operating theater
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2022 ◽  
Vol 2 (2) ◽  
pp. 212-221
Author(s):  
Zulkifli ◽  
Agustina Br Haloho ◽  
Legiran ◽  
Muhammad Ikhsan Kartawinata

Introduction. The aerosol box can reduce the risk of droplet and aerosol transmission from the patient to the operator when performing intubation, but in practice, an aerosol box makes the glottis visualization less evident, and the operator moves less space with less space the aerosol box. This study aimed to compare ETT duration using an aerosol box and without an aerosol box using a video laryngoscope. Methods: This study was a clinical trial with a post-test-only control design. The study was carried out from February 2021 to May 2021 at the Central Operating Theater of dr. Mohammad Hoesin General Hospital Palembang. The sample in this study was all patients who underwent elective surgery under general anesthesia using intubation at the Central Surgical Installation of dr. Mohammad Hoesin Palembang. After the data is collected, it is analyzed using the SPSS 22.0 program with the appropriate test. Results. There were no differences in subject characteristics (age, sex, BMI, Mallampati score, TMD, Cormack Lehane, limited mouth opening, short neck, limited mouth movement) between the group using the aerosol box and the group without the aerosol box. The duration of intubation without an aerosol box is 30.67 + 2.63 seconds, and using an aerosol box is 44.53 + 2.89 seconds. There was a significant difference between the two groups in the duration of patient intubation (p < 0.001). However, there was no significant difference in complications in the two groups (p >0.05). Conclusion. The duration of the endotracheal tube insertion using an aerosol box is more extended than without an aerosol box in elective surgery patients.


2021 ◽  
pp. 389-393
Author(s):  
Yoshihiro Muragaki ◽  
Jun Okamoto ◽  
Ken Masamune ◽  
Hiroshi Iseki
Keyword(s):  

2021 ◽  
Vol 9 ◽  
Author(s):  
Lifang Ma ◽  
Yonghong Mu ◽  
Ling Wei ◽  
Xiumei Wang

Objective: To explore the application value of QR code electronic manuals in operating theater equipment management and training.Methods: The control group adopted the traditional management mode. Training was carried out before each device was put into use in the department. A unified operation process and a paper card manual for common faults were formulated and hung next to each device. For the observation group, the electronic manuals generated by the QR code were pasted on the operating theater equipment for management and training. The management and training effect was compared between the two groups.Results: The efficiency of equipment management and training using the QR code electronic manuals was significantly higher than that of traditional training, and the difference was statistically significant (P &lt; 0.05).Conclusion: The QR code manuals are very effective in operating theater equipment management and training. They can be read and learned in time to improve the operating theater equipment utilization rate, accuracy rate, and equipment management and training quality.


2021 ◽  
Vol 2 (2) ◽  
pp. 89-102
Author(s):  
Maria Mahdalena Diyah Pujiastuti ◽  
Agnes Mahayanti ◽  
Sr. Therese Maura Hardjanti, CB

ABSTRACT   Background: The success of breastfeeding is a team work with proper information and big support to create  environment enabled the  mothers to give breastfeeding optimally to their baby (Kemenkes, 2019). Keeping in mind that the OT achievement is far below 100% , the researcher is interested in take up factors influence the application of Early  Initiation of Breastfeedingin Operating Theater Unit of Panti Rapih Hospital Yogyakarta. Objective: Unveil factors wish  interfere the practice of  Early  Initiation of Breastfeeding  in Operating Theater Unit of Panti Rapih Hospital Yogyakarta. Methods: The design of the study is observational analytic  method with  cross sectional approach. The population of the study is every mother who gives birth with sectio caesarea in Operating Theater Unit of  Panti Rapih Hospital Yogyakarta. Sampling technique in the study is accidental sampling. This study had 33 respondents. Study instrument in the study is  questionnairefilled out by respondents on the first day after sectio caesarea was performed in the inpatient room. The research was conducted from September 2020 to February 2021. Results: There is no significant correlation between knowledge and  IMD practice (p value 0.772), there is no significant correlation between attitudes and IMD practice ( p value  0.500), there is no significant correlation between parity and  IMD practice (p value  0.500), there is a significant correlation , strong and unidirectional between health personnel support and IMD practice (p value  0.000) . Conclusion: Significant factors interfere with the success  of Early Initiation of breastfeeding  in the Operating Theater Unit of Panti Rapih Hospital Yogyakarta is health personnel  supportwhile the insignificant factors consists of knowledge, attitude and parity.


2021 ◽  
Author(s):  
Aida Mankute ◽  
Laima Juozapaviciene ◽  
Justinas Stucinskas ◽  
Zilvinas Dambrauskas ◽  
Paulius Dobozinskas ◽  
...  

Abstract Background: Simulation-based training is a clinical skill learning method that can replicate real-life situations in an interactive manner. In our study, we compared a novel hybrid learning method with conventional simulation learning in the teaching of endotracheal intubation.Methods: One hundred medical students and residents were randomly divided into two groups and were taught endotracheal intubation. The first group of subjects (control group) studied in the conventional way via lectures and classic simulation-based training sessions. The second group (experimental group) used the hybrid learning method where the teaching process consisted of distance learning and small group peer-to-peer simulation training sessions with remote supervision by the instructors. After the teaching process, endotracheal intubation (ETI) procedures were performed on real patients under the supervision of an anesthesiologist in an operating theater. Each step of the procedure was evaluated by a standardized assessment form (checklist) for both groups.Results: Thirty-four subjects constituted the control group and 43 were in the experimental group. The hybrid group (88%) showed significantly better ETI performance in the operating theater compared with the control group (52%). Further, all hybrid group subjects (100%) followed the correct sequence of actions, while in the control group only 32% followed proper sequencing.Conclusions: We conclude that our novel algorithm-driven hybrid simulation learning method improves acquisition of endotracheal intubation with a high degree of acceptability and satisfaction by the learners’ as compared with classic simulation-based training.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Shun Onishi ◽  
Chihiro Kedoin ◽  
Masakazu Murakami ◽  
Nayuta Higa ◽  
Akihiro Yoshida ◽  
...  

Abstract Background Image-guided surgery with an open magnetic resonance imaging (MRI) system is applied for brain tumors in the neurosurgery field, but has rarely been reported in pediatric surgery. We report our initial experience of intraoperative confirmation of precision rectal pull-through during laparoscopically assisted anorectoplasty (LAARP) in an open MRI operating theater for pediatric patients with anorectal malformation (ARM). Case presentation A 3.0 kg term male neonate was delivered with anorectal malformation. An invertogram revealed the intermediate type. Transverse colostomy was made on the left upper abdomen. The recto-bulbar urethral fistula (RBUF) was diagnosed by a distal colostogram and voiding cystourethrogram. LAARP was planned at 6 months of age. Because this was the first procedure in which the pediatric abdomen had been scanned in an open MRI operating theater in our institution, we scanned his pelvic floor under sedation 3 weeks before the operation using the open MRI system in our operation room. We performed the operation with 4 trocars. The peritoneal reflection was carefully incised and the rectum was dissected. The RBUF was resected. The center of the muscle complex was detected at the perineal skin with an electrical nerve stimulator, and a 7-mm longitudinal skin incision was made on the perineal lesion for anoplasty. The muscle complex and the pubo-rectal sling were confirmed laparoscopically using a 3.5-mm bipolar forceps connected to the electrical nerve stimulator. Anoplasty was performed between the rectal stump and perineal skin. After anoplasty, the patient was scanned with open MRI under general anesthesia. We attached the quadrature-detection (QD) head coil around the patient’s pelvis and inserted him in the gantry. A 0.45-T open MRI clearly revealed that the pulled through rectum was located in the center of the muscle complex on T2-weighted images. The postoperative course was uneventful. Oral intake was started on post-operative day 1. Postoperative dynamic urography showed no complication (e.g., leakage or residual fistula). Conclusions We successfully performed LAARP for ARM, with intraoperative confirmation of precision rectal pull-through in an open MRI operating theater. Further cases are required to evaluate the application of open MRI systems in pediatric surgery.


2021 ◽  
pp. 1-9
Author(s):  
Federico Russo ◽  
Marco Valentini ◽  
Daniele Sabatino ◽  
Michele Cerati ◽  
Carla Facco ◽  
...  

OBJECTIVE The coronavirus disease 2019 (COVID-19) pandemic represents the greatest public health emergency of this century. The primary mode of viral transmission is droplet transmission through direct contact with large droplets generated during breathing, talking, coughing, and sneezing. However, the virus can also demonstrate airborne transmission through smaller droplets (< 5 μm in diameter) generated during various medical procedures, collectively termed aerosol-generating procedures. The aim of this study was to analyze droplet contamination of healthcare workers and splatter patterns in the operating theater that resulted from endoscopic transnasal procedures in noninfected patients. METHODS A prospective nonrandomized microscopic evaluation of contaminants generated during 10 endoscopic transnasal procedures performed from May 14 to June 11, 2020, in the same operating theater was carried out. A dilution of monosodium fluorescein, repeatedly instilled through nasal irrigation, was used as a marker of contaminants generated during surgical procedures. Contaminants were collected on detectors worn by healthcare workers and placed in standard points in the operating theater. Analysis of number, dimensions, and characteristics of contaminants was carried out with fluorescence microscopy. RESULTS A total of 70 samples collected from 10 surgical procedures were analyzed. Liquid droplets and solid-tissue fragments were identified as contaminants on all detectors analyzed. All healthcare workers appeared to have been exposed to a significant number of contaminants. A significant degree of contamination was observed in every site of the operating room. The mean (range) diameter of liquid droplets was 4.1 (1.0–26.6) μm and that of solid fragments was 23.6 (3.5–263.3) μm. CONCLUSIONS Endoscopic endonasal surgery is associated with the generation of large amounts of contaminants, some of which measure less than 5 μm. All healthcare workers in the surgical room are exposed to a significant and similar risk of contamination; therefore, adequate personal protective equipment should be employed when performing endoscopic endonasal surgical procedures.


2021 ◽  
Vol 07 (03) ◽  
pp. e154-e157
Author(s):  
Jussi Repo ◽  
Mikko Ovaska ◽  
Eetu N. Suominen ◽  
Henrik Sandelin ◽  
Jani Puhakka

AbstractWe present a patient with compartment syndrome and entrapment of the superficial peroneal nerve due to a direct hit to the lateral part of the right lower extremity. The diagnosis of evolving compartment syndrome was made without delay and the patient was quickly taken to the operating theater. Intraoperatively, the entrapment of the superficial peroneal nerve caused by rupture and herniation of the peroneus tertius muscle was surprisingly observed at the site, where the nerve pierces the anterior compartment. The nerve was successfully released in conjunction with fasciotomies of the anterior and lateral compartments. Meticulous diagnosis of compartment syndrome is critical to prevent ischemic injury to muscles and nerves. Recognition of anatomy and anatomical variations is important to prevent iatrogenic injury in unusual circumstances.


2021 ◽  
Vol 8 (6) ◽  
pp. 1686
Author(s):  
Jean Paul Engbang ◽  
Christian Beughuem Chasim ◽  
Bekolo Fouda ◽  
Mathieu Motah ◽  
Thomas Jim Kevin Moukoury ◽  
...  

Background: Abdominal trauma remains quite common in the general world and in developing countries in particular. The accidents in the public roads are the main cause and also the assumption of responsibility which remains questionable.Methods: It was a descriptive longitudinal study, carried out from 31 December 2018 to 19 April 2019, in Laquintinie and General hospital in Douala, Cameroon. Patients admitted for abdominal trauma and treatment in the emergency department, operating theater and visceral surgery were included in the study.Results: We found 21.2% (43 cases) of abdominal trauma in our series. Abdominal trauma mainly affected adults between 20 and 39 years old (27 cases, 63%) in our series. The male sex was most affected, with sex ration of 3.3. Road accidents occupy the first place with 34.9% (15 cases). Wounds in our series represented 27.9% (12 cases) and contusions 72.1% (31 cases). In fact, Abdomen without preparation was performed in 7.0% (3 cases) of cases, abdominal ultrasound in 48.8% (21 cases) and abdominal CT scan in 25.6% of patients (11 cases). The organs affected in order were the spleen, small intestine, colon, stomach and liver. We recorded postoperative complications with a morbidity of 11.6% with a single case of parietal suppuration and no death.Conclusions: In our context abdominal trauma remains quite frequent and concern particularly young people. The prevention of accidents on the public highway and the improvement of diagnostic and surveillance methods are the key for reducing this phenomenon leading to good management.


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