Search Results
Results 1 - 50 of 384
1 2 3 4 5 6 7 8 >
Ellis, Harold - - 2012
There is a commonly held belief that Percival Pott sustained that ankle fracture that bears his name. This probably is not true; the injury was more likely a fracture of the tibial shaft, as suggested by careful reading of the account of the accident left to us by his son-in-law.
Siddique, Khurram - - 2012
Lean thinking principles were utilised to set up 'One-stop cholecystectomy clinics' at which patients underwent the surgical and the preoperative assessment during the same visit. The main aims were to reduce the number of patient hospital visits, preoperative admissions and the waiting time to surgery. The results showed a significant ...
Wand, RJ - - 2012
Shoulder replacement surgery is employed in the treatment of severe shoulder arthritis and following some proximal humeral fractures. Three different replacements are available: hemiarthroplasty (HAS), total shoulder replacement (TSR) and reverse shoulder replacement (RSR). HAS and TSR are indicated in patients with intact rotator cuffs and RSR for cuff deficient ...
Rymaruk, Sophy - - 2012
High risk general surgical patients account for the largest proportion of surgical deaths. There is concern from the Royal College of Surgeons of England (RCSEng) and National Confidential Enquiry into Patient Outcome and Death (NCEPOD) that these patients may receive suboptimal care. Patients undergoing an emergency laparotomy were identified and ...
Ellis, Harold - - 2012
In the German surgical journal Zentralblatt fur Chirurgie of 1881, Richard von Volkmann wrote; 'The paralyses and contractures that follow tightly applied bandages, chiefly in the forearm and hand, and less often in the lower extremity, are to be viewed as ischemic. They arise from the arterial supply being interrupted ...
Mauleon, Annika - - 2012
Difficult situations which occur intraoperatively have a direct impact on nurses working within the area. A study was undertaken focusing nurses' confrontations with difficult situations where the narrations from twelve nurses were taped. A phenomenological method was used to analyse this information and revealed how difficult intraoperative situations arise and ...
Malahias, M. - - 2012
Research into topical negative pressure therapy (TNPT) started in 1989 with Dr Louis Argenta and Prof Michael Morykwas of Wake Forest University School of Medicine in North Carolina, USA.
Ihsan, Khan - - 2012
Respiratory disease contributes significantly to the perioperative challenges of surgery. Pre-existing pulmonary co-morbidities and respiratory complications can have profound effects on patient outcomes. Knowledge of these conditions and the potentially deleterious effects of anaesthesia and surgery can enable clinicians to optimise lung function, reduce complications and improve results.
Al-Benna, Sammy - - 2012
The operating theatre complex is the heart of any major surgical hospital. Good operating theatre design meets the functional needs of theatre care professionals. Operating theatre design must pay careful consideration to traffic patterns, the number and configuration of nearby operating rooms, the space required for staff, administration and storage, ...
Ellis, Harold - - 2012
In 1932 Harvey Cushing published an article entitled 'Basophil adenomas of the pituitary and their clinical manifestations'. These are rare tumours of the anterior pituitary gland, at the base of the brain, with striking manifestations, which include adiposity of the face and trunk, but not the limbs, weakness, fatigue, abdominal ...
Harvey, Paul - - 2012
Patients entering recovery often have a requirement for their airway to be managed. This can be performed in a variety of ways: either by having an airway adjunct placed in-situ, or by airway manoeuvres performed by recovery practitioners (Scott 2012). One of the adjuncts that patients may have is the ...
Mardell, Andy - - 2012
This short article explores the issues surrounding the use of certain specialist items used during some neurosurgical procedures. It discusses the results of a benchmarking exercise that sought to investigate how these items are accounted for since there appear to be no nationally agreed guidelines for perioperative practice. The returns ...
Alnaib, Mustafa - - 2012
Surgery plays a prominent role in healthcare worldwide. It has been estimated that the rate of fatal events occurring in surgery is about one in ten thousand exposures and up to one million deaths per year. Most errors are caused by failure of non-technical skills. The WHO surgical safety checklist ...
Phoenix, Gokulan - - 2012
A retrospective observational study was performed in our trust in October 2010 that examined compliance, and the financial and clinical implications of performing inappropriate preoperative blood tests on adult patients prior to elective surgery, against the 2003 NICE guidelines. An unacceptable proportion of inappropriate tests (31.3%) were being performed. None ...
Ingham, Christopher - - 2012
I had no idea what kind of medicine I wanted to practise when I left medical school. What I did know was that I didn't want to do psychiatry, and I didn't want to do obstetrics and gynaecology. My father is a GP, and I thought I'd follow in his ...
Ellis, Harold - - 2012
Every reader of this journal will be all too familiar with Colles' fracture; either seeing patients with it in a & e, helping with its reduction and splinting or being part of the Anaesthetics team involved in its management. on an icy winter's day there might be half a dozen ...
Kaczynski, Jakub - - 2012
Current provision of trauma services in the United Kingdom is insufficient, resulting in a high mortality of trauma patients. Multiple studies proved that regionalisation of the trauma care can significantly reduce mortality and morbidity by avoiding unnecessary transfer and reducing delay in delivering definitive surgery. This evidence led to changes ...
Sultan, J. - - 2012
A prospective review of theatre time utilisation of the senior author's elective orthopaedic lists was carried out over a period of 10 weeks. A total of 41 cases were included. Only 54.0% of theatre time was utilised for operating. The anaesthetic time was 12.0%, and 9.3% of theatre time was ...
Ford, Linda - - 2012
During my training to become an Operating Department Practitioner (ODP) I experienced a situation which could have endangered a patient. I have reflected upon this incident using the Gibbs reflective cycle (see Jasper 2003) to help me analyse how the situation arose, how it could have been prevented and what ...
Ellis, Harold - - 2012
It is unusual for a medical investigator to have his name attached to a disease or syndrome during his lifetime. An exception to this rule was Denis Burkitt.
Kahokehr, Arman - - 2012
Background Enhanced recovery after surgery (ERAS) or multidisciplinary focused perioperative care model with successful implementation. Several institutions run an on their effect on attitudes and perceptions to perioperative care principles. Methods A ten item survey was designed for perioperative care clinicians attending an annual ERAS workshop. The survey was administered ...
Harvey, Paul - - 2012
Mentorship has been present in healthcare for many years and much has been written about it. This article will explore the role of the mentor in the operating theatre in light of the new standards of mentor preparation.
Heikkinen, Katja - - 2012
A randomised controlled trial was used to evaluate elective ambulatory orthopaedic surgery patients' emotions during internet-based patient education or face-to-face education with a nurse. The internet-based patient education was designed for this study and patients used websites individually based on their needs. Patients in the control group participated individually in ...
Tame, Susan - - 2012
Continuing professional development must be undertaken by all registered perioperative practitioners. However, interviews with 23 perioperative nurses employed by one NHS trust suggested a link between workplace culture and intra-professional conflict which was associated with horizontal violence and perceived as a direct consequence of formal study. Such experiences appeared to ...
Reid, Jane - - 2012
Throughout 2011, and for much of this year, the national and professional press have been dominated by reports of failures in health and social care. Stories have focussed on the avoidable harm and disturbing cruelty suffered by individuals and the distress of distraught families seeking answers in the light of ...
Ellis, Harold - - 2012
In 1932 an article appeared in the Journal of the American Medical Association (JAMA) which must be one of the most quoted papers in the whole field of gastroenterology. It took up seven pages and was entitled 'Regional ileitis, a pathological and clinical entity'. It emanated from Mount Sinai Hospital, ...
Rogers, Benedict - - 2012
Over 40 million surgical procedures are performed per annum in the USA and Europe, including several million patients who are considered to be high risk (Bennett-Guerrero et al 2003). Overall, the risk of death or major complications after surgery in the general surgical patient population is low, with a post-operative ...
Durand, Marcus - - 2012
Using an electronic questionnaire, we tested the effectiveness of professional networks for distributing a National Patient Safety Agency Safer Practice Notice, 'Reducing the risk of retained throat packs after surgery', issued in April 2009. Using professional networks for the targeted distribution of guidance to specific professional groups was found to ...
Al-Benna, Sammy - - 2012
The NHS Management Executive recommends that hospitals should aim to use 90% of planned theatre time and that theatre utilisation should be used as a key performance indicator. This study aims to investigate the impact of latestarts and overruns on theatre utilisation rates. Data were retrieved from a prospectively updated ...
Schindler, Oliver - - 2012
The first part of The story of anterior cruciate ligament reconstruction, was published in the previous issue of this journal, and the reader is encouraged to study both parts in order to become better acquainted with the subject. Those who have read the first part will remember that it concerned ...
Wilson, Rachel - - 2012
We live in a world of continuing advances in technology, surgical techniques and rapidly improving medicine. Despite these advances, diseases are continuing to thrive and cause infection both in the community and, more disturbingly, in hospitals. Damani (2003) states that medical care is more complex than ever before, and this ...
Ellis, Harold - - 2012
In the English-speaking world, the eponym 'Graves' Disease' is commonly used to describe hyperthyroidism, usually in association with exopthalmos and usually in young women. I personally avoid this term and I hope to convince you of my reason for this in this paper.
Schindler, Oliver - - 2012
Once upon a time the anterior cruciate ligament (ACL) enjoyed a relatively unchartered existence, when only a fall from a jousting horse or chariot might have sent a knight or gladiator into early retirement due to an unstable knee. In today's world of high speed travel and an ever increasing ...
Bowers, Mark - - 2012
The role of the registered perioperative practitioner (Operating Department Practitioner or Registered Nurse) includes the responsibility for safely positioning patients for surgery. The prone position is in common use for a variety of surgical procedures. The formal term for this surgical position is ventral decubitus (meaning laying face down).
Bell, Roxanne - - 2012
This article explores the root causes of a missing swab incident. It reinforces the scrub practitioner's responsibility for the surgical count as reflected on by a student operating department practitioner. With environmental pressures and methods upheld by the operating room culture it is recognised that mistakes do sometimes arise from ...
Wicker, Paul - - 2012
When I look back at how my career started, I think to myself, what if I had undertaken the BA in Business Studies which I had been accepted for, instead of the BSc in Nursing for which I was still waiting to hear the results of my interview? Well, probably ...
Ellis, Harold - - 2012
In the general field of medicine, more so than in any other occupation; we use eponyms in our everyday work. An eponym comes from the Greek word for a name. It is used, often, to commemorate the person or persons responsible for the first description of a disease, discoverer of ...
Scott, Bevan - - 2012
Some patients recovered in the post anaesthetic care unit (PACU) will require airway management and close monitoring to prevent any post operative complications. Ineffective airway management will lead rapidly to hypoxaemia, and will ultimately compromise patient care. This article discusses physiological principles and monitoring of airway management in the PACU, ...
Wishart, Karl - - 2012
This is an account of a significant event that occurred in clinical practice. The incident highlights issues that can arise from a breakdown of verbal and non-verbal communication between members of staff. It also demonstrates how professional conduct and effective team working can overcome such breakdowns to elicit a positive ...
Sanderson, Cara - - 2012
Surgical smoke is produced when tissues are dissected or cauterised by heat generating devices. Perioperative personnel and patients are routinely exposed to this smoke, and the use of smoke evacuation devices in operating theatres is not mandatory. This review will examine the most recent literature relating to surgical smoke in ...
Cobbold, Angela - - 2012
Obesity is rapidly becoming a major health concern and could be considered equal to smoking as a preventable cause of premature death. The National Institute for Health and Clinical Excellence (NICE 2006) estimated that 1.1 billion people are overweight, a number rivalling those who are underweight globally. Recent statistics for ...
Coates, Tracy - - 2012
'Never events' are definable, known sources of risk for which there is existing national guidance and/or safety recommendations on how the event can be prevented, there is support for implementation and as such should be largely preventable if the guidance is implemented (DH 2011)
Ellis, Harold - - 2012
Long before being aware of tumours elsewhere along the alimentary canal, surgeons from the earliest days of the profession were all too familiar with cancer of the rectum. The vivid local symptoms of rectal bleeding and mucous discharge, bowel disturbance and then intractable local pain, and the ready detection of ...
Smart, Alexander - - 2012
Joseph Lister is often seen as a hero of surgery, but his famous method of antisepsis was not solely his work alone. The commonly told account of the development of antisepsis displays several characteristics of whig history. This investigation will highlight these whiggish features, showing that Lister's original antiseptic technique ...
Scowcroft, Tammy - - 2012
This paper presents a critical analysis of studies regarding the effectiveness of preoperative skin preparation solutions. The aim was to allow evidence based practice at a local level.
Marsh, Steph - - 2012
Surgical smoke is a regular hazard that the majority of perioperative personnel are exposed to. Many staff are unaware of the risks of surgical smoke and many more may take it for granted that a surgical facemask provides enough protection. This article provides detail on the composition of surgical smoke ...
Knaepel, Abigail - - 2012
Up to 70% of surgical patients develop hypothermia perioperatively. Inadvertent hypothermia can be caused by a cold operating theatre, anaesthetic effects, exposure to the environment and administration of cold intravenous or irrigation fluids. The adverse effects of unplanned hypothermia include increased blood loss, morbid cardiac events, impaired wound healing and ...
1 2 3 4 5 6 7 8 >