Journal of clinical anesthesia
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To determine whether the window design of pencil-point spinal needles leads to deformation under lateral or axial loading conditions. ⋯ The Sprotte needles have an inherent design weakness to lateral and axial pressure, which may result in a greater number of needle tip deformations upon needle insertion. The nature of this deformation may result in difficulty in needle withdrawal and possibly fracture of the needle tip.
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It is estimated that $200 million worth of prepared materials are discarded unused in operating rooms in the United States each year. Although some of these materials have been successfully recovered for overseas donation, they nevertheless constitute an undesirable burden on health care efficiency. ⋯ A database, which was initially developed to track the overseas donation of recovered supplies from Yale-New Haven Hospital, is now being applied to measure approaches to waste reduction. This report summarizes the application of this database to an integrated program designed to modify nursing procedures and physician prespecified supply lists.
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Randomized Controlled Trial Clinical Trial
Evaluation of the efficacy of a forced-air warmer (Bair Hugger) during spinal surgery in children.
To evaluate the efficacy of a forced-air warmer during spinal surgery for correction of scoliosis in children. ⋯ The forced-air warmer (Bair Hugger) is effective during spinal surgery, although only about 20% of body surface area can be covered.
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To estimate the financial costs incurred by outpatient surgical centers in managing postoperative nausea and vomiting (PONV). ⋯ PONV substantially increases the costs incurred by outpatient surgical centers.