Surgical Decompression Research Paper

Pressure ulcers are a serious health care problem and it is crucial to assess how patients acquire pressure areas after admission to the perioperative environment (Walton-Geer, 2009). In the operating room factors related to positioning, anaesthesia and the durations of surgeries along with individual patient related factors can all contribute to pressure ulcer development. This essay aims to review current standards of recommended practice regarding pressure ulcer prevention efforts for the surgical patient.

However the patient was immobilised with a cervical collar and extrication board and conveyed to the appropriate receiving hospital as Fisher J.D et al (2006) also states all patients should have initial immobilisation if the mechanism of injury suggests possible spinal injury.

Very good points you made. I enjoyed reading your discussion clear and concise. I agree with you that we need to be vigilant and watch around us. Some of these reports are unfair with nurses and the job we do. We have to please the patient the moment they arrive to the moment they leave, and sometimes is not good enough. Lately, the focusing in health care became to cost not quality. This make me feel uncomfortable. Patient needs to be discharged “period”!!! Cannot stay more than three days if inpatient and two days if observation.

First Step is to graduate from a surgical technology program accredited by the Commission on Accreditation for Allied Health Education Programs (CAAHEP). Most of these programs take one to two years to complete. They combine classroom instruction in subjects such as anatomy, pharmacology and medical terminology with hands-on training in clinical settings.

Now that I have shared a brief overview of the spinal cord and some statistics about spinal cord injuries, we will look at the past research that has led to the treatments most commonly used today. In 1990, a steroid called dexamethasone was discovered in human trials to preserve some motor and sensory function if administered at high doses within 8 hours of injury. Surgery used to remove fluid, tissue, or bone fragments, or to stabilize fractured vertebrae by fusing bones or inserting hardware has also proven to be one of the most thorough measures to prevent further harm. I received both of these treatments after my accident, and they are the same that have been used for the past decade. Until recently, doctors had no way of limiting such disabilities, aside from stabilizing the cord to prevent added destruction, treating infections, and prescribing rehabilitative therapy to maximize any remaining capabilities.

The efficacy of the decompressive craniectomy is a topic of debate in today’s healthcare setting. While initial studies showed no significance in the procedure’s ability to save lives when compared to conservative treatment, more recent studies that take into account time after onset of injury and age of patient make a strong case for the necessity of the craniectomy. As research continues to develop, the decompressive craniectomy continues to gain more support as the gold standard treatment for a sudden, uncontrolled increase in intracranial pressure.

The limited space within the vertebrae actually plays an important roll in spinal cord injury. Once the initial injury occurs the body, as with every other part of the body, tries to protect the injured area with swelling. But the swelling occurs within the small confines of the spinal column and causes further damage to the surrounding tissue. It has only recently been discovered how much of an impact this secondary damage has. One of the areas of crucial ongoing research is on what kind of window of opportunity medicine has in treating these types of injuries and still attaining the best recovery.

Surgery used to remove fluid, tissue, or bone fragments, or to stabilize fractured vertebrae by fusing bones or inserting hardware has also proven to be one of the most thorough measures to prevent further harm. I received both of these treatments after my accident, and they are the same that have been used for the past decade. Until recently, doctors had no way of limiting such disabilities, aside from stabilizing the cord to prevent added destruction, treating infections, and prescribing rehabilitative therapy to maximize any remaining capabilities.

A tracheostomy, or trach, is a surgically created opening in the trachea. A tracheostomy tube, or trach tube, is a tube that is placed in this opening to help with breathing. It is important to take good care of your trach and trach tube. This will help you stay safe and free from infection.

The study consisted of seventy-six adults, ASA physical status I and II patients, who were undergoing general anaesthesia for elective spinal surgery, were sampled. The patients were grouped by using a computer-generated randomization: a prewarmed group and a nonprewarmed group. Of the 76 patients recruited, eight patients were excluded due to surgical cancellations. Data were therefore complete for 31 patients in the prewarmed group and 37 in the non-prewarmed group. Patient characteristics, operating room environmental temperatures, core temperatures at induction, duration of surgery, and infused fluid volumes were comparable between the groups. There was also no significant difference between the groups in the proportion of patients undergoing cervical or lumbar spine surgery, or in the ratio of male:female patients

In order to facilitate understanding of process data and outcome data, this essay will focus on the context of hospital-acquired pressure injury (PI). PI, also referred to as decubitus ulcers, bed sores or pressure sores, is defined as soft-tissue ischaemic necrosis localised in an area caused by prolonged pressure higher than the capillary pressure with or without skin tear or breach, related to posture over a bony prominence. The aetiology of pressure ulcers include: (1) pressure – weight of the skin against contact area; (2) shearing; (3) friction; (4) moisture; (5) position of the patient; (6)immobility; (7) neurological factors; (7) metabolic and nutritional factors; (9) oedema; and (10) age. PIs affects not only in infirmed older people,

Summary: At the Mayo Clinic, researchers are doing an electrical stimulation on the spinal cord to help a patient whose legs are paralyzed. The electrical stimulation and intense physical therapy are what the researchers believe will help the patient stand again after three years of being paralyzed. Jered Chinnock is the patient and he injured his spinal cord at the sixth thoracic vertebrae. He could not move or feel anything lower than the middle of his back. Chinnock went through 22 weeks of therapy with three training sessions per week. This was to help him prepare his muscles to move again, so that they will be strong enough to handle the physical task of the spinal cord stimulation. After the 22-weeks therapy, it was time for the team

Millions of Americans undergo elective surgery. For many years overnight fasting, up to 12 hrs had been the recommended routine before elective surgery. This practice was instituted to reduce gastric acidity and to reduce the gastric volume for the risk of aspiration of stomach contents and during anesthesia. Patients who had stayed NPO for twelve hours have an increase in anxiety, thirst and fatigue. The combination of anxiety, thirst and fatigue led to poor patient satisfaction and resulted in a longer recovery time, extending postoperative care in the hospitals. The American Society of Anaesthesiologist changed their guidelines in 1999, allowing patients to have clear fluids up to 2 hours before their surgery and nothing to eat up to 6

Pneumatic compression therapy (PCT) has been widely used to treat venous and lymphatic disorders because of its effectiveness and safeness for limb salvage \cite{chang2012using,kavros2008improving,domeij2015intermittent,harding2014adaptive}. This pneumatic gadgets supply the desired pressure through a pneumatic wrap to the treatment area, but it is difficult to use in daily life because of its restriction on patient mobility and real-time feedback capability \cite{harding2014adaptive}. To fill this gap, we have developed an autonomous wearable compression therapy (AWCT) assist device that can reconfigure providing pressure automatically in real-time in accordance with user's activity without the active involvement of the patient or the carer. However, no available device can be found in the open literature to evaluate the performance of the AWCT. A new evaluation system, therefore, has been designed to demonstrate its concept and to validate the performance.

Pressure injury, due to its high prevalence & probability, is nowadays seen as a patient safety issue internationally. As patient 's safety is paramount, a great importance is accorded to the issue. Even the performance of hospitals is benchmarked against the skin care quality, an attribute of quality care. This comparative essay outlines the evidence-based best practice recommendations to abate the risk of pressure injuries to patients in care. These recommendations, in essence, relate to the five research journal articles published recently.