Several years ago I helped care for a man who had been hospitalized with a severe infection of the abdominal wall. When his primary doctors discovered that the bacteria responsible was resistant to most antibiotics, they quickly isolated him, moving him into a single room with a sign on the door proclaiming “Contact Precautions” and directing visitors to put on gloves, mask and gown before entering.
By Edwin G. Avery, IV, M.D., C.P.I. Chief, Division of Cardiothoracic Anesthesia Vice Chairman, Director of Research University Hospitals Case Medical Center Associate Professor of Anesthesiology Case Western Reserve University School of Medicine Cleveland, OH October 22, 2010 Introduction Near-infrared spectroscopy (NIRS) based cerebral oximetry has been adopted by many cardiothoracic and vascular anesthesiologists to provide continuous intraoperative insight into brain perfusion and oxygenation dynamics.
When I was a resident in internal medicine many years ago, I saw an elderly woman who came to the ER complaining of chest pain and shortness of breath. She had a history of heart disease. When I listened to her chest, the crackles I heard emanating from her wet lungs told me she had congestive heart failure.
A look at how retractors and retractor systems have improved to allow surgeons to operate more efficiently and safely. October 20, 2010 Self-retaining retractors free up surgical staff members to concentrate on other important tasks during a procedure. Retractors have been around since surgery began, meeting the need to retract organs or tissue for visualization and access during a procedure.
By Bruce Campbell, MD No great artist ever sees things as they are. If he did, he would cease to be an artist. -Oscar Wilde The physical exam of the head and neck is both simple and challenging. Simple, in that even children are familiar with the shape of the face, the sheen of the eye, the curve of the ear, and the texture of the tongue.
One winter toward the end of my training, I came down with a cold. At first, the constant coughing and runny nose made me miserable; then they became tiring. To decrease the chances of spreading my germs, I had to tie on a mask every time I came into contact with patients, wash my hands so frequently my skin became raw and wipe down the phone receivers with alcohol when I answered a page.
A recent conversation with a physician at my hospital was laced with tension about the different roles of doctors and nurses. “When you get down to it,” he told me, “Patients come to me for care, Theresa, not you.” Both of us were called away before we could talk more, but his words have been ringing in my head ever since.
The following important factors and recommendations are provided to assist in selection of a fluid management system for your facility. Important Factors Infection prevention should have highest priority in performing medical procedures. Risk of exposure to infectious fluids increases with each added step in disposal process.
In a 2007 Editorial in the American Journal of Psychiatry, Dr. Nora Volkow, director of the U.S. National Center on Drug Abuse (NIDA), asked if obesity should be included as a brain disorder in the upcoming Diagnostic and Statistical Manual of Mental Disorders (DSM-5, expected in 2012). She posed this question based on mounting evidence that foods can trigger behavioral and physiological processes that are similar to or overlapping with those caused by classic drugs of abuse.
During the American College of Surgeons annual Clinical Congress and Exposition held last week in Washington, D.C., the results of a study funded by RF Surgical Systems offered some interesting findings related to the use of radio frequency technology and how it can help prevent sponges from being left in the body after surgery.
I was seeing a youngster on a recent Sunday morning, an aspiring linebacker, playing the local Pop Warner football league who had injured his right fourth finger in a tackle gone awry. It was kind of an ugly fracture -- angulated, rotated, and involving the growth plate. (Salter-Harris II, for those keeping score at home.
Inside every patient, there’s a poet trying to get out. My ideal doctor would ‘read’ my poetry. my literature. – Anatole Broyard "When did you first notice the sore?" I ask the newly diagnosed cancer patient. I was taught in medical school that a thorough history includes information on the "duration of symptoms.
High Quality. Products that are highly absorbent and provide effective coverage are the key to ensure infection control and staff safety. High quality mats have the thick fibers to capture and lock in fluids. Only these mats will effectively reduce the amount of contaminated fluid left behind and lessen the risk of slips and falls.
October 7, 2010 Several years ago, I learned that a physician in a town not too far from where I was practicing had committed suicide. Neither I nor my hospital colleagues knew him, but according to the story we heard, he was the father of young children, was respected by doctors and patients alike and had struggled privately with mental illness since medical school.
What should surgical professionals consider when purchasing fluid waste control products to ensure infection control and staff safety in the OR? Kevin Klocek Marketing Manager www.boehringerlabs.com October 6, 2010 Suction is used in the OR not only for surgical field clearance but also airway management, blood salvage and tissue stabilization.