scholarly journals Some observations on protective efficacy of surgical clothing systems with additional clothing components concerning airborne bacteria-carrying particles measured during ongoing surgery

2021 ◽  
Author(s):  
Bengt Ljungqvist ◽  
Berit Reinmüller
Keyword(s):  
Operating Room ◽  
Protective Efficacy ◽  
Airborne Bacteria ◽  
Source Strength ◽  
Considerable Influence ◽  
Surgical Team

The main source of airborne bacteria-carrying particles is the staff and the patient. In order to reduce airborne bacteria-carrying particles from the staff, it is important that the surgical team wears a functional clothing system. This paper compares results from measurement studies of the protective efficacy, i.e., source strength, of a surgical clothing system with different additional clothing components. The studies were performed during ongoing surgery. The results show that the use of disposable hood or textile hood and the use of knee-length textile boots have considerable influence on the source strength, i.e., microbial air cleanliness in the operating room.

scholarly journals Variability in Anesthesia Models of Care in Cardiac Surgery

Surgeries ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 1-8
Author(s):  
Dianne McCallister ◽  
Bethany Malone ◽  
Jennifer Hanna ◽  
Michael S. Firstenberg
Keyword(s):  
Cardiac Surgery ◽  
Best Practices ◽  
Operating Room ◽  
Models Of Care ◽  
Surgical Team ◽  
Cardiac Anesthesia ◽  
Complex Environment ◽  
Surgical Case ◽  
Cardiac Procedures ◽  
Cardiac Operations

The operating room in a cardiothoracic surgical case is a complex environment, with multiple handoffs often required by staffing changes, and can be variable from program to program. This study was done to characterize what types of practitioners provide anesthesia during cardiac operations to determine the variability in this aspect of care. A survey was sent out via a list serve of members of the cardiac surgical team. Responses from 40 programs from a variety of countries showed variability across every dimension requested of the cardiac anesthesia team. Given that anesthesia is proven to have an influence on the outcome of cardiac procedures, this study indicates the opportunity to further study how this variability influences outcomes and to identify best practices.

Perioperative considerations in the management of cold agglutinin disease in laparoscopic surgery

2021 ◽  
Vol 14 (5) ◽  
pp. e241294
Author(s):  
Yisi D Ji ◽  
Paul M Cavallaro ◽  
Britlyn D Orgill
Keyword(s):  
Case Report ◽  
Laparoscopic Surgery ◽  
Acute Cholecystitis ◽  
Operating Room ◽  
Patient Outcomes ◽  
Cold Agglutinin ◽  
Surgical Team ◽  
Cold Agglutinin Disease ◽  
Disease Exacerbation ◽  
Multidisciplinary Collaboration

An 80-year-old man with idiopathic cold agglutinin disease presented with acute cholecystitis. We describe operating room and anaesthetic considerations for patients with cold agglutinin disease and measures that can be taken to prevent disease exacerbation in this case report. Multidisciplinary collaboration and planning between the operative room staff, anaesthesia team and surgical team are needed to ensure safe surgery and optimal patient outcomes.

scholarly journals Factors Predicting Operating Room Time in Ureteroscopy and Ureterorenoscopy

2018 ◽  
Vol 12 (4) ◽  
pp. 195-200
Author(s):  
Ioannis KatafigiotisItay ◽  
Itay M. Sabler ◽  
Eliyahu M. Heifetz ◽  
Ayman Isid ◽  
Stavros Sfoungaristos ◽  
...  
Keyword(s):  
Operating Room ◽  
Renal Stones ◽  
Demographic Parameters ◽  
Surgical Team ◽  
X Ray ◽  
Multiple Parameters ◽  
Surgeon Experience ◽  
Regression Test ◽  
Room Time ◽  
Operating Room Time

Backgrounds/Aims: Operation room (OR) time is of great value affecting surgical outcome, complications and the daily surgical program with financial implications. Methods: We retrospectively evaluated 570 consecutive patients submitted to ureteroscopy or ureterorenoscopy for the treatment of ureteral or renal stones. Demographic parameters, patient's stones characteristics, type of ureteroscope, surgeon experience and surgical theater characteristics were analyzed. OR time was calculated from the initiation of anesthesia to patient extubation. Multivariate analysis was conducted using a linear regression test with multiple parameters to identify predictors of OR time. Results: Eight factors were identified as significant. These include total stones volume, ureteroscope used, stone number, nurses experience, radio-opacity of the stone on kidney-ureter-bladder X-ray, main surgeon experience, operating room type, and having a nephrostomy tube prior to surgery. Conclusions: The surgical team experience and familiarity with endourological procedure, and the surgical room characteristics has a crucial impact on OR time and effectiveness.

Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices

Surgery ◽  
2012 ◽  
Vol 151 (5) ◽  
pp. 660-666 ◽  
Author(s):  
Rajshri Mainthia ◽  
Timothy Lockney ◽  
Alexandr Zotov ◽  
Daniel J. France ◽  
Marc Bennett ◽  
...  
Keyword(s):  
Operating Room ◽  
Surgical Team ◽  
Safety Practices ◽  
Electronic Whiteboard

scholarly journals Sources of staphylococcal infection in surgical wound sepsis

1963 ◽  
Vol 61 (1) ◽  
pp. 83-94 ◽  
Author(s):  
H. F. M. Bassett ◽  
W. G. Ferguson ◽  
E. Hoffman ◽  
M. Walton ◽  
Robert Blowers ◽  
...  
Keyword(s):  
Operating Room ◽  
Nasal Carriage ◽  
Staphylococcal Infection ◽  
Surgical Team ◽  
Equal Frequency ◽  
Hospital Workers ◽  
Wound Sepsis ◽  
Skin Preparation ◽  
Staph Aureus ◽  
Different Types

1. In two hospitals, post-operative staphylococcal wound sepsis occurred with equal frequency in patients who were and in those who were not nasal carriers of Staph. aureus.2. Nasal carriage of Staph. aureus was not always associated with skin carriage at the site of operation, but even patients who were skin carriers suffered no more sepsis than non-carriers.3. Self-infection was a less frequent cause of sepsis than was cross-infection. Other investigations of this type have revealed conflicting findings on the frequency of self-infection. These may be due to differences in the epidemiological properties of staphylococci infesting the hospitals; to different methods of preoperative skin preparation; and to the different types of operation concerned.4. In one of the hospitals, 31% of probable operating-room infections were with organisms similar to those carried by some member of the surgical team. In infections thought to have occurred in the ward, only 10% showed this similarity. In 11 of 35 presumed operating-room infections, the source may have been a member of the surgical team.For help and co-operation we are grateful to Mr G. A. Mason, Senior Surgeon, Newcastle Regional Thoracic Surgery Service; and Dr Joan Millar, Miss G. Jones, Miss E. Smith, Mrs Jean Best, Miss Winifred Mahon, Dr K. Hodgkin, Dr W. Stewart, Mr S. Griffin, Mr W. C. Barnsley, Mr R. Dobson, Mr W. H. Bound, and many nurses and other hospital workers. Our especial thanks are due to Professor R. E. O. Williams, who phage-typed many of the staphylococci, and then taught us to do this for ourselves.

Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance

2007 ◽  
Vol 22 (4) ◽  
pp. 885-900 ◽  
Author(s):  
Kinga A. Powers ◽  
Scott T. Rehrig ◽  
Noel Irias ◽  
Hedwig A. Albano ◽  
Andrew Malinow ◽  
...  
Keyword(s):  
Operating Room ◽  
Team Performance ◽  
Surgical Team

Minimising the risk of Mycobacterium chimaera infection during cardiopulmonary bypass by the removal of heater-cooler units from the operating room

Perfusion ◽  
2017 ◽  
Vol 33 (4) ◽  
pp. 264-269 ◽  
Author(s):  
Thomas A. Barker ◽  
Uday Dandekar ◽  
Nina Fraser ◽  
Lincoln Dawkin ◽  
Paul Sweeney ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Operating Room ◽  
Low Cost ◽  
Airborne Bacteria ◽  
Contaminated Water ◽  
Dual Purpose ◽  
Standard Operating ◽  
Life Threatening ◽  
Surgical Field ◽  
Circuit Function

Introduction: Mycobacterium chimaera ( M. chimaera) is a recently characterised bacterium that can cause life-threatening infections in small numbers of patients who undergo cardiopulmonary bypass during cardiac surgery. The likely mode of transmission is thought to occur through aerosolisation from contaminated water reservoirs. The airborne bacteria then contaminate the surgical field, leading to an infection months or even years later. The preferred practical solution to disrupt the transmission of these airborne bacteria to the patient is to remove the heater-cooler units (HCUs) from the operating room (OR). We describe a process of achieving this in order to provide information to guide other institutions who wish to do a similar thing. Methods: A multidisciplinary team was assembled to work on the project. The planning phase involved trialling different OR layouts and simulating the alterations in the HCU circuit function. The changes to the OR were made over a weekend to minimise disruption to the operating schedule. Results: The HCU was moved to the dirty utility room adjacent to the OR. Standard operating procedures (SOP) and risk assessments were made to enable this to be used for a dual purpose. One of the ORs was reconfigured to allow the cardiopulmonary bypass machine to be located close to the HCU in the dirty utility room. The total cost of the alterations was £6,158. Although we have provided a physical barrier to interrupt patient exposure to aerosolised M. chimaera from HCUs, we continue to perform cultures and decontamination as per the national recommendations. The SOP was designed to be auditable to ensure compliance with the protocols. Conclusions: We show a method by which the HCU can be removed from the OR in a relatively low-cost, straightforward and practical manner.

scholarly journals Surgical team turnover and operative time: An evaluation of operating room efficiency during pulmonary resection

2016 ◽  
Vol 151 (5) ◽  
pp. 1391-1395 ◽  
Author(s):  
Alain Joe Azzi ◽  
Karan Shah ◽  
Andrew Seely ◽  
James Patrick Villeneuve ◽  
Sudhir R. Sundaresan ◽  
...  
Keyword(s):  
Operating Room ◽  
Operative Time ◽  
Pulmonary Resection ◽  
Surgical Team ◽  
Operating Room Efficiency
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