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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Shoulder replacement surgery is employed in the treatment of severe shoulder arthritis and following some proximal humeral fractures. Three different replacements are available: hemiarthroplasty (HAS), total shoulder replacement (TSR) and reverse shoulder replacement (RSR). HAS and TSR are indicated in patients with intact rotator cuffs and RSR for cuff deficient older patients. Outcomes are favourable, with the majority of patients having improvements in shoulder pain and function.