scholarly journals Segregation for reduction of regulated medical waste in the operating room: a case report

2017 ◽  
Vol 70 (1) ◽  
pp. 100 ◽  
Author(s):  
Helen Ki Shinn ◽  
Youngyoen Hwang ◽  
Byung-Gun Kim ◽  
Chunwoo Yang ◽  
WonJu Na ◽  
...  
Keyword(s):  
Case Report ◽  
Operating Room ◽  
Medical Waste

scholarly journals Design Opportunities to Reduce Waste in Operating Rooms

2021 ◽  
Vol 13 (4) ◽  
pp. 2207
Author(s):  
Charlotte Harding ◽  
Joren Van Loon ◽  
Ingrid Moons ◽  
Gunter De Win ◽  
Els Du Bois
Keyword(s):  
Operating Room ◽  
Circular Economy ◽  
Operating Rooms ◽  
Medical Waste ◽  
Waste Reduction ◽  
Infrastructure Management ◽  
Expert Interviews ◽  
Hospital Waste ◽  
Observation Results ◽  
Taking Care

While taking care of the population’s health, hospitals generate mountains of waste, which in turn causes a hazard to the environment of the population. The operating room is responsible for a disproportionately big amount of hospital waste. This research aims to investigate waste creation in the operating room in order to identify design opportunities to support waste reduction according to the circular economy. Eight observations and five expert interviews were conducted in a large sized hospital. The hospital’s waste infrastructure, management, and sterilization department were mapped out. Findings are that washable towels and operation instruments are reused; paper, cardboard, and specific fabric are being recycled; and (non-)hazardous medical waste is being incinerated. Observation results and literature findings are largely comparable, stating that covering sheets of the operation bed, sterile clothing, sterile packaging, and department-specific products are as well the most used and discarded. The research also identified two waste hotspots: the logistical packaging (tertiary, secondary, and primary) of products and incorrect sorting between hazardous and non-hazardous medical waste. Design opportunities include optimization of recycling and increased use of reusables. Reuse is the preferred method, more specifically by exploring the possibilities of reuse of textiles, consumables, and packaging.

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.

AN EVENT OF UNDIAGNOSED INTRAOPERATIVE HYPERTENSION - STILL A NIGHTMARE - SUSPENSE CONTINUES …A CASE REPORT

2021 ◽  
pp. 74-75
Author(s):  
Kartik Sonawane ◽  
Noopur Prakash Chaudhar ◽  
Hrudini Dixit ◽  
Chelliah Sekar
Keyword(s):  
Case Report ◽  
Operating Room ◽  
Hypertensive Crisis ◽  
Stress Conditions ◽  
Essential Aspect ◽  
Before And After ◽  
Intraoperative Hypertension

Intraoperative events are not uncommon to any anesthesiologist. For every case inside the operating room, some major or minor events always occur related to patient, surgery, or anesthesia. Managing such events depends on the skill and experience of the anesthesiologist. When it becomes unmanageable due to undiagnosed and unanticipated conditions, it creates a “tug of war” situation inside the operating room. So, screening of such unidentied undiagnosed conditions is an essential aspect of the pre-anesthesia checkup. Unfortunately, sometimes due to asymptomatic presentations in non-stress conditions, it becomes difcult to screen them before surgery.We describe such an event of an intraoperative hypertensive crisis that remained undiagnosed before and after surgery leading to continuing suspense.

The Green Operating Room: Simple Changes to Reduce Cost and Our Carbon Footprint

2013 ◽  
Vol 79 (7) ◽  
pp. 666-671 ◽  
Author(s):  
Blair A. Wormer ◽  
Vedra A. Augenstein ◽  
Christin L. Carpenter ◽  
Patrick V. Burton ◽  
William T. Yokeley ◽  
...  
Keyword(s):  
Solid Waste ◽  
Operating Room ◽  
The United States ◽  
Medical Waste ◽  
Waste Reduction ◽  
Corporate Leadership ◽  
Potential Saving ◽  
Single Use ◽  
Significant Opportunity ◽  
Improve Health

Generating over four billion pounds of waste each year, the healthcare system in the United States is the second largest contributor of trash with one-third produced by operating rooms. Our objective is to assess improvement in waste reduction and recycling after implementation of a Green Operating Room Committee (GORC) at our institution. A surgeon and nurse-initiated GORC was formed with members from corporate leadership, nursing, anesthesia, and OR staff. Initiatives for recycling opportunities, reduction of energy and water use as well as solid waste were implemented and the results were recorded. Since formation of GORC in 2008, our OR has diverted 6.5 tons of medical waste. An effort to recycle all single-use devices was implemented with annual solid waste reduction of approximately 12,860 lbs. Disposable OR foam padding was replaced with reusable gel pads at greater than $50,000 per year savings. Over 500 lbs of previously discarded batteries were salvaged from the OR and donated to charity or redistributed in the hospital ($9,000 annual savings). A “Power Down” initiative to turn off all anesthesia and OR lights and equipment not in use resulted in saving $33,000 and 234.3 metric tons of CO2 emissions reduced per year. Converting from soap to alcohol-based waterless scrub demonstrated a potential saving of 2.7 million liters of water annually. Formation of an OR committee dedicated to ecological initiatives can provide a significant opportunity to improve health care's impact on the environment and save money.

Dislocation of the Fifth Metatarsal Base Following Partial Fourth and Fifth Ray Amputation

2012 ◽  
Vol 102 (1) ◽  
pp. 71-74 ◽  
Author(s):  
Russell M. Carlson ◽  
Nicholas C. Smith ◽  
Rodney M. Stuck ◽  
Ronald A. Sage
Keyword(s):  
Diabetes Mellitus ◽  
Case Report ◽  
Operating Room ◽  
Biomechanical Stability ◽  
Normal Gait ◽  
Peroneus Brevis ◽  
Postoperative Dislocation ◽  
Ray Amputation ◽  
Male Veteran ◽  
Chronic Ulceration

This case report presents a rare postoperative dislocation of the fifth metatarsal base following a healed open partial fourth and fifth ray amputation of a 62-year-old male veteran with poorly controlled diabetes mellitus. The dislocated fifth metatarsal base subsequently created a chronic ulceration and an inhibition of normal gait. The patient was taken to the operating room where the fifth metatarsal base was resected with transfer of the peroneus brevis tendon to the cuboid to maintain biomechanical stability. (J Am Podiatr Med Assoc 102(1): 71–74, 2012)

scholarly journals Case Report – Nasolabial Cyst

2020 ◽  
Vol 04 (4) ◽  
pp. 01-02
Author(s):  
Carlos Zappelini
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Operating Room ◽  
Inflammatory Infiltrate ◽  
Squamous Epithelium ◽  
Respiratory Epithelium ◽  
Cystic Structure ◽  
Surrounding Connective Tissue

Injury excision in the operating room under general anestesia (figure 1). The anatomopathological examination showed a coated uniloculated cystic structure, sometimes by respiratory epithelium, sometimes by squamous epithelium. Surrounding connective tissue with a hyalinization band and scarce monomorphonuclear inflammatory infiltrate, corresponding to nasolabial cyst. The patient is undergoing postoperative follow-up, without recurrence

scholarly journals Anaphylaxis during patient transfer to the operating room following ranitidine administration - A case report -

2009 ◽  
Vol 56 (1) ◽  
pp. 79 ◽  
Author(s):  
Sung Wook Park ◽  
Hyung Seok Yoo ◽  
Joon Kyung Sung ◽  
Jae Woo Yi ◽  
Keon Sik Kim
Keyword(s):  
Case Report ◽  
Operating Room ◽  
Patient Transfer

Exclusion of Noninfectious Medical Waste From the Contaminated Waste Stream

1997 ◽  
Vol 18 (09) ◽  
pp. 656-658 ◽  
Author(s):  
Michael C. Francis ◽  
Lana A. Metoyer ◽  
Alan D. Kaye
Keyword(s):  
Operating Room ◽  
Hospital Costs ◽  
Medical Waste ◽  
Waste Stream ◽  
Contaminated Waste ◽  
Recycled Waste

Abstract The purpose of this study was to determine whether any waste was labeled incorrectly as infectious or contained material that could be recycled. Waste generated in preparation for surgery was separated and weighed. Of 530 lbs of operating room waste, 40 lbs were noninfectious, largely plastic and paper. The results of the present study suggest a segment of waste can be removed from the contaminated stream, potentially reducing hospital costs and improving our environment.

Dantrolene-Induced Hepatitis: A Rare Culprit in the PICU

2020 ◽  
Author(s):  
Divij Pasrija ◽  
Shilpi Gupta ◽  
Amanda Hassinger
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Case Report ◽  
Malignant Hyperthermia ◽  
Operating Room ◽  
Pediatric Intensive Care Unit ◽  
Side Effect ◽  
Hepatitis A ◽  
Pediatric Intensive Care ◽  
Anesthetic Agents

AbstractDantrolene is used for reversal of malignant hyperthermia and for improvement in spasticity following stroke which are Food and Drug Administration-approved indications. It is an infrequently used medication in the pediatric intensive care unit and is usually continued from the operating room or sedation suite after suspicion for malignant hyperthermia, secondary to other medications and anesthetic agents. Hepatitis has been described as a side effect of the medication after prolonged use and at doses of more than 100 mg/d mainly in adults. We described in this case report a patient in which the drug was used for sympathetic overactivity in the PICU and development of asymptomatic hepatitis on day 3 after starting the medication at a dose much lower than previously described.

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