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At least 559 records · Page 31Linked to original sources
PubMed2006

Influence of movements on contaminant transport in an operating room.

UNLABELLED: The influence of persons' movements on contaminant transport during an orthopedic surgical operation is examined. Orthopedic surgical operations require an ultra clean environment usually provided by a LAF device (laminar airflow). During hip replacements bone cement is sometimes applied. Due to practical reasons cement mixing is performed outside the LAF area. During the cement transport from the mixing location to the surgeon there is a potential risk of bacterial transport to the clean zone. This phenomenon is examined by smoke visualization and computational fluid dynamics (CFD). The movements are modeled by CFD using distributed momentum sources as well as a turbulent kinetic energy source. A significant risk of contaminant transport from the less clean zone to the ultra clean zone is found. The results indicate that it is possible to simulate the influence of movements using a relatively simple CFD model that considers the significant influence of a transient phenomenon in an approximate way. PRACTICAL IMPLICATIONS: In real-life ventilated enclosures like operating rooms movements take place. Persons' movements may influence the local flow field as well as the contaminant field substantially. Most often movements are ignored in simulations due to the complexity of the phenomenon. This paper presents an indirect and simple method to consider the influence of movements that may enable modelers to include this important phenomenon in the engineering application of CFD. This may improve practical risk assessment--for instance risk assessment of unintended transport of bacteria during orthopedic surgical operations that may jeopardize the hygiene.

Air Microbiology↗
PubMed1986

The operating room diagnosis of small bowel tumours.

A scheme is proposed whereby a surgeon in the operating room may identify macroscopically, with accuracy, the nature of a small intestinal tumour. This will help the surgeon to make a correct decision regarding the immediate operative management of the tumour.

Adenocarcinoma↗
PubMed1991

Evaluating the human engineering of microprocessor-controlled operating room devices.

Although human engineering features are widely appreciated as a potential cause of operating room incidents, evaluating the human engineering features of devices is not widely understood. Standards, guidelines, laboratory and field testing, and engineering discipline are all proposed methods for improving the human engineering of devices. New microprocessor technology offers designers great flexibility in the design of devices, but this flexibility is often coupled with complexity and more elaborate user interaction. Guidelines and standards usually do not capture these features of new equipment, in part because technology improvements occur faster than meaningful guidelines can be developed. Professional human engineering of new devices relies on a broad, user-centered approach to design and evaluation. Used in the framework of current knowledge about human operator performance, these techniques offer guidance to new equipment designers and to purchasers and users of these devices.

Anesthesiology↗
PubMedDate not supplied

Loss of conductivity in operating room shoes.

The effect of dirt encountered during normal use on the conductivity of operating room footwear has been studied. Booties, sneakers, and shoes having relatively larger conductive area remained conductive throughout the testing period. Shoes and clogs having relatively smaller conductive contact area were found to lose conductivity sooner, and, in more cases, than any other type of footwear tested. The size of the conductive contact area appears to correlate with the length of time that conductive footwear will remain within resistance specification during use.

Electric Conductivity↗
PubMed2001

Training with video imaging improves the initial intubation success rates of paramedic trainees in an operating room setting.

STUDY OBJECTIVE: Video imaging of intubation as seen by the laryngoscopist has not been a part of traditional instruction methods, and its potential impact on novice intubation success rates has not been evaluated. METHODS: We prospectively tracked the success rates of novice intubators in paramedic classes who were required to watch a 26-minute instructional videotape made with a direct laryngoscopy imaging system (video group). We compared the prospectively obtained intubation success rate of the video group against retrospectively collected data from prior classes of paramedic students (traditional group) in the same training program. All classes received the same didactic airway instruction, same mannequin practice time, same paramedic textbook, and were trained in the same operating room with the same teaching staff. RESULTS: The traditional group (n=113, total attempts 783) had a mean individual intubation success rate of 46.7% (95% confidence interval 42.2% to 51.3%). The video group (n=36, total attempts 102) had a mean individual intubation success rate of 88.1% (95% confidence interval 79.6% to 96.5%). The difference in mean intubation success rates between the 2 groups was 41.4% (95% confidence interval 31.1% to 50.7%, P <.0001). The 2 groups did not differ in respect to age, male sex, or level of education. CONCLUSION: An instructional videotape made with the direct laryngoscopy video system significantly improved the initial success rates of novice intubators in an operating room setting.

Allied Health Personnel↗