Journal of perioperative practice
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The distinctive aroma that once identified hospitals is reminiscent of the days of using open ether anaesthesia. Throughout this period the risk of explosions posed a very real threat to operating theatres, and the attention to safety produced the means of maintaining security for clinical practitioners; moreover protecting the vulnerability of the unconscious patient. The creation of the Davy lamp in 1815 was to spark our continual awareness regarding the impact of gas and chemical pollution.
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Review
Is there a relationship between preoperative shaving (hair removal) and surgical site infection?
The preoperative preparation of patients for surgery has traditionally included the routine hair removal at the operating site as a part of cleanliness. This literature review will investigate the relationship between preoperative hair removal and surgical site infection. It aims to identify the best method of hair removal to reduce the infection if hair removal is necessary, and to apply the evidence findings into nursing practice.
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High risk general surgical patients account for the largest proportion of surgical deaths. There is concern from the Royal College of Surgeons of England (RCSEng) and National Confidential Enquiry into Patient Outcome and Death (NCEPOD) that these patients may receive suboptimal care. ⋯ An agreed method of patient identification and quantification of risk was recommended. The use of an emergency laparotomy proforma was suggested.