The other Side of the Issue: The Operating Room Should be a Separate Department

1955 ◽  
Vol 33 (3) ◽  
pp. 86-86
Author(s):  
R. W. Blaisdell
Keyword(s):  
Operating Room ◽  
The Other

Hospital-Acquired Myiasis

1980 ◽  
Vol 1 (5) ◽  
pp. 319-320 ◽  
Author(s):  
Jay A. Jacobson ◽  
Robert L. Kolts ◽  
Marlyn Conti ◽  
John P. Burke
Keyword(s):  
Infection Control ◽  
Thoracic Surgery ◽  
Operating Room ◽  
The Other ◽  
Tissue Destruction ◽  
Access Site ◽  
Control Programs ◽  
Hospital Acquired ◽  
Unusual Problem ◽  
Environmental Access

AbstractIn three years we encountered two patients with hospital-acquired myiasis, a rarely reported nosocomial problem. Both patients were elderly and had lengthy thoracic surgery in August in the same operating room. Larvae removed from the nares of one patient and from the chest incision of the other were of the same species, Phaenicia serricata. There was no evidence of tissue destruction or invasion in either case. Investigation revealed several factors that contributed to the presence of flies in the operating room. After a presumed environmental access site was closed and insecticide spraying was augmented, no additional cases occurred. This experience illustrates an unusual problem that may confront those responsible for infection control programs.

scholarly journals Ultrasound in emergency medicine

CJEM ◽  
1999 ◽  
Vol 1 (02) ◽  
pp. 119-120 ◽  
Author(s):  
James Ducharme
Keyword(s):  
Emergency Medicine ◽  
Diagnostic Imaging ◽  
Ectopic Pregnancy ◽  
Operating Room ◽  
Transvaginal Ultrasound ◽  
The Other ◽  
Rapid Imaging ◽  
Abdominal Aneurysm ◽  
Bedside Ultrasonography ◽  
Radiologic Expertise

Although diagnostic imaging is, for the most part, the domain of radiologists, exceptions to this rule have developed. Cardiologists perform cardiac catheterization and echocardiography. Obstetricians have developed expertise in transvaginal ultrasound and fetal assessment. Why have some specialties embraced areas of imaging as theirs, while others — such as orthopedics and medicine — continue to rely on radiology? One reason is that radiologic expertise in these latter specialities is rarely required on a 24-hour basis and it can be provided without taking on an overwhelming workload. ED bedside ultrasonography, on the other hand, must be available 24 hours a day. Conditions requiring immediate (within 15 to 20 minutes) ultrasound (U/S) include expanding or leaking abdominal aneurysm, suspected ectopic pregnancy, and traumatic hemoperitoneum. When patients with these conditions are unstable they require even more rapid imaging — “real imaging” in the operating room.

scholarly journals Organ on the Wall

2002 ◽  
Vol 124 (11) ◽  
pp. 50-52
Author(s):  
Jean Thilmany
Keyword(s):  
Operating Room ◽  
Three Dimensional ◽  
Remote Access ◽  
The Other ◽  
Exact Location ◽  
Network Link ◽  
Computing Center

This article reviews liver surgeon, Rory McCloy’s operations that are guided by a four-foot, three-dimensional virtual profile of a patient’s liver that rotates at his command on the operating room wall in front of him. Using a specially outfitted mouse and his lap top computer, McCloy can manipulate the virtual liver to find the exact location and extent of a tumor before he makes even one incision in the patient’s actual liver on the table below. The high-powered graphic are available to McCloy by remote access on his decidedly non-supercomputer, with the help of a software called OpenGL Vizserver, also from SGI, which allows the data from the supercomputer to be shifted to other computers, even much less powerful ones, via a network link. The trick in making the technology useful for the operating room lay in finding a way to manipulate the images with one hand while performing the surgery with the other of the school’s computing center.

scholarly journals COVID-19 Outbreak in North Italy: An Overview on Dentistry. A Questionnaire Survey

2020 ◽  
Vol 17 (11) ◽  
pp. 3835 ◽  
Author(s):  
Maria Grazia Cagetti ◽  
Jean Louis Cairoli ◽  
Andrea Senna ◽  
Guglielmo Campus
Keyword(s):  
Operating Room ◽  
Questionnaire Survey ◽  
Ad Hoc ◽  
Personal Data ◽  
The Other ◽  
Waiting Room ◽  
Protective Measures ◽  
High Prevalence ◽  
Patient Arrival ◽  
Precautionary Measures

This survey assessed the symptoms/signs, protective measures, awareness, and perception levels regarding COVID-19 among dentists in Lombardy, Italy. Moreover, an analysis of the answers gathered in areas with different prevalence of the disease was carried out. All Lombardy’s dentists were sent an online ad hoc questionnaire. The questionnaire was divided into four domains: personal data, precautionary measures (before patient arrival; in the waiting room; in the operating room), awareness, and perception. Three thousand five hundred ninety-nine questionnaires were analyzed. Five hundred two (14.43%) participants had suffered one or more symptoms referable to COVID-19. Thirty-one subjects were positive to the virus SARS-CoV-2 and 16 subjects developed the disease. Only a small number of dentists (n = 72, 2.00%) were confident of avoiding infection; dentists working in low COVID-19 prevalence areas were more confident than those working in the Milan area and high prevalence area (61.24%, 61.23%, and 64.29%, p < 0.01 respectively). The level of awareness was statistically significantly higher (p < 0.01) in the Milan area (71.82%) than in the other areas. This survey demonstrated that dentists in the COVID-19 highest prevalence area, albeit reported to have more symptoms/signs than the rest of the sample, were the ones who adopted several precautionary measures less frequently and were the more confident of avoiding infection.

scholarly journals Sugammadex administration shortens reversal times but not operating room turnover times

2019 ◽  
Vol 5 (1) ◽  
pp. 27
Author(s):  
Garrett Enten ◽  
Michael Albrink ◽  
Jin Deng ◽  
Giorgio Melloni ◽  
Enrico M. Camporesi ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Operating Room ◽  
Outcome Measures ◽  
The Other ◽  
Muscle Paralysis ◽  
Or Efficiency ◽  
Reversal Agents ◽  
Reversal Time ◽  
Train Of Four ◽  
Complete Reversal

Objective: Current literature debates whether administration of sugammadex translates into a higher operating room (OR) efficiency when compared to neostigmine. This study is a blinded assessment of the effects of sugammadex versus neostigmine on OR efficiency as determined by time of reversal to time of the next case.Methods: 50 patients undergoing abdominal surgery were randomized and evenly distributed into two groups, one receiving sugammadex (4 mg/kg) and the other, neostigmine (0.06 mg/kg) plus glycopyrrolate (0.004 mg/kg). Muscle paralysis was induced with intravenous rocuronium (0.6 mg/kg). Train of four (TOF) was monitored using acceleromyography every 10 minutes until reversal. Reversal agents were blindly prepared and administered during closing. TOF was then recorded every minute until a T4/T1 ratio ≥ 0.9 was achieved. This was designated as time of complete reversal. Subsequently, post-reversal outcome measures were collected.Results: Patients receiving sugammadex experienced a significantly shorter reversal time compared to those receiving neostigmine and glycopyrrolate (2.92 ± 1.71 minutes vs. 7.68 ± 5.63 minutes; p = .0002). No other outcome measures were significantly different between groups: time of OR ready for next case was 55.4 min vs. 56.1 min respectively; not significant.Conclusions: While sugammadex was significantly faster at reversing patient neuromuscular blockade the time from reversal to patient extubation after Sugammadex was prolonged. . This could be due to blinding, as blinded providers are unable to anticipate time of reversal and must compensate by making decisions at safe fixed intervals. This is reflected in that the time gained by administration of sugammadex is approximately equal to the delay experienced across all endpoints collected to the patients’ actual discharge.

Management of Anesthesia During Splenectomy and Cholecystectomy in a Pregnant Woman With Hereditary Spherocytosis

2021 ◽  
Vol 30 (1) ◽  
pp. 76-83
Author(s):  
Hossein Khoshrang ◽  
◽  
Samaneh Ghazanfar Tehran ◽  
Hourvash Ebrahimi Louyeh ◽  
Seyyed Masoud Moafi Madani ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Blood Transfusion ◽  
Operating Room ◽  
Blood Cells ◽  
Hereditary Spherocytosis ◽  
The Other ◽  
Severe Anemia ◽  
Physiological Changes ◽  
Case Study Report

Hereditary spherocytosis (HS) is a familial hemolytic disorder with intracorpuscular mechanism that characterized by the production of red blood cells with sphere-like shape prone to hemolysis and can lead to hemolytic anemia, splenomegaly, jaundice and gallstones. One of the main reasons for referring these patients to the operating room is splenectomy and cholecystectomy to treat the complications of HS. Perioperative concerns in these patients include severe anemia with a need for blood transfusion, aplastic attacks, hypoxemia and acidosis. On the other hand, management of anesthesia during splenectomy and cholecystectomy in pregnant woman with HS is very challenging due to physiological changes associated with pregnancy, choosing the appropriate time to perform the surgeries, and complications of anesthesia drugs on mother and fetus. This case study report the management of anesthesia in a pregnant woman with HS, candidate for simultaneous cholecystectomy and splenectomy.

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