Transjugular intrahepatic portosystemic shunts in the management of Budd-Chiari syndrome in the liver transplant patient with intractable ascites: anatomic considerations.
Explore the source record for details and available documents.
Adult↗
Biomedical subjects
J M Cooper
Publications and source records attributed to J M Cooper.
Development of day case cataract surgery: a literature review.
There is increasing demand for day case cataract surgery. This review looks at the varying criteria for suitable patients and compares the use of local or general anaesthesia for day surgery. Preassessment clinics and the possible limitations of patient transport are discussed. Length of stay in the day unit, nurse involvement and discharge procedures are examined. Postoperative visits are reviewed. Studies show that the clinical outcome is not affected by outpatient surgery and that patients report a high level of satisfaction with their day care. Day case cataract surgery is safe and cost-effective and increased patient demand will become a significant factor favouring day case surgery in the future. Further research into patients' attitudes to the continuity of nursing care from preoperative assessment, through surgery to discharge, and whether this plays a part in their overall satisfaction, is recommended.
Ambulatory Surgical Procedures↗
Day case cataract surgery in the UK and USA: a comparative study.
This study is a comparison of healthcare provision for day case cataract surgery in the UK and the USA. It commences with a brief history and the political influences on the development of healthcare in the USA and the UK, identifying recent changes. The high cost of the health system in the USA and the small amount of resources consumed by the NHS in the UK are examined. The service offered to patients requiring cataract surgery in the UK and the USA are compared and the increasing demand for this operation and the challenge of differing styles of nursing that day surgery requires are discussed. The study concludes by pointing out the consistent expansion of day surgery in both countries in recent years, and predicts that, in view of the patient satisfaction and economic benefit, the growth of day surgery in the future appears almost unlimited.
Ambulatory Surgical Procedures↗
A student nurse's learning in a leg ulcer outpatient department.
A descriptive case study was used to examine a student nurse's learning experience during her clinical placement in an outpatient department at a general hospital in the South of England. A specific leg ulcer clinic in the outpatient department was selected. Research questions were formulated to consider the learning outcomes achieved, the patient's experience of participation, the use of evidence-based practice and the learning environment. The results indicated that the staff nurse teacher was able to facilitate learning for the student within this clinic, despite constraints of time, environment and the patient's presence. The research questions were addressed, areas for further research arising from the outcomes of the study were identified, and recommendations were made for future practice.
Ambulatory Care↗
Vena cava filters: available devices and current practices.
Deep venous thrombosis and pulmonary embolus are significant clinical problems. Although anticoagulation remains first-line therapy for thromboembolic disease, the placement of inferior vena cava filters plays an important role as alternative or supplemental therapy. Initial filters were high-profile devices intended to be placed via surgical cutdown. Concerns about the size of the delivery systems prompted development of low-profile systems intended specifically for percutaneous placement. The placement of filters has progressively become a percutaneous procedure performed by interventional radiologists outside of the operating room. This article reviews the currently available devices that have been approved by the Food and Drug Administration, their indications, efficacy, and complications. Experimental temporary filter designs are discussed as well.
Equipment Design↗