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Doctor insights on: Operating Table

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Could a surgical technologist suture in the operating room?

Could a surgical technologist suture in the operating room?

Legally , No: IN most of the States only a physician ( surgeon ) has privilege (s) to perform a surgical procedure , how ever a PA can do under supervision , surgical technologist may assist like cutting the suture , not allowed ...Read more

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How come safety important when operating a dental xray equipment?

How come safety important when operating a dental xray equipment?

X-ray safety: No one, patient, doctor. Or staff should be exposed to unnecessarily ionizing radiation. There is a risk of it causing cancer. See: http://www.Cancer.Org/treatment/understandingyourdiagnosis/examsandtestdescriptions/imagingradiologytests/imaging-radiology-tests-rad-risk. ...Read more

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Please explain why is a post operative patient under sub arachnoid block anesthesia positioned flat on bed for 8 hours?

Please explain why is a post operative patient under sub arachnoid block anesthesia positioned flat on bed for 8 hours?

Spinal headache: The reason why patients are kept in the lying down position after subarachnoid block or spinal anesthesia is to decrease the chance of developing a post dural puncture headache or commonly known as a spinal headache. There is a hole made from the introduction of the spinal needle through the dura and into the subarachnoid space to deposit the medication there to accomplish a spinal block. ...Read more

Dr. Jesus Yap Dr. Yap
2 doctors agreed:
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Systolic pressure 190. Any circumstances under which emergency room would send patient home?

Dr. Jesus Yap Dr. Yap
2 doctors agreed:
Systolic pressure 190. Any circumstances under which emergency room would send patient home?

Absence of symptoms: Systolic pressure of 190 in the absence of symptoms such as headache nausea shortness of breath does not require hospital admission and can be treated as outpatient. ...Read more

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Will stainless plate in arm set off alarms at airport? Told to carry note by surgeon

Will stainless plate in arm set off alarms at airport? Told to carry note by surgeon

Airport alarms: There is no need to carry a card or letter when you travel. If the security monitor is made more sensitive, hardware or total joint implants can set off the alarm. In this scenario, you will be pulled aside and either scanned by hand by tsa, or some other form of exam. There is nothing you can provide the tsa agent that would prevent the additional exam. Good luck! ...Read more

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Septoplasty & rhinoplasty under local anesthesia. Is this safe?

Septoplasty & rhinoplasty under local anesthesia. Is this safe?

You could but why?: I see from your history you have anxiety. Are you really going to want to sit there with someone making incisions, resecting cartilage, making delicate and time consuming changes to the shape of your nose, suctioning blood all while you cannot touch your face or risk infecting your wound? Most surgeons do it under general. It's your surgeon and your call, but most patients would say "no". ...Read more

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Dr. Gutti Rao Dr. Rao
2 doctors agreed:
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What are some new changes done to ensure patient safety in the operating room?

Dr. Gutti Rao Dr. Rao
2 doctors agreed:
What are some new changes done to ensure patient safety in the operating room?

Checklist/ timeout: There are lot of measures taken to prevent errors in the operating room such as timeouts, check list that the chief scrub nurse goes thro. This prevents wrong part of the body being operated upon, whether instrument count is accurate or correct number of gauzes used etc. ...Read more

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How often do people die on the operating table from gull blabber surgery?

How often do people die on the operating table from gull blabber surgery?

Less than 1 in 100: In an otherwise healthy person the risk of death after gall bladder surgery is less than 1 in 100. The risk is much higher if the person is very sick or frail. I don't know if any reliable statistics exist on how often someone actually dies during the operation but i suspect it is quite rare. ...Read more

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Can cataract surgery be done while sitting up or always with the patient lying down?

Can cataract surgery be done while sitting up or always with the patient lying down?

Usually lying down: In some cases the patient can be slightly seated up if cannot lie flat; microscope has best view of cataract when patient lying flat. More info: [email protected] ...Read more

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21mo old in hospital following Gtube placement. 16 hrs postop. O2 baseline is 88.decels 4-5x/hour as low as 70. Sleep apnea? Or result of anesthesia?

21mo old in hospital following Gtube placement. 16 hrs postop. O2 baseline is 88.decels 4-5x/hour as low as 70. Sleep apnea? Or result of  anesthesia?

Sleep apnea: Tough to say, yes it's possible from the anesthesia, but if this persist another night or two, then no i think you have to think about other reasons, like sleep apnea. ...Read more

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Elderly man in RCFE fractures patella requiring surgery. After surgery will he go back to the residential facility or be put in an interim facility?

Elderly man in RCFE fractures patella requiring surgery.  After surgery will he go back to the residential facility or be put in an interim facility?

Many variables: Was he ambulatory prior to fracture? Intact mental status or dementia? Good candidate for (inpatient) rehabilitation? Any other complication factors? Orthopedic surgeon, physical therapist & Family Doc can discuss best option for him. ...Read more

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Oncology: Who are the best candidates to receive 24 hour IV chemotherapy in a hospital setting vs. 6 hour out patient? Thank-you.

Oncology: Who are the best candidates to receive 24 hour IV chemotherapy in a hospital setting vs. 6 hour out patient? Thank-you.

Inadequate info: It would seem, by your question, that there was a specific cancer you were asking about. If not, then more specific information needs to be provided in order to answer. ...Read more

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What is patient position during awake craniotomy? Lying down? And feel the patient after waking up during surgery that his head is opened or any pain?

What is patient position during awake craniotomy? Lying down? And feel the patient after waking up during surgery that his head is opened or any pain?

Back or side: It depends on the location of the tumor, but usually awake craniotomies are performed with patient on their back and a roll under one shoulder to slightly turn you to the side. Ultimately, they are in between their back and side. ...Read more

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What is a good changing table / diaper table distraction?

What is a good changing table / diaper table distraction?

Toy in your mouth: Holding a toy in your mouth is about the perfect distance from baby's eyes for them to clearly see. They will love to bat at it and watch it wiggle as you finish up dressing them or changing their diaper. ...Read more

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Will doing rhino and septoplasty at sametime under only local anesthesia pose risks like anesthesia toxicitity?

No but...: Your high blood pressure places you at higher risk for bleeding under a local and should be discussed with your surgeon or anesthesiologist. ...Read more

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