Search PubMed⌕ Search

PubMed · 9293323

Computer-assisted endoscopic sinus surgery.

Abstract

Until the development and use of computer-assisted localization technology in endoscopic sinus surgery procedures, surgical risks to patients undergoing endoscopic sinus surgery procedures included blindness, diplopia, or partial vision loss and damage to the cribriform plates and posterior roofs of their ethmoidal sinuses. Successful patient outcomes were dependent on the ability of surgeons to visualize surgical sites directly, to correlate data from two-dimensional computed tomography scans, and to apply these data to anatomic landmarks. Advances in computer-imaging modalities and computer-assisted localization technology have eliminated many of the surgical problems and patient complications associated with early endoscopic sinus surgery procedures and have caused fundamental changes in the way otorhinolaryngologists diagnose and treat patients with sinus disease.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

P F Petroff. 1997. Computer-assisted endoscopic sinus surgery.. https://doi.org/10.1016/s0001-2092(06)62686-0

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

[Computerized physician order entry, a tool for added safety in the hospital].

DRUG-RELATED IATROGENIC NOSOCOMIAL ILLNESS: Remains a matter of concern in the public health area. Responsibility of hospitals is challenged by the ever increasing number of patients' claims. Dysfunction in the drug-prescribing and delivery system account, to a large extent, for medication errors, some of them resulting in adverse drug events. Most generally, medication ordering by the physician is handwritten, without nominative recapitulating prescriptions, and followed by nurse transcriptions and a global medication order is transmitted to the pharmacy. This system does not integrate the pharmaceutical analysis of the prescription, before distribution of the drugs. THE COMPUTERIZED DRUG ORDER ENTRY PROCESS: The prescription is entered directly and is displayed on the computer screen, together with the previous prescriptions for the same patient. Transcription is hence eliminated. Depending on the sophistication of the software, the prescription undergoes a series of tests; warnings and reminders can be displayed online before the physician validates the prescription. Moreover, various guidelines in some aspects of drug therapy may be presented online before the prescription is completed. POSSIBILITIES: The pharmacist's access to the complete prescriptions permits analysis of the quality and safety of the prescriptions and the adequation with eventual current applicable recommendations. Prospective drug utilization review, with immediate feedback to the prescribing physician in case of concern, may be undertaken, further improving the quality of drug therapy. Moreover, a work sheet is printed out for the nurses, further enhancing the safety of drug administration and validation. The computerized drug network also permits the development of other functions. A TOOL FOR SAFETY: Currently available reports in the literature suggest that computerized drug prescription reduces the incidence of prescribing errors, improves the appropriateness of drug choices, optimises therapeutic follow-up, and reduces the incidence adverse drug events and leads to substantial reduction in drug expenditures.

Computers↗