developinganaesthesia.org

narcotec.org

Narcotec - Liens web

http://www.narcotec.org/bibliothèque/liens-web

Équipement d’Anesthésie Approprié et Durable. Équipement d’Anesthésie Approprié et Durable. L'IIFARMU- Institut Internationale de Formation en Anesthesie Réanimation et Médecine d'Urgence. E-SAFE - safer anesthesia From Education. Medapteq - Apropriate Medical Technology for the Developing World. The maintenance of medical equipement in developing countries. MEDICA Düsseldorf nov 2014. Mission Madagascar Antananarivo nov 2014.

proceduralist.blogspot.com

surgical operations: Laparoscopic partial gastrectomy

http://proceduralist.blogspot.com/2007/10/laparoscopic-partial-gastrectomy.html

Thursday, October 4, 2007. GIST (b/w muscularis propria and muscularis mucosa, controversial to resect laparoscopically if over 5cm as higher malignancy rate, endoscopically have central punctate ulcer). Carcinoid only if LN metastases unlikely. Position as for Nissen. Dissect down toward pylorus and divide right gastroepiploic. Divide lesser omentum and clip right gastric artery. 12% leak rate in one series. Subscribe to: Post Comments (Atom).

proceduralist.blogspot.com

surgical operations: VATS

http://proceduralist.blogspot.com/2007/10/vats.html

Saturday, October 13, 2007. 8226;Choose the side you plan to biopsy eg R side. 8226;Left side down, lateral position. 8226;No need to break the bed. 8226;Lower border of the scapula is the land mark for thoracotomy to access the lung (classically the thoracotomy is done 2 finger breaths under the scapular). 8226;Wedge resect with stapler, remove the sample through the ports. 8226;Close the unused ports in two layers using Vicryl and nylon. 8226;Check CXR in recovery. Subscribe to: Post Comments (Atom).

proceduralist.blogspot.com

surgical operations: Packing liver

http://proceduralist.blogspot.com/2007/12/packing-liver.html

Tuesday, December 4, 2007. Place rolled packs in subphrenic and subhepatic space. Effective packing is a wrap not a sandwich. Pack early (packing relies on clot formation). If still bleeding despite packing:. Packs do not control arterial bleeding:. Inflow occlusion needed (in trauma usually venous). If dark blood gushes from behind the liver: dealing with retrohepatic venous injury: divide falciform and push liver posteriorly to compress. Subscribe to: Post Comments (Atom).

proceduralist.blogspot.com

surgical operations: PEG

http://proceduralist.blogspot.com/2007/10/peg.html

Thursday, October 4, 2007. Acites: can leak and cause peritonitis. Inability to transilluminate (can cutdowm to fascia to facilitate or can use bedside US). Several different techniques: push, pull or Seldinger. Insufflate until rugal folds disapear. Transilluminate skin and bounce finger. Infiltrate with LA, bigger skin incision than PEG to allow infection to drain. Introduce needle 45 deg cephalad. Pass wire and grasp with endosnare. Push or pull PEG. 10 infection rate if antibiotics used.

proceduralist.blogspot.com

surgical operations: Fasciotomy

http://proceduralist.blogspot.com/2007/12/fasciotomy.html

Tuesday, December 4, 2007. Intra compartmental pressures 30mmHg. 15cm incision 2cm anterior to fibular shaft over anterior intermuscular septum. Transverse incision is made over septum to allow access to both compartments. Identify superficial peroneal nerve near septum. Maintain tension on the fascia with a Kocher clamp. Open the fascia proximally and distally with Mayo scissors. Proximally aim for the patella and distally for the centre of the ankle to stay in the anterior compartment. A how to guide f...

proceduralist.blogspot.com

surgical operations: Pilonidal sinus: Karydakis procedure

http://proceduralist.blogspot.com/2009/03/pilonidal-sinus-karydakis-procedure.html

Friday, March 13, 2009. Pilonidal sinus: Karydakis procedure. Methylene Blue inserted to outline track. IV antibiotics (cephazolin and metronidazole). Aim is to lateralise the natal cleft. See photos for margins. Undercut the flap: 2cm wide, 1cm deep, the whole length of the wound. Use 2 layers of 0 vicryl to secure the flap with deep sutures. Follow the curvature of the sacrum. Sacral bites are closer together. Lower sutures are almost horizontal. Hold all sutures before tying and cutting.

proceduralist.blogspot.com

surgical operations: Palliative upper GI bypass

http://proceduralist.blogspot.com/2007/10/palliative-upper-gi-bypass.html

Thursday, October 4, 2007. Palliative upper GI bypass. Biliary bypass adds 2-5 months life. Surgical bypass procedure of choice cf stenting in patient fit for surgery with 4month life expectancy, although failure rate still 25%. Obviously need GB filling on ERCP before cholecystojejunostomy. 20% patients with pancreatic cancer will develop gastric outlet obstuction. Hydration important in jaundiced patients. Subscribe to: Post Comments (Atom).

proceduralist.blogspot.com

surgical operations: On table lavage

http://proceduralist.blogspot.com/2007/10/on-table-lavage.html

Monday, October 8, 2007. 3-0 PDS purse string. 21G three way foley into caecum and tie snugly. Distal end into anaesthetic tubing. Irrigate 8L warmed saline until clear. Subscribe to: Post Comments (Atom). A how to guide for medical and surgical procedures. If you can do it better, comment or send us a video.