Sterilization of Operation Theatre and Surgical Equipments

An operation theatre is any facility within a hospital domain where the surgical procedures are carried out in a strict sterile cosmos. Management of the operation theatre requires the coordination of humane and material resources in such a way that surgery can be performed safely, efficiently and cost effectively.Objective: To identify the difficulties in coordination of operating room management and find out their solutions for better patient outcomes. Methods: This descriptive study was conducted in Main Operation Theatre of Children Hospital and Institute of Child Health Lahore. Data was collected by using Convenient Sampling Technique. This was a hospital-based study in which staff members of both genders were included. The study population divided into four strata; doctors (surgeons and anesthetists), nurses, operation theatre technicians and anesthesia technicians. A total of 51 cases were observed and checked by a checklist about coordination diffculties in the management of operation theatre. Results: A total of 51 cases were studied to determine the difficulties in management of operation theatre. 25.22% cases showed difficulty in proper management of Operation Theater. This result showed that there are still some difficulties like insufficient and old equipments, absence of proper sterilization, lack of proper leadership, work overload, no quality check of equipments, no teaching program, and unpunctuality of staff, improper timing and organization in the operation theater. Conclusions: There are many difficulties in management of operation theatre regarding staff members, equipments, timings and sterilization. A proper leadership and organization can sort out these problems.

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A STUDY OF WASTE MANAGEMENT OF SAIDU TEACHING HOSPITAL

Journal of Saidu Medical College, Swat ◽

10.52206/jsmc.2012.2.1.105-110 ◽

1969 ◽

Vol 2 (1) ◽

pp. 105-110

Author(s):

Bushra Iftikhar ◽

Muhammad Jan ◽

Khurshid Ahmad ◽

Satea Arif

Keyword(s):

Waste Management ◽

Teaching Hospital ◽

Tertiary Care ◽

Water Channel ◽

Liquid Waste ◽

Care Hospital ◽

Operation Theatre ◽

Blood Banks ◽

Outpatient Departments ◽

Infectious Waste

Objectives: The study was designed to find out the type and quantity of different type of wastes generated inthe two wings of Saidu Group of teaching Hospitals. The study also aimed at finding that whether facilitiesare available in different units for the segregation, storage, disinfection of infectious waste at the onset andmethods of disposal of waste within and outside the hospital. Also, types of items reused and their methodsof sterilization and the fate of used syringes was found out.Study Design: ObservationalMethodology: The study focus was Saidu Teaching Hospital (STH), a tertiary care hospital providingservices to the people of Swat, Malakand, Dir, Kohistan and areas far up to Chitral. Situated 1.5 Km apartSTH consists of two administrative units,Saidu Wing and Central Wing.A qualitative analysis of various aspects of waste management was done by reviewing the availableauthentic record and discussion with the sanitary and administrative staff of the hospital. All the data wascollected according to, and filled in a pre-designed questionnaire.Results: It was found that Saidu Teaching Hospital generates more than 550 Kg of solid waste and 1295liters of liquid waste per day, which makes 1.2 Kg/bed/day. As a whole 80% of the waste generated wasordinary garbage, 12% was infectious, 4% was Pharmacological, 3% pathological and 0.8% consisted ofsharps.The provision of facilities for the segregation of waste at outpatient departments, Wards, Operation theatreand Laboratories/Blood Banks were 7.5%, 7%, 20% and 28.5% respectively and for storage of waste beforedisposal at outpatient departments, Wards, Operation theatre and Laboratories / Blood Banks were 22%,8%, 0% and 28.5% respectively.Disinfection of infectious waste at outpatient departments, wards, operation theatre and laboratories / bloodbanks was 10%, 12%, 0% and 17% respectively. Methods used were treatment with phenyl and burning inopen air.About the removal of waste from hospital premises, 78% mentioned sweepers, 17% said rig pickers while5% said that there is no one to take away the waste.54% admitted that they threw the syringes as such in thebins.The study found that 80% of the waste went to the municipal corporation land fills, the rest was either burntor thrown as such into the water channel passing through the hospital (12% & 8% respectively). 67% blamedthe administration, 25 % held the doctors responsible, 37% charged the nursing staff and 67% blamed thesweepers for the faulty management of hospital waste.Conclusion: It is thus concluded that Saidu Teaching Hospital generates huge amount of solid and liquidwaste, which is not properly disposed off currently, therefore it needs modern and scientific waste disposalsystems.Keywords: Waste Management, hospital waste management, waste disposal

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LMA PROSEAL: AN ALTERNATIVE TO ENDOTRACHEAL IN- TUBATION IN OPEN APPENDECTOMY OPERATION.' IN THE DEPARTMENT OF ANESTHESIOLOGY, MEDICAL COLLEGE, KOLKATA

10.36106/ijsr/4808563 ◽

2021 ◽

pp. 74-76

Author(s):

Manas Karmakar ◽

Pallab Kanti Nath ◽

Ashok Das

Keyword(s):

Endotracheal Tube ◽

West Bengal ◽

Operative Procedure ◽

Open Appendectomy ◽

Open Appendicectomy ◽

Safe Alternative ◽

Operation Theatre ◽

Medical College ◽

Airway Devices ◽

Strict Protocol

INTRODUCTION One of the important responsibilities of an Anaesthesiologist is to maintain a patent airway during any surgical procedure. Since the early days of Anaesthesia, various efforts have been made to dispel the problem of airway maintenance. AIMS AND OBJECTIVES The study entitled “LMAProSeal: An alternative to endotracheal intubation in open appendicectomy operation” was conducted with the aims to compare the efcacy of LMA ProSeal and Endotracheal Tube in patients undergoing Open Appendectomy under General Anaesthesia. MATERIALAND METHODS Study Area: This study was conducted in Medical College, Kolkata (West Bengal), under the department of Anaesthesiology in General Surgery Operation Theatre (C. B. Top OT/ Green OTComplex), after clearance from the Hospital ethical committee, during the period from 1st may 2013 to 31st January 2014. Awritten informed consent was taken from all patients included in the study. StudyPopulation:Patients postedforopenAppendicectomyoperationwithBMIbetween18.50–24.99kg/m2andbodyweightbetween30—60kg. Sample Size: 100 RESULTS AND OBSERVATIONS The effects were observed by monitoring heart rate, blood pressure and SPO2 preoperatively (as baseline), after intubation or placement of LMAProSeal at 1 min, 3 mins, 5mins and every 5 mins thereafter till the reading at removal of the device. For both the groups baseline ETCO2 was taken from connection of ETCO2 cable following placement of airway devices. SUMMARY AND CONCLUSION The study revealed that both the airway devices (ET tube and LMA ProSeal) were successful in operative procedure (open appendicectomy) in all the patients without any signicant complication. In experienced hands and following a strict protocol of insertion, the LMA ProSeal can prove to be an efcient and safe alternative to endotracheal tube for airway management of elective patients undergoing laparotomy procedure like open appendicectomy.

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The possible effect of different types of ventilation on reducing operation theatre infections: a meta-analysis

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2020.7021 ◽

2021 ◽

Vol 103 (3) ◽

pp. 145-150

Author(s):

Q Lv ◽

Y Lu ◽

H Wang ◽

X Li ◽

W Zhang ◽

...

Keyword(s):

Meta Analysis ◽

Operation Theatre ◽

Different Types

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Dimon hughston osteotomy for unstable intertrochanteric fractures done on ordinary operation theatre table using newly developed imaging technique

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2018.v4.i2c.30 ◽

2018 ◽

Vol 4 (2c) ◽

pp. 183-186

Author(s):

K Raghava Aditya ◽

P Lakshmi Narayana Reddy

Keyword(s):

Imaging Technique ◽

Intertrochanteric Fractures ◽

Operation Theatre

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Evaluation of Radiation Knowledge of Non-Medical Doctor Staffs in Orthopaedics and Traumatology Operation Theatre

The Journal of Tepecik Education and Research Hospital ◽

10.5222/terh.2021.50103 ◽

2021 ◽

Author(s):

Can Doruk Basa ◽

İsmail Eralp Kaçmaz ◽

Vadym Zhamilov ◽

Ayfer Gider ◽

Hüseyin Gökhan Karahan ◽

...

Keyword(s):

Sample Selection ◽

Educational Status ◽

Medical Doctor ◽

Operating Theatre ◽

Cross Sectional ◽

Operation Theatre ◽

Training And Research ◽

High Level ◽

Prevention Methods ◽

Descriptive Survey

Objective: The aim of this study was the determine educational status, anxiety, the use of prevention methods and their knowledge level of nurses, operation theatre staffs and technicians about radiation. Methods: This study is a cross-sectional descriptive survey. The universe of our study consists of non-medical doctor staffs (nurses, technicians and operating theatre personnel) of one university and two training and research hospitals in İzmir. The sample selection was not made in our study and the personnels who accepted to participate in the study constituted the sample of the study (n=97). This was a survey of 21 questions. The survey includes participants’ demographical datas, protection type from radiation, anxiety about radiation, knowledge about radiation and education level about radiation. SPSS v21.0 were used for statistical analysis. Results: In our study, 97 participants completed the questionnaire. 51 of the participants were female (52.6%) and 46 were male (47.4%). Forty-one (42.3%) of the participants were 9 health technician (9.3%), 20 (20.6%) anesthesia technicians and 27 (27.8%) operating theatre staffs. It was found that 85 (87.6%) of the participants had operations requiring fluoroscopy in the operating room. It was learned that 29 (29.9%) participants answered the question examining the knowledge about radiation and 38 (39.2%) were educated about radiation safety. When the relationship between the participants’ answers to the question examining the knowledge about radiation and the educational level about radiation was examined, a statistically significant relationship was found between them (p=0.043). Conclusion: It was thought that non-medical doctor employees in the orthopedics and traumatology operating theatre had a high level of anxiety about radiation, had insufficient knowledge, and that training on radiation should be repeated periodically.

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Microbiological surveillance of operation theatre in a tertiary care hospital in North East India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20173538 ◽

2017 ◽

Vol 5 (8) ◽

pp. 3448

Author(s):

Monika Yadav ◽

Rohan Pal ◽

Somorjit H. Sharma ◽

Sulochana D. Khumanthem

Keyword(s):

Tertiary Care ◽

Infection Prevention And Control ◽

Care Hospital ◽

Bacterial Colony ◽

Operation Theatre ◽

Pseudomonas Spp ◽

North East ◽

Acinetobacter Spp ◽

And Control ◽

Microbiological Surveillance

Background: Good hospital hygiene is an integral part of infection control programme. “Microbiological surveillance” provides data about the factors contributing to infection. Bacterial counts in operation theatres are influenced by number of individual present, ventilation and air flow methods. Purpose of the study is to find out prevalence rate of microorganisms in Operation Theatre, to find out the frequency of contamination from various sites in operation theatre.Methods: The study was conducted in the department of microbiology, Regional institute of medical sciences, Imphal, Manipur, India. Air samples were taken by settle plate method in petri dishes containing blood agar and surface samples were taken by a sterile swab soaked in nutrient broth from all operation theatres. The samples were processed according to standard operative procedures.Results: Least bacterial colony forming unit (CFU) was shown by ophthalmology OT 17 CFU/mm3 and highest was shown by emergency OT 200 CFU/mm3. Isolated organism was divided into normal flora (CONS, micrococci), contaminant (bacillus species) and pathogenic organism e.g. Staphylococcus aureus, Acinetobacter spp., Pseudomonas spp. 15 (23.4%) swab samples out of a total of 64 swab samples were found to be growth positive. Out of that 4 CONS, 4 micrococci, 3 Bacillus spp, 2 Acinetobacter spp, 1 Enterobacter spp, 1 Pseudomonas spp. were isolated.Conclusions: Strengthening surveillance and laboratory capacity will surely enhance infection prevention and control. Routine sampling is strongly recommended for increasing awareness to identify and control all possible sources and types of infections.

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Eye-tunes: role of music in ophthalmology and vision sciences

Therapeutic Advances in Ophthalmology ◽

10.1177/25158414211040890 ◽

2021 ◽

Vol 13 ◽

pp. 251584142110408

Author(s):

Shruti Muralidharan ◽

Parul Ichhpujani ◽

Shibal Bhartiya ◽

Rohan Bir Singh

Keyword(s):

Surgical Procedures ◽

Diagnostic Procedures ◽

Well Being ◽

Modern Medicine ◽

Holistic Healing ◽

Operation Theatre ◽

Healing Effect ◽

Theatre Staff

Although the healing effect of music has been recognized since time immemorial, there has been a renewed interest in its use in modern medicine. This can be attributed to the increasing focus on holistic healing and on the subjective and objective aspects of well-being. In ophthalmology, this has ranged from using music for patients undergoing diagnostic procedures and surgery, as well as for doctors and the operation theatre staff during surgical procedures. Music has proven to be a potent nonpharmacological sedative and anxiolytic, allaying both the pain and stress of surgery. This review aims to explore the available evidence about the role of music as an adjunct for diagnostic and surgical procedures in current ophthalmic practices.

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