The Anesthesia Consultant

NOVEMBER 13, 2019

Until the 1990s most abdominal surgery was done through an open incision. To remove a gall bladder or an appendix, the surgeon made an incision into the abdomen, inserted his hands and instruments, cut out the tissue under direct vision, and then sewed the abdomen together again. A gall bladder incision might be five inches long.

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Surgery Incision General Anesthesia Post-Anesthesia 52

The Anesthesia Consultant

OCTOBER 11, 2020

IN THE OPERATING ROOM: Mr. Doe will be asleep for the surgery, and Dr. A will be present the entire time. The operating room nurse presses down on Mr. Doe’s cricoid cartilage in his neck, to compress the esophagus and prevent any stomach contents from regurgitating upward into the airway.

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Anesthesiologist Vital Signs Post-Anesthesia Incision 52

The Anesthesia Consultant

FEBRUARY 16, 2021

Because anesthesiologists do not scrub in a sterile fashion, it’s OK to wear your watch and ring., Empty Operating Room 0655 hours—You don a bouffant hat and a facemask, and enter your operating room. Your hospital contains multiple operating rooms, and today you are in room #10.

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Anesthesiologist Vital Signs Operating Room Post-Anesthesia 52

The Anesthesia Consultant

AUGUST 29, 2022

As House of the Dragon depicted, in primitive times there was no way to stop the acute bleeding from Cesarean incisions into the abdomen and the uterus. Sterile surgical procedures began when Dr. Ignaz Semmelweis, a Hungarian physician, noted in 1847 that fewer women died from post-surgery fever if surgeons washed their hands.

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General Anesthesia Post-Anesthesia Suture Suturing 52

RASA Training

OCTOBER 24, 2018

Following this, the military formed a new profession called ORT (Operating Room Technician). There was a considerable amount of on-the-job training which included patient care, instrument sterilization, draping procedures, instrumentation and sutures.

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Surgical Assisting Surgical Assistant Operating Room Surgical Tech 52

The Anesthesia Consultant

APRIL 20, 2019

Chapter 1 THE BRICKLAYER Alec Lucas’s first contact with FutureCare came in operating room #19 at the University of Silicon Valley Medical Center, where his patient Elizabeth Anderson blinked into the twin suns of the surgical lights hanging from the ceiling. An orderly ran into the operating room carrying a red plastic beer cooler.

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Incision Post-Anesthesia General Anesthesia Anesthesia 52

The Anesthesia Consultant

APRIL 26, 2018

Norman Shumway MD PhD, a Stanford surgical professor and legend, invented the heart transplantation procedure and performed the first heart transplant in the USA on January 6, 1968 in operating room 13 of Stanford University Hospital. A power saw was used to cut the breastbone down the midline to enter the chest.

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Anesthesia Operating Room Vital Signs Post-Anesthesia 52

Incision

OCTOBER 17, 2023

Welcome back to our series on the inner workings of the Sterile Processing Department (SPD). In our previous article, "Sterile Processing and the Operating Room: Why Patient Safety Can't Be Rushed", we emphasized the importance of embracing the 4.5-hour Sterilization is the standard to ensure a patient’s safety.

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Sterile Operating Room Safety Surgical Instruments 40

Incision

NOVEMBER 22, 2023

Within a hospital, between 20 and 70% of this can be directly traced back to the operating department [ 2 , 3 ]. Daily, US operating rooms (ORs) generate up to 2000 tons of waste [ 4 ]. Perfectly good, entirely sterile and, above all, much-needed surgical supplies are routinely discarded in American operating rooms.

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Surgery Suture Suturing Operating Room 40

Incision

NOVEMBER 22, 2023

Between 20 and 70% of all hospital waste can be directly traced back to the operating department [ 3 , 4 ]. In a single day, US operating rooms (ORs) generate up to 2000 tons of waste [ 5 ]. Reusable (A) and disposable (B) sterile surgical gowns. Surgical care contributes disproportionately to these numbers.

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Operating Room Hospital Incision Operation 40