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Of spine injuries, only 0.01% [7] are unstable and require intervention (either surgery or a spinal orthosis). [8] Some authors argue that use of spinal precautions is controversial because benefit is unclear and there are significant drawbacks including pressure ulcers, increased pain, and delayed transport times.
The first planned spinal anaesthesia for surgery on a human was administered by August Bier (1861–1949) on 16 August 1898, in Kiel, when he injected 3 ml of 0.5% cocaine solution into a 34-year-old labourer. [14] After using it on six patients, he and his assistant each injected cocaine into the other's spine. They recommended it for ...
The perioperative period is the period of a patient's surgical procedure. [1] It commonly includes ward admission, anesthesia, surgery, and recovery.Perioperative may refer to the three phases of surgery: preoperative, intraoperative, and postoperative, though it is a term most often used for the first and third of these only - a term which is often specifically utilized to imply 'around' the ...
The corticosteroid medication methylprednisolone has been studied for use in spinal cord injury patients with the hope of limiting swelling and secondary injury. [109] As there does not appear to be long term benefits and the medication is associated with risks such as gastrointestinal bleeding and infection its use is not recommended as of 2018.
Some sources recommend patient's arms crossed over the chest, [1] while others suggest that to minimize the amount of lateral spinal displacement the arms must be stretched along the sides, with palms resting on the thighs. [2] [3] After that the patient is carefully rolled in the desired direction without twisting or bending the body. Log-rolling
When it is done immediately before surgery, the use of hair clippers might be preferable to shaving. [4] Bathing with an antiseptic like chlorhexidine does not seem to affect incidence of complications after surgery. [5] However, washing the surgical site with chlorhexidine after surgery does seem helpful for preventing surgical site infection. [6]
The World Health Organization (WHO) published the WHO Surgical Safety Checklist in 2008 in order to increase the safety of patients undergoing surgery. [1] The checklist serves to remind the surgical team of important items to be performed before and after the surgical procedure in order to reduce adverse events such as surgical site infections or retained instruments. [1]
The TESSYS method (transforaminal endoscopic surgical system) is a minimally-invasive, endoscopic spinal procedure for the treatment of a herniated disc.It was a further development of the YESS method by the Dutch Dr Thomas Hoogland in the Alpha Klinik in Munich in 1989 and was first called THESSYS (Thomas Hoogland EndoScopic SYStem).
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