Vascular surgery

The 2010 APR noted “significant challenges and deficiencies in clinical services.” Our department needed to increase clinical services in various areas, including urology, neurosurgery, plastic/reconstructive surgery, colorectal surgery, and pediatric surgery. Due in part to the merger with Banner, the guidance of our Vice Chair of Quality, and a focus on interdivisional collaboration, significant progress has been made within the various divisions (see the individual division reports

between the native artery and vein in an extremity through surgery. The surgical procedure that I saw performed, which was done by a vascular surgeon, was an AV fistula on the upper right arm. These fistulas are used for hemodialysis and accessed/used for dialysis 2-5 times per week. Basically, the vascular surgeon creates this fistula so as to provide easier/more reliable access to the patient’s blood vessels. Fistulas provide vascular access for health care providers to be able to administer dialysis

procedures (metatarso-phalangeal implants, upper joint implants and hind foot solutions), cardiac surgery (aortic grafts, sutures), vascular surgery for example KDV grafts and Silver grafts (Surgitech, 2016b; Surgitech, 2016c). Surgitech (2014) states that they manufacture a variety of vascular grafts for instance, Uni-Graft KDV, Uni-Graft W and Vascular Graft PTFE. Figure 9: Example of a Woven Vascular implantable graft

The majority of arterial leg ulcers will heal over time if the root cause is managed such as recovery from trauma or restoring sufficient blood flow to the affected limb(s) (Wilkinson, 2014) (Forster & Pagnamenta, 2015). Arterial ulcers, depending on the symptoms and the aim of the treatment, different dressings and topical agents are used to provide an optimal healing environment for the ulcer. In a review of different studies examining the effects on healing dressings or topical agents have on

closed TBI. The tenets of avoiding secondary brain injury holds true. There are however a few key management features that are quite specific to penetrating injury and these include antibiotic prophylaxis, seizure prophylaxis and indication for surgery. After reviewing the index case we will discuss these key peculiar differences in more detail. INDEX CASE A 42 year old male presented to the emergency department of the Kingston Public Hospital (KPH) after being transferred from a peripheral

consequently underwent extensive clinical and radiological evaluation prior to surgery. The median follow-up of our cohort was

AMBULATORY SURGERY REFLECTIONS PAPER The Ambulatory Surgery Center is located on the Navicent Health campus in downtown Macon, Georgia. The second semester Bachelor of Science in Nursing students were invited to shadow a circulatory nurse for a day to observe the nursing process in the perioperative setting. This narrative will describe the surgery center, patients, surgical procedures and nursing duties observed on September 27, 2017 in operating room E. Upon arrival, the medical receptionist

were increased. Also, greater surgeon satisfaction was achieved with this technique [6,7]. Richardson et al. [10] reported a series of eight patients undergoing abdominal vascular surgical procedures. Following induction of general anesthesia, bilateral PVBs with catheters at T10 were placed and their use was continued after surgery for 4 days with other analgesia such as diclofenac and patient-controlled analgesia with morphine. Th ere was no need for additional intraoperative opioids or neuromuscular

Coronary artery bypass surgery is the most common open-heart operation performed in the United States, with over 500,000 procedures performed each year. CABG may be contraindicated in elderly patients and in patients with end-stage kidney disease, lung disease, and peripheral vascular disease, as these patients are at higher risk for complications (University of Michigan, 2014). The procedure involves attaching an unclogged blood vessel to a blocked coronary artery beyond the obstruction. One or

3. Have there been any recent advances in the post-operative management of the selected procedure? Why? Recent rehabilitation guidelines now have a more scientific rationale and basis. The PT should keep abreast of current advances in surgical procedures, clinical evaluation and treatment techniques to ensure that contemporary interventions are being provided to produce an optimal outcome. The post-operative management of a meniscal repair takes on a more conservative approach as compared to partial