RESUMO
Electrosurgery is commonly used during a range of operations in order to maintain effective haemostasis. This can cause electromagnetic interference (EMI) with cardiac implanted electronic devices (CIEDs), which prevents normal device function. CIEDs include pacemakers (PPM), implantable cardiac defibrillators (ICD), cardiac resynchronisation therapy devices-both pacemakers and defibrillators (CRT-P/CRT-D)-and implantable loop recorders (ILRs). Damage to the generator, inhibition of pacing, activation of asynchronous pacing and ventricular fibrillation can all be induced by electrocautery. An active management plan for CIEDs during electrosurgery is critical to minimise these adverse effects of EMI. Purpose: To facilitate the safe and effective peri-operative management of CIED patients during electrosurgery.
Assuntos
Desfibriladores Implantáveis , Eletrocoagulação , Humanos , Nova Zelândia , Consenso , EletrônicaRESUMO
Asking a nurse to float has traditionally been fraught with anxiety, fear, and frustration. Floating can result in nursing dissatisfaction and high turnover rates. The authors discuss a strategy to minimize nurse anxiety and enhance nurse autonomy. The strategy has been successful for more than 6 years and contributed to a positive trend in nursing satisfaction with a very low turnover rate.
Assuntos
Esgotamento Profissional/prevenção & controle , Satisfação no Emprego , Recursos Humanos de Enfermagem Hospitalar/provisão & distribuição , Admissão e Escalonamento de Pessoal/organização & administração , Reorganização de Recursos Humanos/estatística & dados numéricos , Carga de Trabalho/estatística & dados numéricos , Centros Médicos Acadêmicos , Esgotamento Profissional/psicologia , Humanos , Relações Interprofissionais , Recursos Humanos de Enfermagem Hospitalar/psicologia , Ohio , Cultura Organizacional , Salários e Benefícios/estatística & dados numéricos , Recursos Humanos , Carga de Trabalho/psicologiaRESUMO
Benign prostatic hyperplasia (BPH) is a common problem among older men. Transurethral resection of the prostate (TURP) is a common surgical procedure for treatment of BPH. Typically, TURP is performed using monopolar electric current and a wire electrode; however, the irrigating solution used during this procedure has the potential to cause transurethral resection (TUR) syndrome. A new technology uses bipolar electrosurgery, which creates less risk of electrical shock, and saline irrigation, which eliminates the risk for TUR syndrome.