Academic literature on the topic 'Surgical equipment'

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Journal articles on the topic "Surgical equipment"

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Covell, Carol A., and Nancy A. Mahoney. "Coordinator teaches staff to operate equipment, handles malfunctioning equipment." AORN Journal 47, no. 1 (January 1988): 260. http://dx.doi.org/10.1016/s0001-2092(07)70076-5.

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Johnson, Mariann L. "Equipment Planning Process." AORN Journal 47, no. 1 (January 1988): 214–15. http://dx.doi.org/10.1016/s0001-2092(07)70071-6.

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&NA;. "Unsterilized Surgical Equipment Blinds 40 Patients." Journal of Clinical Engineering 28, no. 3 (July 2003): 152. http://dx.doi.org/10.1097/00004669-200307000-00017.

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Sim, Hong Gee, Sidney Kam Hung Yip, and Christopher Wai Sam Cheng. "Equipment and technology in surgical robotics." World Journal of Urology 24, no. 2 (March 15, 2006): 128–35. http://dx.doi.org/10.1007/s00345-006-0070-6.

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Higginson, Ray. "The benefits of disposable surgical equipment." British Journal of Nursing 22, no. 12 (June 26, 2013): 690–91. http://dx.doi.org/10.12968/bjon.2013.22.12.690.

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Edge, C., and D. Gibbins. "Underwater discovery of Roman surgical equipment." BMJ 297, no. 6664 (December 24, 1988): 1645–46. http://dx.doi.org/10.1136/bmj.297.6664.1645.

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Kroner, Kevin T., Casey Budgeon, and Sara A. Colopy. "Update on Surgical Principles and Equipment." Veterinary Clinics of North America: Exotic Animal Practice 19, no. 1 (January 2016): 13–32. http://dx.doi.org/10.1016/j.cvex.2015.08.011.

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Oosting, Roos Marieke, Linda S. G. L. Wauben, Salome W. Mwaura, June K. Madete, Reinou S. Groen, and Jenny Dankelman. "Barriers to availability of surgical equipment in Kenya." Global Clinical Engineering Journal 1, no. 2 (June 29, 2019): 35–42. http://dx.doi.org/10.31354/globalce.v1i2.61.

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Background & Objective:The need for surgery is currently not met in Sub-Saharan Africa, requiring both extra workforce and surgical equipment. Currently, there is a gap in the availability of surgical equipment which, among others, limits the provision of safe surgery. To design strategies to increase availability, the use of surgical equipment in this context needs to be understood. This study aims to: 1) identify the different phases surgical equipment goes through during its lifespan (i.e. the surgical equipment journey) in Kenya, and to 2) identify barriers that are perceived by biomedical equipment technicians (BMETs). Material & Methods:Seven semi-structured in-depth interview sessions were conducted with a total of 17 BMETs working in Kenya. Participants worked in six different hospitals (four public, one private and one mission). Interviews were conducted between December 2016 and December 2018. Participants were asked to describe or draw the surgical equipment journey and describe the perceived barriers during this journey. Results:The surgical equipment journey consists of three phases: procurement, usage, and disposal. Stakeholders involved in the surgical equipment journey are users, BMETs, procurement officers, local distributors and in case of donations, donation agencies. Bureaucracy during procurement, difficulties to obtain consumables and spare parts (especially for donated equipment), cleaning with heavy chemicals, and usage in challenging environments were identified as barriers during the surgical equipment journey. Conclusion:Sustainable interventions at multiple organisational levels are required to optimize the surgical equipment journey in hospitals in Kenya. Different strategies that can be applied in parallel to increase availability of surgical equipment in Kenya were identified by the participants in this study: policies on donations, procurement of durable equipment, more well-trained BMETs and university-trained biomedical engineers, and designs and business models that fit the local use in Kenya and presumably other countries in Sub-Saharan Africa.
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Guerra, James J., and John M. Bednar. "EQUIPMENT MALFUNCTION IN COMMON HAND SURGICAL PROCEDURES." Hand Clinics 10, no. 1 (February 1994): 45–52. http://dx.doi.org/10.1016/s0749-0712(21)01032-5.

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Steck-Bayat, Kayvahn P., Janet A. Foote, Jamal Mourad, Kelly H. Roy, Andrea G. Aguirre, and Nichole D. Mahnert. "Surgical Equipment Price Awareness Amongst Obstetrician-Gynecologists." JSLS : Journal of the Society of Laparoendoscopic Surgeons 23, no. 2 (2019): e2019.00010. http://dx.doi.org/10.4293/jsls.2019.00010.

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Dissertations / Theses on the topic "Surgical equipment"

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PALOMARES, ROSARIO DEL PILAR ALVA. "METROLOGICAL RELIABILITY OF HIGH FREQUENCY SURGICAL EQUIPMENT." PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2005. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=8010@1.

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FINANCIADORA DE ESTUDOS E PROJETOS
MINISTÉRIO DA CIÊNCIA E TECNOLOGIA
A garantia da confiabilidade metrológica de equipamentos médicohospitalares, apesar de essencial para garantir a obtenção do efeito desejado e evitar efeitos adversos, em geral não é realizada durante o período de uso (pós-comercialização). Dentre as principais causas possíveis desta realidade se encontra a falta de informação por parte dos profissionais usuários quanto aos riscos, ou seja, a reduzida cultura metrológica no ambiente da saúde. A partir da identificação de alguns pontos vulneráveis e de graves repercussões na utilização inadequada de bisturis eletrônicos, esta dissertação avaliou parâmetros para a confiabilidade metrológica destes equipamentos, tanto em nível técnico e normativo, quanto em termos da utilização em ambientes hospitalar.Foi realizada uma busca e identificação da normalização nacional, e avaliada a abrangência das normas para garantir de forma completa a utilização dos equipamentos. Os trabalhos práticos para a avaliação metrológica das unidades eletrocirúrgicas foram realizados em três hospitais. Os resultados obtidos auxiliaram na avaliação da confiabilidade metrológica das unidades eletrocirúrgicas em uso, apontando para a necessidade não só de um controle metrológico periódico, como também da inserção de parâmetros de avaliação que não constam na norma aplicável ao equipamento em estudo. Parte desta dissertação foi financiada, através do Convênio referência FINEP n° 22.01.0692.00, pelo Programa Tecnologia Industrial Básica e Serviços Tecnológicos para a Inovação e Competitividade MCT/FINEP/FNDCT/Fundo Verde Amarelo, um programa cooperativo universidade-empresa.
The metrological reliability of electromedical equipment, although essential in order to guarantee the desired effects and to avoid adverse effects, is often not verified after the equipment is sold and being used (post-sale period). This is partially due to the fact that, usually, health-care takers that use the equipment are unaware of the risks involved, in other words, there is a low metrological culture in the healthcare environment. In this dissertation, vulnerable aspects regarding the inadequate use of high frequency surgical equipment, also known as electrosurgical unit (ESU), were identified, and their consequences evaluated. Based on these results, technical and standard parameters important for the metrological reliability of ESUs, were evaluated. This dissertation also includes a detailed bibliographical research of basic principles, technical specifications, and international procedures that guarantee the metrological reliability of electrosurgical units. The scope of national standards was evaluated in order to guarantee the correct use of all of the ESU´s functions and modes. Experimental data for the metrological evaluation of the EUSs were collected in three (3) hospitals, one (1) private and two (2) public. The results are helpful for evaluating their metrological reliability, and indicate that not only that there is a need for a periodical metrological evaluation, but also that other parameters should be included in existing standards. Part of this dissertation was financed by the Convênio referência FINEP n° 22.01.0692.00 of the Programa Tecnologia Industrial Básica e Serviços Tecnológicos para a Inovação e Competitividade MCT/FINEP/FNDCT/Fundo Verde Amarelo, a universitycompany cooperative program.
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Troutner, Jason. "Utilizing a real-time locating system for surgical equipment inventory management." Thesis, Massachusetts Institute of Technology, 2019. https://hdl.handle.net/1721.1/122567.

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Thesis: M.B.A., Massachusetts Institute of Technology, Sloan School of Management, 2019, In conjunction with the Leaders for Global Operations Program at MIT
Thesis: S.M., Massachusetts Institute of Technology, Department of Mechanical Engineering, 2019, In conjunction with the Leaders for Global Operations Program at MIT
Cataloged from PDF version of thesis.
Includes bibliographical references (pages 73-76).
Massachusetts General Hospital (MGH) manages a large inventory of surgical equipment which must be delivered to operating rooms on-time, efficiently, and according to a set of quality standards. In recent years, flexible scope management has become a topic of interest for many hospitals, as they face pressure to both reduce costs and prevent infections that can result from mismanagement. This thesis proposes a novel method for surgical equipment management in a hospital. The proposed solution uses a real-time locating system to track flexible scopes, a semantic reasoning engine to determine the state of each scope, and a dashboard to inform staff about necessary interventions to avoid scope expirations while maximizing efficiency. This project aims to accomplish three primary goals. First, the project seeks to improve the hospital's compliance to quality standards in order to reduce risks of infection due to expired scopes. Second, the project aims to improve the cost-efficiency of scope disinfecting processes through more efficient inventory management. Finally, the project serves as an opportunity for the hospital to establish best practices for working with the newly installed real-time locating system. The system proposed in this work is piloted at MGH on a subset of the hospital's flexible scopes. The pilot results demonstrated a quality compliance increase from 88.9% to 94.5%. The implementation also resulted in an estimated $17,350 annual cost savings due to more efficient management of scopes.
by Jason Troutner.
M.B.A.
S.M.
M.B.A. Massachusetts Institute of Technology, Sloan School of Management
S.M. Massachusetts Institute of Technology, Department of Mechanical Engineering
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Kwakye, Gifty. "GREEN PRACTICES FOR SURGICAL UNITS." Yale University, 2010. http://ymtdl.med.yale.edu/theses/available/etd-03152010-165830/.

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The study aimed to identify leading practices to promote environmentally friendly and efficient efforts in surgical healthcare. Despite widespread enthusiasm for going green in the U.S. economy, little information is available to inform the medical community on the effort. We explore safe and efficient strategies for hospitals and healthcare providers to protect the environment while delivering high-quality care. As part of the study design, we performed a systematic review of the literature using relevant Pubmed search terms and surveyed a panel of hospital managers and CEOs of healthcare organizations pursuing green initiatives. Recommendations were itemized and reviewed with each panelist for a consensus agreement. At the end, we identified forty-three published articles and obtained interview data from the 7-member expert panel. Five green recommendations for surgical practices were identified: (1) OR Waste Reduction and Segregation; (2) Environmentally Preferable Purchasing; (3) Energy Consumption Management; (4) Pharmaceutical Waste Management; (5) Reprocessing of Single Use Medical Devices. We concluded that the medical community has a large opportunity to implement green practices in surgical units. These practices can have significant benefits to both the healthcare community and the environment.
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Cuming, Richard G. "Factors Surgical Team Members Perceive Influence Choices of Wearing or not Wearing Personal Protective Equipment During Operative/Invasive Procedures." FIU Digital Commons, 2009. http://digitalcommons.fiu.edu/etd/111.

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Exposure to certain bloodborne pathogens can prematurely end a person’s life. Healthcare workers (HCWs), especially those who are members of surgical teams, are at increased risk of exposure to these pathogens. The proper use of personal protective equipment (PPE) during operative/invasive procedures reduces that risk. Despite this, some HCWs fail to consistently use PPE as required by federal regulation, accrediting agencies, hospital policy, and professional association standards. The purpose of this mixed methods survey study was to (a) examine factors surgical team members perceive influence choices of wearing or not wearing PPE during operative/invasive procedures and (b) determine what would influence consistent use of PPE by surgical team members. Using an ex post facto, non-experimental design, the memberships of five professional associations whose members comprise surgical teams were invited to complete a mixed methods survey study. The primary research question for the study was: What differences (perceptual and demographic) exist between surgical team members that influence their choices of wearing or not wearing PPE during operative/invasive procedures? Four principal differences were found between surgical team members. Functional (i.e., profession or role based) differences exist between the groups. Age and experience (i.e., time in profession) differences exist among members of the groups. Finally, being a nurse anesthetist influences the use of risk assessment to determine the level of PPE to use. Four common themes emerged across all groups informing the two study purposes. Those themes were: availability, education, leadership, and performance. Subsidiary research questions examined the influence of previous accidental exposure to blood or body fluids, federal regulations, hospital policy and procedure, leaders’ attitudes, and patients’ needs on the use of PPE. Each of these was found to strongly influence surgical team members and their use of PPE during operative/invasive procedures. Implications based on the findings affect organizational policy, purchasing and distribution decisions, curriculum design and instruction, leader behavior, and finally partnership with PPE manufacturers. Surgical team members must balance their innate need to care for patients with their need to protect themselves. Results of this study will help team members, leaders, and educators achieve this balance.
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Moulton, Ethan David. "Influence of drill guide type and operator experience on accuracy of dental implant placement." Oklahoma City : [s.n.], 2006.

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Trindade, Júnnia Pires de Amorim. "A Influência do tempo de armazenamento, após a limpeza, na carga microbiana de tubos de silicone utilizados na assistência a pacientes cirúrgicos." Universidade Federal de Goiás, 2016. http://repositorio.bc.ufg.br/tede/handle/tede/5960.

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Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq
This experimental study examined silicone tubes coming from care to surgical patients in the perioperative period, chosen randomly. The study was conducted from September to November 2015 and the tubes were derived from the Central Sterile Supply Departments (CSSD) of a large general hospital in the Midwest region of Brazil. The objectives were to validate a method for extraction and quantification of microbial contamination in silicon tubes, checking the microbial charge of silicone tubes immediately after cleaning, and in different storage intervals identify the presence of biofilms on silicone tubing.The study was approved by the Ethics Committee under the protocols No. 1,277,077 and 1,000,946. To validate the method, two new sterile silicone tubing were used, pipe 01 and pipe 02 to 106 were artificially contaminated with bacterial spores of Geobacillus stearothermophilus. The contaminated pipes were filled with sterile water and sealed at the extremities. The tube 02 was submitted to five minutes sonication. The tube 01 has not submitted to this process. Subsequently, the seals were removed and the water collected in 60- mL syringe and filtered through 0.45 Millipore membrane μm in holder for syringe device. Membranes were incubated at 35 ° C for 24 hours in petri dishes containing nutrient agar. After the incubation period, the membranes were removed and placed in test tubes containing 1mL of saline that were submitted to vortexing for five minutes and subjected to handle calibrated technique for quantification of the colony. The sonication proved to be more effective for recovery of micro-organisms. The validated methodology was used for the tubes of the experimental groups (consisting of 10 silicon tubes used in hospital care after the cleaning process), negative control (three new silicone tubes) and positive control (tubes used in assisting during surgery with organic matter visible). The tubes were initially segmented into three fragments: end 01, 02 and a half later and were again targeted to pre-established time intervals zero, 12 and 24 hours in conditions similar to those offered by the study institution. In addition to the groups submitted to microbiological analysis by this method, similar tubes to the experimental group were collected for analysis by scanning electron microscopy (SEM). Among the tubes that were subjected to analysis by SEM, experimental groups were formed (three tubes used in hospital care after the cleaning process), positive control (tubes used without cleaning) and negative (new tubes). There was no statistically significant difference when comparing the means and the ends of the silicone tubing used in hospital care (p> 0.05) in zero periods, 12 and 24 hours. There was an increase of microbial load of the order of a magnitude on the logarithmic scale every 12 hours (p <0.05) in cleaning and storage conditions provided by the institution in experimental and positive control. There was no microbial growth in the negative control group. SEM showed the presence of organic matter that can support microbial growth.
Estudo experimental que analisou tubos de silicone oriundos da assistência ao paciente cirúrgico no período transoperatório, escolhidos aleatoriamente. O estudo foi realizado no período de setembro a novembro de 2015 e os tubos foram oriundos do Centro de Material e Esterilização (CME) de um hospital geral de grande porte da região Centro-Oeste do Brasil. Os objetivos foram validar um método para extração e quantificação da carga microbiana em tubos de silicone, determinar a carga microbiana de tubos de silicone imediatamente após a limpeza e em diferentes intervalos de armazenamento e avaliar a presença de biofilme em tubos de silicone. O estudo foi aprovado pelo Comitê de Ética sob os protocolos nº 1.277.077 e 1.000.946. Para a validação do método foram utilizados dois tubos de silicone novos esterilizados, tubo 01 e tubo 02 que foram artificialmente contaminados com 106 esporos bacterianos de Geobacillus stearothermophilus e em seguida. Os tubos contaminados foram preenchidos com água estéril e vedados nas extremidades. O tubo 02 foi submetido a cinco minutos de sonicação, já o tubo 01 não passou por este processo. Posteriormente, os lacres foram removidos e a água coletada em seringa de 60 mL e filtradas em membrana Millipore 0,45 µm em dispositivo holder para seringa. As membranas foram incubadas em estufa a 35ºC por 24 horas em placas de petri contendo ágar nutriente. Após o período de incubação, as membranas foram removidas e dispostas em tubos de ensaio contendo 1mL de solução salina que foram submetidas a agitação em vórtex por cinco minutos e submetidos a técnica de alça calibrada para quantificação das colônias. A sonicação demonstrou-se mais eficaz para a recuperação dos micro-organismos. A metodologia validada foi utilizada para os tubos dos grupos experimental (composto por 10 tubos de silicone utilizados na assistência hospitalar após o processo de limpeza), controle negativo (três tubos de silicone novos) e controle positivo (tubos usados na assistência transoperatória com matéria orgânica visível). Os tubos foram segmentados inicialmente em três fragmentos: extremidade 01, 02 e meio e posteriormente foram novamente segmentados conforme intervalos de tempo pré- estabelecidos zero, 12 e 24 horas em condições semelhantes às oferecidas pela instituição, local do estudo. Além dos grupos submetidos a análise microbiológica pelo método descrito, Novos tubos em condições semelhantes ao do grupo experimental foram coletados tubos semelhantes ao grupo experimental para análise por microscopia eletrônica de varredura (MEV). Dos tubos submetidos a análise pelo MEV, foram formados grupo experimental (três tubos utilizados na assistência hospitalar após o processo de limpeza), grupos controle positivo (tubos utilizados sem limpeza prévia) e negativo (tubos novos). Não houve diferença estatisticamente significativa quando comparados o meio e as extremidades dos tubos de silicone utilizados na assistência hospitalar (p>0,05) nos períodos zero, 12 e 24 horas. Houve aumento da carga microbiana na ordem de uma grandeza na escala logarítmica a cada 12 horas (p<0,05), nas condições de limpeza e armazenamento proporcionados pela instituição nos grupos experimental e controle positivo. Não houve crescimento microbiano no grupo controle negativo. A MEV mostrou presença de matéria orgânica que pode favorecer o crescimento microbiano.
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Akural, I. E. (Ibrahim Ethem). "Pain management options after tonsillectomy and third molar extraction." Doctoral thesis, Oulun yliopisto, 2016. http://urn.fi/urn:isbn:9789526214375.

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Abstract The purpose of this study was to investigate the clinical implications of a combination of a peripheral opioid, paracetamol (APAP) and ketoprofen (KTP) on the intensity of acute postoperative pain by focusing on tonsillectomy (TE) and third molar extraction. A second focus in the study was to assess the utility of the surgical ultrasonically activated scalpel (HS) technique for TE. In Study I, TE was performed on one side using the HS and on the contralateral side using a “blunt dissection technique”. The first TE study (I) demonstrated that - based on NRS pain scores during the first 10 postoperative hours - intra-operative blood loss and need for haemostasis were greater on the blunt dissection side than on the HS side. Pain scores were higher on the HS side than on the cold dissection side during the second postoperative week. Study III assessed the analgesic effect of a peripheral dose of 4 mg morphine. The peritonsillar infiltration of morphine locally did not significantly decrease pain compared to the control side. Studies (II and IV) included patients who were scheduled for third molar extraction. In Study II, patients received 1000 mg APAP or 100 mg KTP or both or a placebo to evaluate pain relief after third molar extraction. This study demonstrated that the mean sum of pain intensity differences scores up to the 1.5 h mark and the mean time to onset of pain relief at rest and on swallowing were favoured in the combination group more than in the APAP, KTP, and placebo groups. In Study IV, patients were assigned for a submucosal injection of 2 mg morphine or NaCl into either the non-inflamed (Trial I) or the inflamed (Trial II) peridental tissue, while the active control group received the same drugs in reverse order intramuscular (IM). Postoperative pain intensity at rest and on swallowing was assessed in all studies using the numerical rating scale (NRS). Pain scores in the peripheral morphine group at rest (Trials I and II) and on swallowing (Trial I) were not associated with any further pain reduction. Pain scores on swallowing during the 2–6 hours postoperative period (Trial II) were greater in the IM morphine group. HS TE was associated with decreased pain in the early postoperative period, but there was increased pain and otalgia during the second postoperative week. Locally administered peripheral morphine was not associated with any benefit during the postoperative period after TE. The multimodal analgesia combination of a single dose of KTP and APAP demonstrated the same benefit during the early postoperative period without an increase in side effects. Locally administered peripheral morphine produced significant analgesia on swallowing during the early postoperative stage in inflamed tissue after third molar extraction
Tiivistelmä Hyvä leikkauksen jälkeinen kivunhoito on yksilöllisesti suunniteltua, turvallista, helppokäyttöistä ja taloudellista. Nykyään pyritään kivunlievityksessä hyödyn-tämään eri vaikutuspaikkoihin kohdistuvia hoitoja eli multimodaalista kivun¬hoitoa. Tämän työn tarkoituksena oli selvittää eri kivunlievitysmenetelmien tehoa ja turvallisuutta kahdessa eri toimenpiteessä: nielurisojen poistoleikkauksen (TE) tai viisaudenhampaan poistoleikkauksen jälkeen. Tutkimuskokonaisuus käsittelee leikkaustekniikan (Ultraääniveitsi), lääke-ainekombinaatioiden ja perifeerisesti annostellun morfiinin vaikutusta post-operatiiviseen kipuun. Tutkimusaineisto koostuu neljästä tutkimuksesta. Kaikki työt olivat satunnaistettuja ja kaksoissokkoutettuja. Kipu mitattiin numeerista asteikolla (Numerical Rating Scale, NRS) sekä levossa että nielemisen aikana enintään 2 viikon ajan. Ultraääniveitsen käytön vaikutusta postoperatiiviseen kipuun verrattiin perinteiseen leikkaustekniikkaan. Potilailta toinen nielurisa poistettiin ultraääni¬veistä käyttäen ja toinen tylpästi irrotellen kylmiä instrumentteja käyttäen. Kipu oli perinteisellä tekniikalla leikatulla puolella voimakkaampi kuin ultraääni¬veitsellä leikatulla puolella leikkauspäivänä. Toisen leikkauksen jälkeisen viikon aikana kipu oli kuitenkin voimakkaampaa ultraääniveitsillä leikatulla puolella. Parasetamolin (APAP), ketoprofeenin (KTP) tuottamaa kivunlievitystä ja näiden yhteisvaikutusta verrattiin viisaudenhampaan poistoleikkauksen jälkeen. KTP ja APAP kombinaatio antoi tehokkaamman kivunlievityksen ja nopeamman hoitovasteen kuin kumpikaan lääke yksin annettuna. Perifeerisesti infiltroidun morfiinin vaikutusta kipuun tutkittiin TE sekä viisaudenhampaan poistoleikkauksen jälkeen. TE jälkeen toiselle puolelle infiltroitiin nielurisan taakse 4 mg morfiinia ja toiselle puolelle fysiologista suolaliuosta. Viisaudenhampaan poistoleikkauksessa paikallisesti infiltroitua 2 mg morfiinia verrattiin lihakseen annettuun samaa lääkkeeseen kahdessa eri tilanteessa, joko tulehtuneeseen tai tulehtumattomaan kudokseen annosteltuna. Paikallisesti infiltroidulla morfiinilla ei todettu kipua lievittävää vaikutusta TE jälkeen. Tulehtuneeseen kudokseen infiltroitu morfiini lievensi leikkauksen jälkeistä nielemiskipua 2–6 tuntia leikkauksesta. Tulehtumattomaan kudokseen infiltroidulla morfiinilla ei saatu lisäetua. Yhteenvetona voidaan todeta, että TE ja viisaudenhampaanpoistoleikkauksen jälkeen kivunhoitoa voidaan optimoida multimodaalisin kivunhoidon keinoin. Tutkimustulokset auttavat potilaskohtaisen yksilöllisen kivunhoidon suunnittelussa
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Byrne, Jill. "Occupational Heat Stress May Impact Surgeons' Thermal Comfort, Body Temperature, and Cognitive Performance." Case Western Reserve University School of Graduate Studies / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=case1620764717903713.

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Chueh, Juyu. "Mechanical Flow Restoration in Acute Ischemic Stroke: A Model System of Cerebrovascular Occlusion: A Dissertation." eScholarship@UMMS, 2010. https://escholarship.umassmed.edu/gsbs_diss/493.

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Stroke is the third most common cause of death and a leading cause of disability in the United States. The existing treatments of acute ischemic stroke (AIS) involve pharmaceutical thrombolytic therapy and/or mechanical thrombectomy. The Food and Drug Administration (FDA)-approved recombinant tissue plasminogen activator (tPA) administration for treatment of stroke is efficacious, but has a short treatment time window and is associated with a risk of symptomatic hemorrhage. Other than tPA, the Mechanical Embolus Removal in Cerebral Ischemia (MERCI) retriever system and the Penumbra Aspiration system are both approved by the FDA for retrieval of thromboemboli in AIS patients. However, the previous clinical studies have shown that the recanalization rate of the MERCI system and the clinical outcome of the Penumbra system are not optimal. To identify the variables which could affect the performance of the thrombectomy devices, much effort has been devoted to evaluate thrombectomy devices in model systems, both in vivo and in vitro, of vascular occlusion. The goal of this study is to establish a physiologically realistic, in vitro model system for the preclinical assessment of mechanical thrombectomy devices. In this study, the model system of cerebrovascular occlusion was mainly composed of a human vascular replica, an embolus analogue (EA), and a simulated physiologic mock circulation system. The human vascular replica represents the geometry of the internal carotid artery (ICA)/middle cerebral artery (MCA) that is derived from image data in a population of patients. The features of the vasculature were characterized in terms of average curvature (AC), diameter, and length, and were used to determine the representative model. A batch manufacturing was developed to prepare the silicone replica. The EA is a much neglected component of model systems currently. To address this limitation, extensive mechanical characterization of commonly used EAs was performed. Importantly, the properties of the EAs were compared to specimens extracted from patients. In the preliminary tests of our model system, we selected a bovine EA with stiffness similar to the thrombi retrieved from the atherosclerotic plaques. This EA was used to create an occlusion in the aforesaid replica. The thrombectomy devices tested included the MERCI L5 Retriever, Penumbra system 054, Enterprise stent, and an ultrasound waveguide device. The primary efficacy endpoint was the amount of blood flow restored, and the primary safety endpoint was an analysis of clot fragments generated and their size distribution. A physiologically realistic model system of cerebrovascular occlusion was successfully built and applied for preclinical evaluation of thrombectomy devices. The recanalization rate of the thrombectomy device was related to the ability of the device to capture the EA during the removal of the device and the geometry of the cerebrovasculature. The risk of the embolic shower was influenced by the mechanical properties of the EA and the design of the thrombectomy device.
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Machan, Melissa Dawn. "Emerging Evidence in Infection Control Effecting Change." UNF Digital Commons, 2011. http://digitalcommons.unf.edu/etd/385.

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Current procedures for cleaning anesthesia airway equipment have been reported to be ineffective. The potential for cross-contamination from some airway equipment to a patient has been documented in several studies. In order to prevent potential infections, it should be ascertained as to why all anesthesia providers are not using disposable laryngoscope blades. The purpose of this evidence based project is to determine the perceptions of anesthesia providers regarding the use of disposable laryngoscope blades. Their frequency of use, their evaluation of ease of use, and any complications encountered when using the disposable blade before and after an in-service program designed to increase the use of disposable blades will be determined. Once Institutional Review Board (IRB) approval and written consent were obtained, anesthesia providers were asked to complete an anonymous one page questionnaire on their knowledge and practice regarding disposable laryngoscope blades. Immediately following the completion of the questionnaire, participants were given an investigator developed article to read. Participants completed the same anonymous questionnaire 3 months following the pre-intervention questionnaire. Inventory of the disposable laryngoscope blades were collected at the start of the project, at one month, and then again at three months. A total of 12 anesthesia providers participated in the evidence based practice project. An increased number of providers stated that they felt disposable laryngoscope blades were easy to use at the completion of the project and there was an increased use of disposable laryngoscope blades. At post-intervention, anesthesia providers described performance (25%) as their reason for not using the disposable laryngoscope blade which was down from the start of the project (60%). A single proportion Z-Test showed that the 23% increase in use of disposable laryngoscope blades after the intervention was statistically significant (Z=2.046, p=0.041). This evidence based project has shown that despite initial apprehension, a change in practice was evident after dissemination of the best and most recent clinical evidence regarding laryngoscope blades which should translate to improved patient outcomes.
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Books on the topic "Surgical equipment"

1

Differentiating surgical equipment and supplies. Philadelphia, PA: F.A. Davis Co., 2010.

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Rutherford, Colleen. Differentiating surgical equipment and supplies. Philadelphia, PA: F.A. Davis Co., 2009.

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1853-1938, Stedman Thomas Lathrop, and Lippincott Williams & Wilkins., eds. Stedman's medical & surgical equipment words. 4th ed. Baltimore, Md: Lippincott Williams & Wilkins, 2004.

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George Tiemann & Co. American armamentarium chirurgicum. San Francisco: Norman Pub., 1989.

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Inc, Biomedical Business International, ed. Strategic marketing of surgical products. Tustin, CA, U.S.A. (17722 Irvine Blvd., Tustin 92680): Biomedical Business International, 1987.

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(Firm), Medical Economics Data, ed. Surgeon's reference for minimally invasive surgery products. Montvale, N.J: Medical Economics Data Production Co., 1994.

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Marshall, Gail E. Companion-animal dental and surgical instruments: A reference for veterinary technicians and assistants. Lakewood, Colo: American Animal Hospital Association Press, 2011.

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Frost & Sullivan., ed. U.S. medical and dental suction and irrigation equipment markets. Mountain View, Calif: Frost & Sullivan, 1995.

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Frost & Sullivan., ed. European dental surgery furniture and equipment markets. Mountain View, Calif: Frost & Sullivan, 1996.

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Inc, Business Trend Analysts, ed. The Surgical and medical instruments and equipment industry: A business information report. Commack, N.Y. (2171 Jericho Turnpike, Commack 11725): Business Trend Analysts, 1990.

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Book chapters on the topic "Surgical equipment"

1

Adler, Lisa M., and Janet S. Rader. "Ultrasonic Surgical Equipment." In Ultrasonic Surgical Techniques for the Pelvic Surgeon, 9–18. New York, NY: Springer New York, 1995. http://dx.doi.org/10.1007/978-1-4612-2486-0_2.

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Sobanko, Joseph F., and Ali Hendi. "Surgical Equipment and Instrumentation." In Dermatologic Surgery, 14–19. Oxford, UK: Wiley-Blackwell, 2012. http://dx.doi.org/10.1002/9781118412633.ch2.

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Ihde, Stefan. "Equipment and Surgical Techniques." In Principles of BOI, 49–67. Berlin, Heidelberg: Springer Berlin Heidelberg, 2005. http://dx.doi.org/10.1007/3-540-26987-8_5.

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Spruce, Lisa. "Preventing Perioperative Positioning and Equipment Injuries." In Surgical Patient Care, 493–518. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-44010-1_30.

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Bonnet, Mireille. "The Surgical Microscope: Technical Equipment." In Microsurgery of Retinal Detachment, 25–29. Berlin, Heidelberg: Springer Berlin Heidelberg, 1989. http://dx.doi.org/10.1007/978-3-662-08731-2_5.

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Ling, Samuel K. K., and Tun Hing Lui. "Setup, Equipment and Surgical Instruments." In Arthroscopy and Endoscopy of the Foot and Ankle, 3–12. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-13-0429-3_1.

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Blanc, B., and R. de Montgolfier. "Surgical hysteroscopy: equipment and technique." In Office and Operative Hysteroscopy, 87–91. Paris: Springer Paris, 2002. http://dx.doi.org/10.1007/978-2-8178-0841-3_12.

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Chow, Esther Ching San. "Set-Up, Equipment, and Surgical Instruments." In Arthroscopy and Endoscopy of the Hand, Wrist and Elbow, 51–90. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-4142-8_3.

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Chow, Esther Ching San. "Set-Up, Equipment, and Surgical Instruments." In Arthroscopy and Endoscopy of the Hand, Wrist and Elbow, 51–90. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-4142-8_3.

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Perry, Tjorvi E., and Kumar G. Belani. "Monitors and Equipment for the Ambulatory Surgical Care Setting." In Manual of Practice Management for Ambulatory Surgery Centers, 83–93. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-19171-9_6.

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Conference papers on the topic "Surgical equipment"

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Meiller, Y., S. Bureau, Wei Zhou, and S. Piramuthu. "RFID-Embedded Decision Support for Tracking Surgical Equipment." In 2011 44th Hawaii International Conference on System Sciences (HICSS 2011). IEEE, 2011. http://dx.doi.org/10.1109/hicss.2011.364.

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Buntat, Z., M. A. B. Sidik, Z. Nawawi, M. I. Jambak, R. F. Kurnia, A. W. Arum, and S. Fitria. "Design and Development of Ozone-Based Surgical Equipment Sterilizer." In 2019 International Conference on Electrical Engineering and Computer Science (ICECOS). IEEE, 2019. http://dx.doi.org/10.1109/icecos47637.2019.8984511.

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Oosting, R. M., J. Dankelman, L. S. G. L. Wauben, J. Madete, and R. S. Groen. "Roadmap for Design of Surgical Equipment for Safe Surgery Worldwide." In 2018 IEEE Global Humanitarian Technology Conference (GHTC). IEEE, 2018. http://dx.doi.org/10.1109/ghtc.2018.8601913.

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Mohsen, Mohammed, Farhan Lafta Rashid, and Mohammed Hassan Abbood Jassim. "Design and construction of an efficient solar collector to sterilise surgical equipment." In THE 6TH INTERNATIONAL CONFERENCE ON ENERGY, ENVIRONMENT, EPIDEMIOLOGY AND INFORMATION SYSTEM (ICENIS) 2021: Topic of Energy, Environment, Epidemiology, and Information System. AIP Publishing, 2023. http://dx.doi.org/10.1063/5.0131169.

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"Use of Simulation in Managing Reusable Medical Equipment Inventory in Surgical Services." In 2016 Summer Simulation Multi-Conference. Society for Modeling and Simulation International (SCS), 2016. http://dx.doi.org/10.22360/summersim.2016.scsc.047.

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Nunes a Álvaro Sampaio, Guilherme, and Paulo Simões. "Surgical Pathologist’s Workstation Ergodesign." In Applied Human Factors and Ergonomics Conference. AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1001342.

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There are many concerns about fatigue and musculoskeletal injuries associated with the postures a Surgical Pathologist is exposed to during the daily routine tasks. These professional’s tasks circle around data analysis based on the viewing of slides in a microscope, taking notes and compiling reports. Most of the time this is made seated on a desk which leads to bad postures and subsequently to postural malfunctions. The study is based on a three-step methodology: Literature Review, Field Research Procedures and Data Processing. The first step concerns a review of research in scientific literature. The review focus is the Surgical Pathology in general, and also in specific points such as the workflow and equipment related to this profession. The second step is centered in tests in a real environment, performed by Surgical Pathologists during their daily working routines in order to gather practical information. The data from the tests were captured both written and videotaped. From the theory and practical data acquired the information was processed in order to produce infographics that illustrates all the issues surrounding the Surgical Pathologist’s workstation. The final information will be used to design a new workstation that improves the working routines of the Surgical Pathologist.
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Shinohara, Kazuhiko. "Ergonomic problems in surgical smoke control during surgery." In 14th International Conference on Applied Human Factors and Ergonomics (AHFE 2023). AHFE International, 2023. http://dx.doi.org/10.54941/ahfe1003495.

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Surgical smoke is the plume and air contaminants produced by energy devices such as electrocautery and laser scalpels during the surgery. Surgical smoke consists of fine particles containing pathogenic microorganisms and chemical substances from high-temperature carbonized tissues, and poses a health risk to medical personnel during the surgery. The COVID-19 pandemic has highlighted the importance of surgical smoke control. As a surgical smoke protection on the medical staff side, personal protective equipment such as N-95 high-performance masks are widely used. On the other hand, the surgical smoke exhaust system includes ventilation equipment for the entire operating room and a device that directly aspirates surgical smoke in the operative field. Wearing a mask for a long time poses problems such as fatigue, hypercapnia and loss of concentration. Increasing the smoke evacuation efficiency of a surgical instrument-mounted smoke evacuation device poses problems such as deterioration of operability and patient temperature maintenance. Surgical instruments equipped with smoke suction tubes suffer from deterioration in operability due to increased size and weight. Increased ventilation in the surgical environment may cause drying of organs and hypothermia. Surgical instruments with smoke exhaust devices require further reduction in weight, diameter, and ergonomic design. In addition, it is necessary to equip surgical instruments and the ventilation function of the operating room with an automatic maintenance function of body temperature and body cavity temperature and humidity.It is important to enlighten medical workers about the importance of measures against surgical smoke, and to improve the smoke exhaust system considering maintenance of physiological environment and solve ergonomic problems.
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Zennaro, Emanuele, Carlo Mazzetti, Giovanni L. Amicucci, and Fabio Fiamingo. "Modeling Medical Electrical Equipment for Estimation of Leakage Currents during a Surgical Procedure." In Biomedical Engineering / Robotics Applications. Calgary,AB,Canada: ACTAPRESS, 2014. http://dx.doi.org/10.2316/p.2014.818-049.

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Chan, Benedict, Shirin Harandi, Daiana Bassi, Sue Conner, Yun Fu, Dean Mohamedally, Gemma Molyneux, Graham Roberts, and Neil Sebire. "75 Computer vision for object detection; machine learning-based identification of surgical equipment." In GOSH Conference 2019, Care of the Complex Child. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-gosh.75.

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Hasegawa, Nima, and Masaya Watada. "Development of Vibration Suppression Control System for Support Equipment in Surgical Support System." In 2020 23rd International Conference on Electrical Machines and Systems (ICEMS). IEEE, 2020. http://dx.doi.org/10.23919/icems50442.2020.9291044.

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Reports on the topic "Surgical equipment"

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Gauker, E. D., and P. J. Konoske. Keeping the Forward Surgical Company in Top Condition: Evaluation of Biomedical Equipment Test and Repair AMALS. Fort Belvoir, VA: Defense Technical Information Center, August 2000. http://dx.doi.org/10.21236/ada389239.

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Oh, Ju Hyun, Aimee Martinez, Huaixuan Cao, Garrett George, Jared Cobb, Poonam Sharma, Lauren Fassero, et al. Radio frequency heating of washable conductive textiles for bacteria and virus inactivation. Engineer Research and Development Center (U.S.), January 2024. http://dx.doi.org/10.21079/11681/48060.

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The ongoing COVID-19 pandemic has increased the use of single-use medical fabrics such as surgical masks, respirators, and other personal protective equipment (PPE), which have faced worldwide supply chain shortages. Reusable PPE is desirable in light of such shortages; however, the use of reusable PPE is largely restricted by the difficulty of rapid sterilization. In this work, we demonstrate successful bacterial and viral inactivation through remote and rapid radio frequency (RF) heating of conductive textiles. The RF heating behavior of conductive polymer-coated fabrics was measured for several different fabrics and coating compositions. Next, to determine the robustness and repeatability of this heating response, we investigated the textile’s RF heating response after multiple detergent washes. Finally, we show a rapid reduction of bacteria and virus by RF heating our conductive fabric. 99.9% of methicillin-resistant Staphylococcus aureus (MRSA) was removed from our conductive fabrics after only 10 min of RF heating; human cytomegalovirus (HCMV) was completely sterilized after 5 min of RF heating. These results demonstrate that RF heating conductive polymercoated fabrics offer new opportunities for applications of conductive textiles in the medical and/or electronic fields.
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