ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63674-0

出版商:Wiley    

年代:2006

数据来源: WILEY

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63675-2

出版商:Wiley    

年代:2006

数据来源: WILEY

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63677-6

出版商:Wiley    

年代:2006

数据来源: WILEY

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63678-8

出版商:Wiley    

年代:2006

数据来源: WILEY

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63679-X

出版商:Wiley    

年代:2006

数据来源: WILEY

摘要:

ABSTRACTThis preliminary study describes the degree of cleanliness of three categories of surgical instruments after processing (ie, decontamination, inspection, sterilization). The three categories were reusable laparoscopic, reused disposable laparoscopic, and conventional surgical instruments. The objective of the study was to identify from visual inspection and microscopic examination residual particles, stains, or liquid on processed instruments. The investigators studied 32 instruments selected at random from a hospital's supply of processed surgical instruments. On visual inspection, 90.6% (29–32) of the instruments appeared clean. Microscopic examination with a photomicrographic system, however, revealed residual debris on 84.3% (27/32) of the instruments. The quantity of residual debris on both types of laparoscopic instruments (ie, reusable, reused disposable) was equivalent. The conventional instruments contained less residual debris than the laparoscopic instruments. Sites that contained residual debris included junctions between insulating sheaths and activating mechanisms of laparoscopic instruments and articulations and grooves of forceps. More research is needed to determine the prevalence and clinical significance of these findings.AORN J62 (July 1995) 23–29.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63680-6

出版商:Wiley    

年代:2006

数据来源: WILEY

摘要:

ABSTRACTAn experiment was conducted to determine if hybrid laparoscopic instruments could be cleaned effectively before sterilization. A cleaning protocol that used materials readily available to perioperative cleaning personnel was established and implemented. Test instruments were soiled under pressure with defibrinated sheep's blood to simulate an abdominal laparoscopic surgical procedure (ie, by creating a pneumoperitoneum). After being cleaned according to the protocol, visual and optical inspections of the instruments indicated that all were free of visible soil. It was concluded that a hybrid laparoscopic instrument system can be cleaned satisfactorily before sterilization.AORN J62 (July 1995) 32–36.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63681-8

出版商:Wiley    

年代:2006

数据来源: WILEY

摘要:

ABSTRACTThe real issue in the debate about reusable versus disposable surgical instruments is the true cost and efficacy of specific instruments. Each device needs to be scrutinized on its own merits and analytically compared to other instruments. The goal of this case study was not to promote one type of instrument over the other but to focus on some of the data elements and complex issues involved in determining true costs, cost‐effectiveness, and efficacy of the reusable and disposable instruments.AORN J62 (July 1995) 39–48.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63682-X

出版商:Wiley    

年代:2006

数据来源: WILEY

摘要:

ABSTRACTInsulation failures, direct coupling, and capacitive coupling around active electrodes may cause serious burns and tissue damage to patients undergoing laparoscopic procedures. A coordinated team effort between perioperative nurses and surgeons can prevent life‐threatening complications from laparoscopic electrosurgical procedures. Knowledge of the biophysics of electrosurgery, the mechanisms of electrosurgery complications, and prevention of patient injuries will empower surgical team members to provide quality outcomes for patients undergoing laparoscopic procedures.AORN J62 (July 1995) 51–71.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63683-1

出版商:Wiley    

年代:2006

数据来源: WILEY

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63684-3

出版商:Wiley    

年代:2006

数据来源: WILEY