Introduction What is noninvasive ventilation? If you are a person who googles everything, then you will be redirected to the article Noninvasive Ventilation written by Guy Soo Hoo that states “Noninvasive ventilation (NIV) refers to the administration of ventilatory support without using an invasive artificial airway (endotracheal tube or tracheostomy tube).” Now if you are a person that likes to look at books to get the answer, then David W. Chang wrote in Clinical Application of Mechanical Ventilation that “noninvasive positive pressure ventilation is a technique of providing ventilation without the use of an artificial airway.” Wherever you want to get the definition from, the purpose is all the same: to help the ventilation of the patient without having an artificial airway. Now that does not sound awful, but what about when a person has to be on this ventilation for long periods of time? What happens to the patient 's face from having that mask sit against it for hours at a time? Not every medical practice can be errorless and noninvasive ventilation has its downfalls too. Having a mask sit on your face for hours on end can cause lesions on the skin that a patient will not want on his or her face. There are many different interfaces for noninvasive ventilation, so some may be less harmful than others, but is the mask the only way these lesions can happen? In this paper we will investigate all the different reasons a patient can get this discomfort from a mask. Now let…
Medical Story: Reverse Shoulder Replacement “This surgery gave me my life back,” said Elizabeth McMearty, a successful and recovered patient who received a reverse shoulder replacement on February 24, 2014. Before receiving this intense surgery, Elizabeth was unable to drive a car, brush her own hair, feed herself, dress herself, or lift her arm past 90 degrees. Elizabeth now sees herself to have a more purposeful life, without pain in her shoulder. In 2005, Elizabeth was diagnosed with…
operating room (OR). A place filled with pressure, intensity, high hopes, and stress. There to help control the environment is a surgical technologist. While preparing patients for surgery, surgical technologists manage the equipment and operating room, follow the instructions of the surgeon, and ensure the safety of the patient. Surgical technologists are members of the surgical team who work in the operating room with surgeons, nurses, anesthesiologists, and other personnel before, during…
In the context of the new health care reform in Quebec, the regional head of medical and nursing affairs at the Centre intégré de santé et de services sociaux (6) could give a mandate to wound care specialists and surgeons to discuss these issues. Experts and workers should then sit down and evaluate the possibility of offering such early home follow-ups after surgery. Together, surgeons, liaison nurses and home care nurses could evaluate the best practices and adapt the NICE guidelines to…
Enhanced recovery after surgery is an evidence based, multimodal pathway that is designed to decrease the stress on the patient through out their surgical journey. It focuses on improving the outcome of the patient after surgery, by taking additional steps to manage the patient before, during and after surgery. The longer a patient stays in the hospital post op, there is an increase risk to become susceptible to infections in this regard, the protocol serves as a guideline used to reduce the…
Prior to 2001, CRNA’s were required to be supervised directly by anesthesiologists. When providing medical reimbursement, the federal Centers for Medicare and Medicaid Services (CMS) required CRNA’s to be supervised by physicians. Changing laws and regulations have allowed CRNA’s to have more responsibility in their job settings. As states individually determine nurse anesthetist regulations-- allowing CRNA’s to replace anesthesiologists in hospitals-- the issue may be more about the power of…
Observation of past and current patient safety trends in the U.S. Health industry, it becomes apparent that a multitude of procedural errors which often lead to patient malpractice. Therefore, it is crucial to identify the various aspects into the causes of procedural errors and patient care malpractice. By analyzing this data, management may utilize the information in establishing patient safety initiatives for their respective establishment. In addition, by increasing public awareness of…
their department for the next fiscal year. One department in a hospital that struggles to stay on budget is the Surgery Department. There are many components involved for a Surgery Department to run efficiently. In the April 2016 Nursing Management magazine it is stated that, “Hospitals work diligently to improve patient throughput,…
of a patient during a surgery, but anesthetic methods were not developed until around the time these photographs were taken. Prior to the implementation of an anesthetic, surgeons used a variety of methods to lessen their patients’ pain with some measure of success. Some managed to get their hands on various narcotics including opium, cocaine, and marijuana; they were all very useful for numbing pain, but extremely addictive. Alcohol was also employed, but those not wealthy enough to afford true…
Robots in Medicine At one point in life, we all are going to face death! Weather cancer, a stroke, a disease, or a car accident. That’s a truth we can’t hide from, but with the help of medical robots there are now shorter stays at the hospital, less invasive surgeries, easily interpreted medical imaging, and portable medical equipment to use at home. Medical robots have significantly advanced the diagnosis in diseases, which gives a better chance for the doctors to make a more efficient…