Operation Theatre & Anesthesia Technology

 Neonatal Intensive Care Unit or NICU  is known as New Born Care Unit , is a Special Baby Care Unit , for premature new born infant .  Firstly it is introduced by Louis Gluck nearly about 1960s at the American hospital Yale New Haven Hospital . Increasing technology By the 1970s, NICUs were an established part of hospitals in the developed world. In Britain, some early units ran community programmes, sending experienced nurses to help care for premature babies at home. But increasingly technological monitoring and therapy meant special care for babies became hospital-based. By the 1980s, over 90% of births took place in hospital. The emergency dash from home to the NICU with baby in a transport incubator had become a thing of the past, though transport incubators were still needed. Specialist equipment and expertise were not available at every hospital, and strong arguments were made for large, centralised NICUs. On the downside was the long travelling time for frail babies and for par

  A complete blood count, also known as a full blood count, is a set of medical laboratory tests that provide information about the cells in a person's blood. The CBC indicates the counts of white blood cells, red blood cells and platelets, why dose cbc tests for ? The complete blood count (CBC ) is a group of tests that evaluate the cells that circulate in blood, including red blood cells (RBCs), white blood cells (WBCs), and platelets (PLTs). The CBC can evaluate your overall health and detect a variety of diseases and conditions, such as infections, anemia and leukemia. In general, the reference ranges are: White blood cells: 4,500 to 11,000 cells per microliter (cells/mcL) Red blood cells: 4.5 million to 5.9 million cells/mcL for men; 4.1 million to 5.1 million cells/mcL for women. Hemoglobin: 14 to 17.5 grams per deciliter (gm/dL) for men; 12.3 to 15.3 gm/dL for women.   Viral Infections   One of the most common causes of a low white blood cell count is a viral in

  Fresh frozen plasma is a blood product made from the liquid portion of whole blood ,  used to treat conditions in which there are low blood clotting factors or low levels of other blood proteins Indications FFP is indicated for bleeding caused by vitamin K deficiency and bleeding (or high risk of bleeding) due to DIC. It is also indicated for the treatment of congenital deficiencies of single clotting factors, when the specific concentrate is not available .  Cpt code P9017 There really does not need to be a separate code for this component as apheresis plasma is reimbursed as fresh frozen plasma. It is billed as P9017 Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit, as apheresis plasma must be frozen within six hours of collection. Dosing A guideline for initial  FFP dosing  is 10-15 mL/kg; this typically translates to at least 4 units of  FFP  to effect a therapeutic response .

  Today we are discussing about trolly layout of Inguinal Hernia  operation . we all know it is the common operation among middle aged man and elder person ;   for that reason we have to manage this instrument trolly  for many times . lets see what are the instrument used here .  one very improtant thing that i s the tolly must be sterile for the instrument should be kept there .  Allies 4 pis Artery 4 pis Needle Holdar 1 pis Towl Clip 4 pics Needle Vicrel & ethelon or turlon ( as the  surgeon need) and cutgut or prolen  Tooth Forcep 1 pics Non Tooth Forcep 1 pics Babcok 2 pics Lagenback Retractor 2 pics  sessior 2  pics ( Tissue Cutting and suture cutting ) Bard Parkar Handle  1 pics  Mops 1 pics  Gauze 2 pics  Dressing gauze and bandage . Some Overview of the instruments are given . Stay safe Stay tuned . 

  Standard of Practice II It is the responsibility of the HCWs to safely transport a patient to the preoperative holding area or operating room. Confirm IV lines, indwelling catheters, monitoring system lines and drains, and any other lines are secure and patent, and IV bag and collection containers are hanging away from the patient’s head..  Ensure head, arms and legs are protected, adequately padded, and patient is comfortable as possible.  . The patient should be transported feet first; rapid movements, particularly when going around a corner should be avoided. Rapid movements, especially if the patient has received preoperative medications, can cause the patient to become disoriented, dizzy, and nauseated, and induce vomiting .. The staff person moving the transportation device should be positioned at the patient’s head in order to look forward for potential hazards. This also allows immediate access to the patient’s airway in case of respiratory distress or vomiting .. It is the

  T he safe care of transporting patients to the operating room and recognizing the possible hazards, in order to prevent injuries to the patient and surgery department personnel. The recommended practices aid in ensuring the transfer and transportation of the patient without tissue injury; avoiding undue physical or emotional discomfort.  Standard of Practice I It is the responsibility of the HCWs to ensure the safe patient transfer of a patient from a bed to a transportation device. The specific needs of the patient should be considered when selecting the method of transport. This includes:  A. Need for IV pole(s)  B. Need to transport oxygen tank  C. Mobility of the patient  D. Conscious, semi-conscious or unconscious patient  E. Size of patient  F. Age of patient  G. Determining the physical abilities and state of health of the patient. Knowing the patient’s state of health and abilities will help in the choice of mode of transportation, decrease the possibility of accidents to th

Rules     Rate at least 100-120 \mi Compression defth at least 2 inches Allow complete chest recoil after each compression Avoid execessive ventilation Procedure  No response (i.e only gasping and no breathing or suffocating )  Active emergency response system . ( Get AED \ Defribellator  ) or  send rescuer to this .  Cheak pulse and define it within 10 seconds if yes then give 1breath every 5 – 6 sec and recheak pulse if no then begin cycle of 30 compression and 2 breath At that time AED\defribellator must be arrived . Cheak rhythm if shockable then activated AED and give shock if not then resume CPR immediately for next 2 min and recheak again until ALS provider provide takes over . Rescue Breathing