... Surgical Critical Care Vivas For my wife, Pauline Cornelia O’Keeffe Surgical Critical Care Vivas Mazyar Kanani BSc (Hons) MBBS (Hons) ... Vascular compression ↑ PVR ACUTE RESPIRATORY DISTRESS SYNDROME Predisposing injury SURGICAL CRITICAL CARE VIVAS A ᭢ 17 SURGICAL CRITICAL CARE VIVAS A ACUTE RESPIRATORY DISTRESS SYNDROME Proliferative ... cribriform plate fracture is suspected AIRWAY MANAGEMENT What kinds of surgical airway are there? There are three types of surgical airway: ᭹ Needle cricothyroidotomy with jet insuff lation of...
... medical -surgical ICU that serves as the regional neurosurgical and trauma referral centre: one 14-bed medical -surgical ICU that is also the vascular surgery referral centre; and a 10-bed medical -surgical ... surgical patient is unknown [11-13] and exclusive reporting from single ICUs in tertiary care referral hospitals [11,13] We therefore undertook a study of patients admitted to three medical -surgical ... design We identified consecutive adults (18 years of age or older) admitted to the three medical -surgical ICUs in the CHR between January 2000 and 31 December 2006 Patients Page of (page number...
... from 2002 to 2007 on board European aircraft Materials and methods This study originates from the surgical department of an academic teaching hospital (Department of General and Visceral Surgery, ... retrospectively reviewed the available data and classified different categories of medical and surgical emergencies Only events that actually happened in the air after take-off and before landing ... cases, 4.3%) and generalised pain (432 cases, 4.1%) Details of all diagnoses are summarised in Table Surgical illnesses accounted for a minor percentage of all onboard emergencies Thrombosis (47 cases,...
... glucose control in patients hospitalised for medical problems, surgical non-cardiovascular procedures or trauma in a mixed medical /surgical ICU Materials and methods Patients Patients aged 15 years ... mixed medical /surgical ICU with medical problems, non-cardiovascular surgeries or trauma These results differ from two previous studies The first one with patients in a cardiovascular -surgical ICU ... [9-11] It remains unclear if intensive insulin therapy is equally efficacious in both medical and surgical patients [12] Therefore, we conducted a randomised clinical trial to assess the efficacy...
... routine CXR in a mixed medical surgical ICU is low • The small impact of daily routine CXRs on clinical management of critically ill patients in a mixed medical surgical ICU justifies elimination ... daily chest radiography in the surgical intensive care unit J Trauma 1993, 35:643-646 Fong Y, Whalen GF, Hariri RJ, Barie PS: Utility of routine chest radiographs in the surgical intensive care unit ... in a surgical ICU Intensive Care Med 1996, 22:1335-1338 Chahine-Malus N, Stewart T, Lapinsky SE, Marras T, Dancey D, Leung R, Mehta S: Utility of routine chest radiographs in a medical-surgical...
... medical surgical ICU as part of a quality assurance survey The goals of this study were to determine the percentage of routine and non-routine radiographs that change management in our medical surgical ... other Analysis Given that medical and surgical patients often have different complications and varying lengths of stay, the data for each were analyzed separately Surgical patients were divided into ... 198 patients: 645 CXRs in 97 medical patients and 205 CXRs in 101 surgical patients Major admitting diagnoses for the medical and surgical patients are presented in Tables and 2, respectively Table...
... CONTRIBUTIONS FI: participated in the surgical treatment and in the follow-up of this patient MT: drafted the manuscript and reviewed the literature FMA: participated in the surgical treatment and in the ... and in the follow-up of this patient ADI: revised the literature sources RC: participated in the surgical treatment and in the follow-up of this patient AMI: documented this case report with digital...
... approach and closure are as described above Postoperative Management All patients were examined by the surgical housestaff on a daily basis for wound hematomas as well as signs of hypocalcemia Analgesia...
... of our patient of removing the lipomatous formation while keeping the tattoo intact, during the surgical treatment of the lipoma, we followed the exact lines of the tattoo itself thus obtaining ... 1:200.000 for adequate anesthesia and hemostasis The skin was incised in the tattoo line with a scalpel blade no 15 The wall of the lipomatous lesion was identified and was isolated from the surrounding ... complete wound healing was achieved Post operative photos were taken after months and no sign of the surgical cicatrix was visible and the original tattoo design was kept intact (Fig.2) Obviously,...
... Table 1) Most of the included patients had previously been prescribed a treatment by non surgical or inadequate surgical treatment modalities such as short term antibiotic treatments, local wound ... excisions and primary closure Total surgical excisions under general anaesthesia were performed on all patients All patients were operated on in the lithotomy, jackknife, supine or prone positions ... different treatment modalities Surgical options have wide variabilities according to affected areas We believe that it is very important to choose appropriate surgical operation to diseased area...
... and 24 months after treatment Surgical Technique After local anaesthesia, intrasulcular incisions were made at the buccal and lingual sides with Bard-Parker surgicalblade n° 15, at least one tooth ... single stitches sutures Fig 3: Surgical flap Fig 9: Clinical re-evaluation 10 days after surgery Fig 4: Flap elevation, intra -surgical evaluation of the parameters and surgical curettage of the intra-osseous ... Tables and Figures Table 1: Medium gain obtained durig Surgical treatment with Hyaloss® matrix Patient Age Sex FMPS FMBS Osseous defect Surgical site PPD (initial) PPD (final) Cal Medium gain...
... coated by caprolactone and glycolide SURGICAL GUT (plain) twisted 80% at months 18-24 months good poor at 7-10 days 6-8 weeks poor SURGICAL GUT (fast-absorbing) SURGICAL GUT (chromic) twisted twisted ... the late decongestive phase of the surgically-injured tissue This study aimed at designing a new a lab technique that could be used for evaluating the best surgical material Using such a technique, ... seems to be the first choice to suture a swollen surgical wound, where the swelling is either due to using local anesthetic agents, or due to surgical trauma (like in traumatic wounds, venous...
... in five neurosurgical centres No postoperative complications were observed in this series Gait analysis demonstrated a statistically significant increase in the speed of gait after the surgical treatment ... pupil of Gros, developed a microsurgical technique that (2) flexor digitorum profundus (FDP) and (3) the interosseous nerve and its proper branches to these muscles Surgical management of spasticity ... reduced by physical and pharmacological treatments and, when necessary, by neurosurgical procedures Guidelines for surgical indications have been detailed elsewhere (Sindou & Mertens, 1991; Sindou...
... performing "surgical strikes" on specific areas that need improvement; the book sums up the ten key areas that are perfect targets for surgical strikes, demonstrating exactly how to handle each ... encoding="ISO-8859-1"?> Table of Contents Quick Hits—10 Key Surgical Strike Actions to Improve Business Process Performance Chapter - Quick Hits Through Surgical Strikes Chapter - Where to Strike Chapter ... achieved, Quick Hits sums up the ten key areas that are perfect targets for surgical strikes, demonstrating exactly how to handle each type of problem By showing how to determine which approach to...
... Female Patient | Vol 36 MARCH 2011 Vaginal Incisions Povidone-iodine surgical preparation is the most commonly employed method in surgical procedures that require a vaginal scrub Alternatively, there ... which can increase the risk of infection With a surgical clipper, the risk of trauma to the skin is significantly reduced Disposable, single-use blades help prevent crosscontamination Some clippers ... povidoneiodine is not completely effective until thor The Female Patient | Vol 36 MARCH 2011 15 Gynecologic Surgical Site Infection Prevention TABLE ACOG Antimicrobial Prophylactic Regimens by Procedure6a...
... was not at risk for development Fig Example of a breast cancer risk profile NSABP סNational Surgical Adjuvant Breast and of breast cancer and was not included in the Bowel Project; UNK סunknown ... personnel were involved in the planning, implementation, conduct, and analysis of the National Surgical Adjuvant Breast and Bowel Project (NSABP) Breast Cancer Prevention Trial (BCPT) BCPT Steering ... and without tamoxifen in the treatment of primary breast cancer: 5-year results from the National Surgical Adjuvant Breast and Bowel Project Trial J Clin Oncol 1986;4:459–71 (9) Adjuvant tamoxifen...
... Cardiothoracic Surgical Nursing Dedicated to our parents Lilian and Roy Margereson and Mary and Ken Riley Cardiothoracic Surgical Nursing Carl Margereson MSc BSc(Hons) ... hope it serves as a useful text for others xi The Development of Cardiothoracic Surgical Nursing Cardiothoracic surgical nursing is currently undergoing immense change This has been assisted by ... cardiothoracic surgical nurse from post-registration towards doctorate level and beyond (Riley et al 2003) Figure 1.1 outlines a possible framework Development of a cardiothoracic surgical nurse...
... Coronary artery bypass graph (CABG) This is a surgical procedure in which a vein from a leg or an artery from an arm or the chest is removed and 10 Medical -Surgical Nursing Demystified graphed to coronary ... used to grind plaque from the artery wall Embolectomy: Surgical removal of a blood clot from the affected artery Thromboendarterectomy: Surgical removal of atherosclerotic tissue from the affected ... Demystified Visual C# 2005 Demystified Vitamins and Minerals Demystified XML Demystified Medical -Surgical Nursing Demystified Mary DiGiulio, RN, MSN, APRN Donna Jackson, RN, MSN, APRN Jim Keogh...