ...
Milton, Sherran - - 2008
AfPP aims, through its educational activities, to provide its members with a robust mechanism with which they can develop their Continual Professional Development (CPD) portfolios and evidence CPD activity. To help this we have implemented a framework of Notional Learning Hours (NLH). This framework will help each member build their ...
McColgan, Karen - - 2008
The purpose of this literature review is to explore the value of portfolio building and the registered nurse under the following themes: assessment of competence; work-based reflection; lifelong learning; creating career pathways and the contribution a portfolio makes to the professional development of the nurse. This review concludes that for ...
Ellis, Harold - - 2008
The report of the first successful resection of an abdominal aortic aneurysm, carried out in Paris in 1951, greatly influenced surgeons throughout the world who, until then, had regarded such an operation as probably being outside the bounds of surgical removal and vascular reconstruction. I well remember as a young ...
Studholme, Suki - - 2008
This paper will discuss the various techniques used for the instillation of local anaesthetics (LA) during intraocular (IO) cataract extraction. It will be limited to a comparison of peribulbar block, sub-Tenons block and topical plus intracameral anaesthesia alone, as these are those most frequently used at the author's place of ...
Modi, Neil - - 2008
To assess factors influencing perception of pain, anxiety and overall satisfaction during local anaesthetic cataract surgery an audit was carried out at the West of England Eye Unit. Patients receiving sub-Tenons after previous peribulbar anaesthesia had significantly higher pain scores. Patient satisfaction was significantly higher when a handholder was present ...
Lloyd, Helen - - 2008
This paper outlines a study undertaken by Helen Lloyd to assess the impact of multi-skilled theatre practitioners on reducing cancellations in stand alone day surgery units in England and Wales. The author provides the background to the study together with an overview of the results. The literature review undertaken before ...
Fern, Patricia - - 2008
Mention the possibility of surgery to a patient and most will react with a feeling of apprehension at best. Some will be horrified at the mere thought of being 'cut open'. For others, it will be the suggestion of entering a hospital for anything longer than an out patient appointment. ...
Ellis, Harold - - 2008
Today, gastrectomy is a routine surgical procedure which any competent abdominal surgeon is expected to be able to perform efficiently and, in a reasonably fit patient, to achieve a speedy and safe recovery. It is worth remembering that the first successful gastrectomy, performed in the late 19th century, was hailed ...
Mason, Paula - - 2007
The purpose of this article is to share a recovery room practitioner's experience using reflection and to explore the issues surrounding extubation in the post anaesthetic care unit (PACU). Currently there are no national standards of practice for practitioners' learning and safe practice of extubation techniques within the PACU. Therefore, ...
Williams, Marilyn - - 2007
Neurosurgery and the neurosurgeons who deliver it assumed a temporarily raised profile when the series The Brain Hospital was shown on UK television last year. An editorial in The Lancet (2006), commented on the passion and humanity of the surgeons portrayed, as well as their skill and care for their ...
Nicholas-Holley, Jane - - 2007
This article will look at the implementation of the National Service Framework (NSF) for children, young people and maternity services with specific reference to the segregation of children from adult patients, and the requirements for appropriately trained staff in the care of children, within the Post Anaesthetic Care Unit (PACU).
Stephens-Borg, Keith - - 2007
Schindler, Oliver - - 2007
Minimally invasive knee replacement surgery has been developed in an attempt to lessen the impact of operations on the patient's quality of life, in the same way as arthroscopy, the forefather of minimally invasive surgery (MIS), revolutionised cartilage and ligament surgery three decades earlier. The technique is based on minimising ...
McChlery, Sheena - - 2007
A super morbidly obese woman with a twin pregnancy presented to our hospital in Perth, Western Australia, for obstetric care. A caesarean section was planned for her, in order to ensure a safe, controlled manner of delivery. This article details the processes and procedures which had to be implemented in ...
Illingworth, Clare - - 2007
This paper reports a prospective audit, against an existing baseline standard, for intermittent pneumatic compression (IPC) in the prophylaxis of asymptomatic deep vein thrombosis (DVT). This was done via a structured questionnaire, using the methodology of total population sampling, encapsulating all theatre staff within one NHS trust. With regards to ...
Nightingale, Sandra - - 2007
Theatre training workshops (TTWs) were developed at University Hospitals Coventry and Warwickshire NHS Trust (UHCW) to support theatre practitioners and to give them the opportunity to learn, share ideas, reflect and practice clinical skills in an environment away from the demands and pressure of the operating department. This article discusses ...
Nelson, Lisa - - 2007
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 ...
Mirza, Saqeb - - 2007
Irrigating fluids are commonly used in endoscopic urological surgery. Recent studies have shown a benefit in using irrigant fluids warmed to body temperature to prevent the undesirable effects of cooling, including impaired coagulation function, reduced levels of drug clearance and shivering resulting in increase in oxygen requirements causing potential myocardial ...
Ellis, Harold - - 2007
Deighton, Christine - - 2007
From the time in 1990 when I began my career in the operating theatre it has been the unwritten assumption that a member of the theatre team will assist the surgeon with his work. This has always been done on an ad hoc and, some might say, casual basis, as ...
McNair, Wendy - - 2007
This article explores the emotional and reflective journey of registered nurse Wendy McNair in her role as a mentor. This personal account illuminates her awareness of what makes a good mentor and how the role influences the student's perioperative experience. The information shared in this article has been extracted from ...
Gindill, Judith - - 2007
This article will explore the concept of multi-skilled staff within Jersey general hospital's day surgery unit. The role, specific to day surgery, is discussed as are the driving factors behind multi-skilling. The benefits of multi-skilling to the practitioner, to the client and to the unit are considered. The importance and ...
Ewart, Luke - - 2007
Aspiration pneumonitis (AP) is a recognised complication of general anaesthesia (GA) that has an associated morbidity and mortality. Sellick's manoeuvre--the application of a sustained pressure to the cricoid cartilage--is one commonly taught anaesthetic practice that is deemed to reduce this risk of aspiration. However, this practice is not without its ...
Ellis, Harold - - 2007
Wicker, Paul - - 2007
An epidemic of plagiarism is sweeping the world. A study carried out in the US suggested that 80% of college students admit to cheating at least once (Ashworth et al 1997). Alternative evidence from an American education and software company, Plagiarism.org, reported that 36% of undergraduates plagiarise written material and ...
O'Connor, Caroline - - 2007
Pneumatic tourniquets are routinely used in operating theatres worldwide. Generally, tourniquets are viewed as a relatively safe instrument with minimal complications. Nevertheless, Klenerman (2003) and Golder et al (2000) both suggest that caution should be exercised in tourniquet use. Furthermore Phillips (2004, p532) claims that, 'a tourniquet is dangerous to ...
Guadagno, Lisa - - 2007
Gosby, Janice - - 2007
The Nursing and Midwifery Council (NMC) has been reviewing its standards for the preparation of teachers and considering issues related to fitness for practice at the point of registration. This has resulted in new standards to support learning and assessment in practice (NMC 2006a). The standards have attempted to address ...
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