operating room &
post anaesthesia care unit

Reducing the Occurrence of Postoperative Delirium

One in every five in-hospital patients is affected by Postoperative Delirium.([FOOTNOTE=Wilson, J. E. et al. Delirium. Nat. Rev. Dis. Prim. 6, (2020).],[ANCHOR=],[LINK=]) Delirium is an adverse complication that can occur in patients of any age, from children to the elderly, and is associated with a considerable amount of distress for patients and caregivers.([FOOTNOTE=Aldecoa C, Bettelli G, Bilotta F, et al. European Society of Anaesthesiology evidence-based and consensus-based guideline on postoperative delirium [published correction appears in Eur J Anaesthesiol. 2018 Sep;35(9):718-719]. Eur J Anaesthesiol. 2017;34(4):192-214.],[ANCHOR=],[LINK=])

Fortunately, advanced science and extensive research has led to preventative methods which can help reduce the occurrence of delirium.

Value Based Healthcare

 Is our Outcomes Pledge Program Too Good to Be True?

The Value-Based HealthCare Outcomes Pledge Program is a collaborative and long-term partnership designed to address healthcare complications that result in poor outcomes and higher costs. This outcome-based partnership follows clinical protocols, clinician education, and targeted goals to help improve clinical outcomes.

Smarter Communication To Save Time on the Medical-Surgical Floor

Communication challenges can impact the medical-surgical floor. And those challenges may affect care. We have four important ways to help you manage them. Find out how you can help improve communication and patient outcomes on the wards.

OBESITY AND ANAESTHESIA:

Managing the risks

Obesity is becoming more prevalent in the UK. Recent UK government statistics suggest that 20% of adults are obese and 1% morbidly obese.([FOOTNOTE=Lotia (2008) Anaesthesia and morbid obesity. Continuing Education in Anaesthesia Critical Care & Pain, Volume 8, Issue 5, October 2008, Pages 151–156 Available at https://academic.oup.com/bjaed/article/8/5/151/268305],[ANCHOR=],[LINK=])

Understanding and Preventing Cerebral Oxygen Desaturation

This blog post discusses the risks, potential complications, and costs of cerebral oxygen desaturation. It also explains how regional oximetry and early detection of changes in a patient’s cerebral oxygenation and end organ perfusion allows you to intervene faster. 

In the Spotlight: Different Types of Anaesthesia

Sedation nurse answers 5 questions in 10 minutes

In this short video, Andreia Trigo talks about different types of anaesthesia, differences between general anaesthesia and sedation, and gives 5 tips to make sure you are keeping your patients safe.

5 actions every anaesthetic nurse must do for regional, local and general anaesthesia

In this blog post we talk about the 5 actions every anaesthetic nurse must do for every patient, receiving regional, local or general anaesthesia.

COPD & ANAESTHESIA:

3 aspects every nurse must know

Chronic Obstructive Pulmonary Disease (COPD) is a major cause of chronic morbidity and mortality throughout the world. It is currently the fourth leading cause of death in the world.([FOOTNOTE=Global Initiative for Chronic Obstructive Lung Disease (2016) Pocket Guide to COPD diagnosis, management and prevention. Available at: https://goldcopd.org/wp-content/uploads/2016/12/wms-GOLD-2017-Pocket-Guide.pdf],[ANCHOR=],[LINK=]) An estimated 3 million people have COPD in the UK, of whom 2 million have undiagnosed COPD.([FOOTNOTE=NICE (2015) Chronic obstructive pulmonary disease. Available at: https://www.nice.org.uk/Media/Default/Standards-and-indicators/QOF%20Indicator%20Key%20documents/nm105-copd-guidance.pdf],[ANCHOR=],[LINK=]) It is responsible for over 30,000 deaths, 1.4 million General Practitioner consultations, a million hospital bed days and it costs the NHS over £800 million each year.([FOOTNOTE=Primary Care Respiratory Society UK (2013). Reviewing people with COPD. Available at: https://www.pcrs-uk.org/sites/pcrs-uk.org/files/os19_copd_review.pdf],[ANCHOR=],[LINK=])

The Role of the Bronchoscopy Nurse

Bronchoscopy is an invasive procedure that allows the direct examination of the larynx, trachea and bronchi using either a flexible fibreoptic bronchoscope or a rigid metal bronchoscope.([FOOTNOTE=Martin, P. (2019) Bronchoscopy. Nurse Labs. Available at https://nurseslabs.com/bronchoscopy/],[ANCHOR=],[LINK=]),([FOOTNOTE=Martin, J. (2013) Preparing and supporting patients undergoing a bronchoscopy. Nursing Times. Available at https://www.nursingtimes.net/clinical-archive/respiratory-clinical-archive/preparing-and-supporting-patients-undergoing-a-bronchoscopy-14-10-2003/],[ANCHOR=],[LINK=]) Nurses perform an important role supporting patients undergoing bronchoscopy. In this article, we review the role of the bronchoscopy nurse in 3 surgical stages.

The Role of the GI Endoscopy Nurse

Around 1-1.5% of the population requires an upper or lower endoscopic investigation of the gastrointestinal tract each year.([FOOTNOTE=Pauline Matthews (2001) Developing the role of the nurse endoscopist. Available at https://www.nursingtimes.net/clinical-archive/gastroenterology/developing-the-role-of-the-nurse-endoscopist-01-11-2001/],[ANCHOR=],[LINK=]) Gastrointestinal endoscopic procedures are used as diagnostic, as well as interventional. It includes gastroscopies where the scope is placed inside the oesophagus, stomach and first part of the small bowel; and colonoscopies where the scope is inserted in the large bowel. Nurse’s play an important role in these procedures. In this article we highlight the role of nurses in gastrointestinal endoscopy.

The New Science of the Decade

Monitoring Intraoperative Nociception (PAIN)

Pain management is an essential element in the medical health system and in patient care. Medicine has advanced in uncovering the physiological process of pain, and more recently the underlying mechanisms of nociception have gained increasing attention in the medical community.([FOOTNOTE=Smith, S. J. Advances in understanding nociception and neuropathic pain. J. Neurol. 265, 231–238 (2018).],[ANCHOR=],[LINK=]),([FOOTNOTE=Gan, T. J. Poorly controlled postoperative pain : prevalence , consequences , and prevention. 2287–2298 (2017).],[ANCHOR=],[LINK=])

Medtronic seeks to highlight the clinical relevance of intraoperative nociception and its management, and to enhance global awareness of this less considered aspect of pain.

BIS™ Brain Monitoring Technology Increases Sedation Assessment Capabilities in the ICU

In a typical ICU environment, a 1 to 1 or 1 to 2 ratio of nurse-to-patient has been the common standard. Due to a dramatic influx of patients admitted to the ICUs across the country, clinicians are overwhelmed needing to increase the patient to nursing ratio. This just compounds the strain that’s put on already stressed clinicians.

Video Laryngoscopy Enhances Patient Airway Intubation and Helps Improve Clinician Safety

Video laryngoscopy used in the operating room supports first-attempt success of airway intubation. Research also shows that video laryngoscopy can help prevent clinician exposure to droplet-borne pathogens and further improve your safety.([FOOTNOTE=Cook TM, El-Boghdadly K, McGuire B, McNarry AF, Patel A, Higgs A. Consensus guidelines for managing the airway in patients with COVID-19: Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists. Anaesthesia. 2020;75(6):785–799.],[ANCHOR=],[LINK=]) Recent guidelines highlight the risks of contracting COVID-19 among those caring for infected patients.18 The guidelines recommend that airway management clinicians take precautions to further protect against droplet-borne pathogens.18

Medtronic Patient Monitoring & Respiratory Interventions EMEA