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PubMedDate not supplied

[Intracardiac echocardiography (ICE) in the operating room as a support measure in the evaluation of immediate surgical results in congenital cardiopathies].

The utilization of intracardiac echocardiography (ICE) is a recent alternative in the control of procedures in the Cath Lab. In this paper we presents the results of a pilot study, in 10 patients submitted to total correction of its congenital heart disease, in who the analysis of the surgical results was done in base to the application of intracardiac echocardiography in operations room. In all the patients it was possible to obtain adequate images with ICE, there was a case false negative, a Total anomalous return Pulmonary Veins, in whom there not indentified a obstruction in right pulmonary veins flow. We conclude that ICE is a good alternative in the evaluation of surgical results.

Body Weight↗
PubMed1984

[Lighting requirements for operation rooms and their realization].

A number of criteria relating to operating conditions as well as to the working comfort of the operation team have to be considered with respect to the most favorable lighting system in the operating theatre, especially the operation field and its surroundings. These criteria, some of which are standardized, are indicated. Their realization is demonstrated by giving practical examples.

Lighting↗
PubMed1981

Peritoneal responses to implanted fabrics used in operating rooms.

Fibers obtained from woven and nonwoven surgical fabrics were operatively instilled into the peritoneal cavities of rats to assess pathologic responses at 2, 8, 16, and 32 weeks postoperatively. Adhesions were found in 20% of the sham-operated animals and in 22% and 29% of the animals with fibers from woven and nonwoven fabrics, respectively. These differences were not significant. The adhesions were not progressive with time and were not related to increased morbidity or mortality rates. Foreign-body granulomas were found in 8% of the sham-operated animals and in 96% and 89% of the animals with fibers from woven and nonwoven fabrics, respectively. Differences between the groups with fibers were not significant. There were no morphologic differences in the granulomas of woven and nonwoven materials; they did not increase in number of enlarge with time. We conclude that responses to cellulose fibers, whether from cotton or from nonwoven materials produced from wood fibers, are virtually identical.

Animals↗
PubMedDate not supplied

The computer-oriented paperless operating room.

1. As the need for faster data entry and extrapolation increased at Hinsdale Hospital, several problems were identified with the paper system: It was slow, cumbersome, and inaccurate. This was particularly evident in patient scheduling, patient billing, and inventory control. Hinsdale decided to work toward total computerization of patient charting, billing, scheduling, and supply management. 2. After months of research, countless site visits, and interviews with software representatives, Hinsdale selected a Minneapolis-based software company. The software package that was implemented was composed of five modules: Surgery Scheduling, Personnel, Supply, Dynamic (Broadcast), and InterOperative (Patient Charting). 3. Computerization demands both time and patience by all involved--in both the decision process and the physical installation. There is no blueprint available to make this process an easy one. However, there are resources and consultants that can and should be used.

Computers↗
PubMed1985

Transcutaneous temporary pacing in the operating room.

The safety and efficacy of transcutaneous temporary pacing were assessed in 21 patients undergoing elective surgical procedures under general anesthesia. Complete capture was achieved in all patients. The pacing threshold was 50 mamp in two patients, 100 mamp in nine, and 200 mamp in ten. The threshold was influenced by electrode position and also, possibly, by age, heart size, and chest size. No adverse effects of pacing were encountered. Transcutaneous pacing is a rapid, safe, and effective means of temporary pacing in the operating room.

Adult↗
PubMed2005

Pediatric sedation outside the operating room: the year in review.

PURPOSE OF REVIEW: This review is a survey of the recent literature concerning issues and trends in the rapidly changing field of pediatric sedation. RECENT FINDINGS: Clinical guidelines for the safe provision of sedation to children continue to be developed and revised. Systems for providing sedation are evolving, and the most successful models emerging are those that involve a dedicated team, either mobile or stationary, of physicians and nurses. A variety of drugs is used, and potent drugs that were designed as anesthetics, such as propofol and ketamine, are being administered outside the operating room by anesthesiologists and non-anesthesiologists. The safety of this practice continues to be debated. The reported incidence of adverse events is different in various settings and systems; however, outcome data are difficult to compare because of differences in study design and outcome definition. There is agreement that sedation is a continuum, and evidence that the depth of sedation attained during procedural sedation in children is often consistent with general anesthesia. Capnography and processed electroencephalogram monitoring have been described in sedation studies, may enhance safety during pediatric sedation, and should be investigated further. SUMMARY: The evolution of systems, drugs, and monitors for the provision of pediatric sedation is continuing. An accurate assessment of safety and other outcomes will be enhanced through the establishment of multicenter collaborative databases.

Journal Article↗