The First Appendectomy Analysis

"Better, A Surgeons Notes on Performance" by Dr. Atul Gawande, allows us an insight on his experiences as he explores the breakthroughs in medicine that was accomplished by people striving to improve their performance. There are three components Dr. Gawande believed are essential for a medical professional to encompass; diligence, doing right, and ingenuity. He defines diligence as avoiding errors and overcoming obstacles by paying attention to details. Doing right as a medical professional is to do right for our patient. And ingenuity, recognizing your failures and be willing to change by looking for solutions for better medical care. It is through his experiences as a surgeon that he came to understand the importance of encompassing these components.

This clinical rotation I was assigned to observe at the operating room, where they conduct various surgical procedures. The night prior to the clinical, I have to admit, was every bit unnerving. Especially, the fear of not knowing what to expect was daunting. There must have been a thousand scenario of what to expect or what might possibly go wrong playing through my head that night. However, after being introduced to the nurse I would be following, and meeting the surgeon and the rest of the team; my nerves settled down. The surgery scheduled was for a ventral hernia, which seemed routine, but complicated by a previous bowel realignment previously. The whole operation, from beginning to end, lasted a little over four hours. Although, the procedure lasted that long, it did not bother me even bit. In spite of standing for the whole duration of the observation, I never felt tired nor gotten bored. Notably, watching the surgical team working cohesively is like watching an artists who have

Firstly I felt nervous at the start as I was doing things I had never encountered before I was also apprehensive about how well I would perform in front of the other nurses. as the procedure went on I became flustered and more nervous which made me even more jittery and I started to loose track of what I was doing this made me annoyed with myself, all this combined made me suddenly feel very hot and dizzy I tried to concentrate on what I was doing but it was impossible. After I had recovered I just felt a bit stupid and embarrassed.

Chest and abdominal wounds were nearly always fatal. Treatment of abdominal wounds often involved pushing in protruding organs and suturing the wound. Food was withheld because fecal material leaking from the intestines caused contamination. Opium was often administered to halt the action of the digestive system. Chest wounds were cleaned and the wound was sutured. Abdominal wounds were fatal in almost 90 percent of the cases reported by Union surgeons.

Kennedy was enrolled at the Edward Devotion School in Brookline for his elementary years. For grade four, he was educated at Noble and Greenough Lower School and the Dexter School. The family moved to New York in 1927, which enrolled young Jack in Riverdale Country School, a private school for boys, from grade five to seven. Then, at age 13, Kennedy attended Canterbury School in Connecticut, which he had to withdraw due to an appendectomy.

Anesthesiologists and anesthetists work in a high-stress environment that is intolerant of errors. The authors discuss several new studies that provide a better understanding of how to manage possible errors while also making better decisions. Although the frequency of inaccurate decision-making in anesthesiology is not known, the

You can hear your patients monitor beeping behind you as you begin your first surgery as a neurosurgeon. Your heart beats faster and faster, you're sweating like crazy, and then its time. The clock starts and you are handed the scalpel, as you move closer to make your incision you playback in your head all the hard work and dedication you have given to get to the point you are at now. Confidently you make the cut and continue to show off everything you have learned to give you the title of a neurosurgeon.

Y.Y. is 71-year-old female born on November 27th in 1944. She was divorced in 1993 and lives on her own. The source of the information stated is Y.Y, who seemed to be a reliable source. Y.Y reports to have no present complaints or illnesses and states she is currently not taking any type of medications.

In previous literature, patients have demonstrated and expressed feelings of helplessness, powerlessness and anxiety (6,9). Surgical interventions and procedures invoke strong reactions around pain, complication risk and death for the patient and their families (5). Additionally, in the preoperative phase of waiting to be transferred to the operating room, previous studies have shown that this can be the most frightening time for many patients (5,6,9). When this preoperative waiting time is compounded with the sudden cancellation or postponement of a patient’s surgery, many patients experience heightened negative effects (5,9).

When you’re young, the most common injuries are: a broken arm, a sprained ankle, or a skinned knee and elbow. Not a ruptured appendix. In fact, the chance of developing appendicitis is about seven to fourteen percent. Although it is most prevalent in children and young adults, and one of the most common operations today, it was unfamiliar to my parents.

A 54-year-old man presents acutely with anterior NSTEMI and is treated with PCI (Drug eluting stent) to the LAD and placed on DAPT (aspirin 300mg and ticagrelor 75 mg bd). He subsequently develops abdominal pain, which is confirmed as acute appendicitis on CT scan and is referred by the surgical unit for laparoscopic appendicectomy.

Both of his lung fields appear clear, with normal breath sounds, no signs of pulmonary consolidation and other abnormalities detected. His apex beat show an extra heart sound (ectopic heartbeat) which is due to the narrowing of his blood vessels that connects to the heart and to the lungs, which often occurs without a clear cause and are harmless, with no signs of murmur or split heart sounds. His abdomen is significantly distended with presence of bulging flanks pushed outwards with no signs of pain or rebound tenderness on deep palpation, and when testing for shifting dullness. He was placed in a lateral decubitus position to assess fluid shift and had a positive result. Upon percussion of Frank’s abdomen in the supine position for flank

I watched an appendectomy at Twin Cities Hospital. Appendectomies are the most common emergent abdominal surgery performed in the United States and are most often used to treat acute appendicitis, the most common cause of right lower quadrant pain. When foreign body, fecalith, or infection cause the appendix to become blocked, it swells and signals an immunological response. If left untreated, life threatening complications such as perforation of the large intestines may occur. Since the appendix is a vestigial structure, its removal has little to no adverse physiological effects on the patient. While the abdomen was being prepared, the anesthesiologist evacuated the stomach with a nasogastric tube (NGT) to allow Dr. Hruby more room in

WARNING: PLEASE DO NOT ACTUALLY TRY AND REMOVE YOUR FRIEND 'S APPENDIX, THIS IS MORE OF A JOKE. With that being said, LET 'S BEGIN.

Acute appendicitis if not trated will proceeds to complications like perforation with generalized peritonitis , phlegmon, or localized abscess formation. Emergency appendectomy has therefore been considered the only treatment solution for acute appendicitis(7, 8). On the other hand, many studies have shown that certain cases of suspected appendicitis can be managed nonoperatively(9, 10).