An Evaluation of Objective Methods in the Measurements of Strabismus on the Operating Table versus Pre-Operative Objective and Subjective Methods

2015 ◽  
pp. 186-188
Author(s):  
R. Schillinger
Keyword(s):  
Operating Table ◽  
Table Versus

Operating table failure and suggested safety precautions

2009 ◽  
Vol 23 (4) ◽  
pp. 641-642
Author(s):  
Hiroyuki Kinoshita ◽  
Mamoru Kawakami ◽  
Toshiyuki Minonishi ◽  
Yoshio Hatano
Keyword(s):  
Operating Table

scholarly journals Operating Room Fomites as Potential Sources for Microbial Transmission in Burns Theatres

2021 ◽  
Vol 2 (1) ◽  
pp. 1-8
Author(s):  
Mariam Rela ◽  
Sophia Opel ◽  
Sarah Williams ◽  
Declan P. Collins ◽  
Kevin Martin ◽  
...  
Keyword(s):  
Bacterial Contamination ◽  
Point Of Care ◽  
Enterobacter Cloacae ◽  
Operating Table ◽  
Healthcare Associated Infections ◽  
Burn Patients ◽  
Degree Of Contamination ◽  
First Case ◽  
Bacterial Transmission ◽  
Healthcare Associated

Background: Burn patients are susceptible to healthcare-associated infections. Contaminated surfaces play a role in microbial transmission. This study aimed to quantify the degree of contamination of burns theatre fomites during routine clinical use. Methods: The Patslide Patient Transfer Board (PAT slide) and operating table were investigated using two methods—bacterial swabs to culture viable organisms and adenosine triphosphate (ATP) swabs to measure biological material. Both items were sampled four times a day: before the first case, immediately after a case, immediately before the next case after cleaning and after the terminal clean. Results: Among 82 bacterial samples, four organisms were isolated, including Staphylococcus aureus, Enterobacter cloacae (E. cloacae) x2 and Pseudomonas aeruginosa (P. aeruginosa), all from the PAT slide. The E. cloacae persisted after cleaning. In 9/82 swabs, the ATP count was >10 relative light units (RLU). In all cases where an organism was identified, the ATP count was >10 RLU. Hence the sensitivity and specificity of ATP > 10 RLU in detecting an organism were 100% and 94% respectively. Conclusions: Within burns theatres, there are instances of bacterial contamination on surfaces that persist despite cleaning. ATP luminometers as a point-of-care device may have a role in determining the cleanliness of surfaces, potentially minimizing onwards-bacterial transmission.

scholarly journals Postless Hip Arthroscopy: A Safer Alternative for Treatment of Femoracetabular Impingement Syndrome

2021 ◽  
Vol 1 (3) ◽  
pp. 263502542110067
Author(s):  
Michael B. Held ◽  
Liana J. Tedesco ◽  
Mario H. Lobao ◽  
T. Sean Lynch
Keyword(s):  
Hip Joint ◽  
Hip Arthroscopy ◽  
Pudendal Nerve ◽  
Patient Positioning ◽  
Central Compartment ◽  
Operating Table ◽  
Complication Rates ◽  
Iatrogenic Complications ◽  
Diagnostic Arthroscopy ◽  
Hip Distraction

Background: Hip arthroscopy for femoroacetabular impingement (FAI) syndrome continues to gain popularity and indications for its use are expanding. Though low complication rates have previously been reported, there are iatrogenic complications specific to the use of the perineal post, such as pudendal nerve injuries, and possible pressure skin necrosis that warrant concern in the healthy young patient. The risk of these complications are increased during simultaneous bilateral hip arthroscopy. Indications: We describe a new technique, which will prevent such problems by using a postless pink pad technique in order to achieve adequate hip distraction. Technique Description: Arthroscopic investigation begins with proper, safe patient positioning in order to gain access to the hip joint with sufficient joint distraction. In the postless technique, a dense foam pad is utilized in lieu of a perineal post. The static friction between the pad, bed, and the patient counters the manual gross traction necessary to distract the hip joint while preventing the patient from sliding down or off of the operating table. The postless technique avoids pressure to the perineum and also allows for greater range of motion during dynamic intraoperative examination and femoroplasty. After hip distraction, standard portal placement allows for access to the central compartment in order to assess intraarticular pathology. Once identified on diagnostic arthroscopy, appropriate techniques are utilized to correct acetabular-sided pincer lesions, labral tears, and femoral-sided cam deformities. Results: When discussing this technique with patients, it is important to highlight that it diminishes the possibility of iatrogenic pressure injury to the pudendal nerve and skin of the perineum. The risk of these injuries typically occurs when the pudenal nerve is compressed against the post during traction and abduction. As such, postless technique prevents any compression and pressure to these regions. Discussion/Conclusion: Hip arthroscopy is a minimally invasive, low morbidity technique for treating a variety of chondral, ligamentous, and bony conditions of the hip. However, studies suggest that pudenal nerve injury is seen in up to 4.3% of patients following hip arthroscopy. Given avoidance of iatrogenic post complications, we describe a postless technique for achieving hip distraction during hip arthroscopy.

Intraoperative digital subtraction angiography and the surgical treatment of intracranial aneurysms and vascular malformations

1990 ◽  
Vol 73 (4) ◽  
pp. 526-533 ◽  
Author(s):  
Neil A. Martin ◽  
John Bentson ◽  
Fernando Viñuela ◽  
Grant Hieshima ◽  
Murray Reicher ◽  
...  
Keyword(s):  
Digital Subtraction Angiography ◽  
Intracranial Aneurysms ◽  
Vascular Malformations ◽  
Operating Table ◽  
Digital Subtraction ◽  
Intraoperative Angiography ◽  
Content Type ◽  
Head Holder ◽  
Cerebral Embolization ◽  
Leg Ischemia

✓ Intraoperative digital subtraction angiography using commercially available equipment was employed to confirm the precision of the surgical result in 105 procedures for intracranial aneurysms or arteriovenous malformations (AVM's). Transfemoral selective arterial catheterization was performed in most of these cases. A radiolucent operating table was used in all cases, and a radiolucent head-holder in most. In five of the 57 aneurysm procedures, clip repositioning was required after intraoperative angiography demonstrated an inadequate result. In five of the 48 AVM procedures, intraoperative angiography demonstrated residual AVM nidus which was then located and resected. In two cases intraoperative angiography failed to identify residual filling of an aneurysm which was seen later on postoperative angiography, and in one case the intraoperative study failed to demonstrate a tiny residual fragment of AVM which was seen on conventional postoperative angiography. Two complications resulted from intraoperative angiography: one patient developed aphasia from cerebral embolization and one patient developed leg ischemia from femoral artery thrombosis. This technique appears to be of particular value in the treatment of complex intracranial aneurysms and vascular malformations.

Phrenicus-phenomenon

1927 ◽  
Vol 23 (10) ◽  
pp. 1064-1064
Author(s):  
M. Oyfebach
Keyword(s):  
Operating Table

In 25 cases tested on the operating table, the author could state phrenicus-phenomenon (the presence of a painful point between the legs of m. sternocleidomastodei) in 80%. The presence of this symptom indicates, according to the author, not only the presence of cholecystitis, but also the presence of stones.

To the casuistry of spleen blood cysts

2021 ◽  
Vol 20 (8) ◽  
pp. 828-833
Author(s):  
L. M. Tsatskina
Keyword(s):  
Operating Table

Cases of blood cysts of the spleen are extremely rare on the operating table (Finkelstein could collect only 28 such cases from the literature), even more rare on the sectional table (only 3 cases in Finkelstein) and exquisite-rare, in the order of correct preliminary recognition.

Design of an Ultrasound Probe Holder to Minimize Motion Artifact During Sonography

2020 ◽  
Author(s):  
Smruti Mahapatra ◽  
Tarana Parvez Kaovasia ◽  
Sufia Ainechi ◽  
Ana Ainechi ◽  
Molly Acord ◽  
...  
Keyword(s):  
Image Quality ◽  
Ultrasound Image ◽  
Motion Artifact ◽  
Hand Movements ◽  
Operating Table ◽  
Imaging Procedures ◽  
Ultrasound Probe ◽  
3D Printed ◽  
Probe Holder ◽  
Minimize Motion Artifact

Abstract Standard diagnostic ultrasound imaging procedures heavily rely on a sonographer for image acquisition. Given the ultrasound probe is manually manipulated by the sonographer, there is a potential for noise artifacts like blurry acquired images caused by involuntary hand movements. Certain surgical procedures can also cause patients to exhibit involuntary “jumping” movements while on the operating table leading to further deterioration in ultrasound image quality. In this study, we attempt to mitigate these problems by fabricating a 3D-printed ultrasound probe holder. Due to the lightweight nature of the device, it can attach to surgical retractors without influencing the functionality of the retractor. Therefore, the 3D printed probe holder not only reduces relative motion between the probe and the patient, but also reduce the need for a sonographer during complex surgeries.

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