Journal of perioperative practice
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The following article is based on a presentation at AfPP's Annual Congress in October 2005. It deals with the increasing level of violence and aggression directed towards NHS staff in the workplace and advises on conflict resolution.
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The premise that underlines this article (based on a presentation delivered at AfPP's Annual Congress in October 2006) is that all elective surgery performed in this country should be day surgery. This should eventually include patients undergoing hip replacements, radical prostatectomies, aortic aneurysm repair and hepatectomies, to name a few. All of these procedures we should perform, safely and well, under the British definition of day surgery as 'going home at the end of the day'.
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An audit of patients' pain relief following day case gynaecological laparoscopic surgery was conducted to identify postoperative analgesic requirements. In this article the authors also look at the incidence of nausea and vomiting, length of hospital stay and recorded overnight admissions.
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This article, written by a third year diploma student in operating department practice, examines the literature relating to the safe use of cricoid pressure. To ensure that the patient is adequately protected from acid aspiration syndrome, the anaesthetic practitioner should be aware of the dangers of faulty technique when utilising Sellick's manoeuvre.