Nihon Geka Gakkai zasshi
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Nihon Geka Gakkai zasshi · Jul 2010
[The role of co-medical staff in surgical treatment from the viewpoint of respiratory therapists].
Appropriate perioperative assessment of respiratory function and subsequent respiratory therapy are mandatory to reduce postoperative pulmonary complications and restore pulmonary reserve function after surgery. Preoperative instructions on smoking cessation, expectoration of sputum or coughing, and respiratory training are also useful to shorten hospital admissions. ⋯ Certified respiratory therapists approved by the Joint Committee on Respiratory Therapy have a particularly important role in performing respiratory therapy. In the near future, interdisciplinary organization and cooperation between various medical staff will be necessary for the smooth management of RSTs in medical institutions.
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Nihon Geka Gakkai zasshi · Jul 2010
[Burden sharing with co-medical personnel in the surgical area: present and future situations. The clinical engineer's position].
It has been 22 years since clinical engineers first made their appearance as experts in medical equipment used to save patients' lives. At that time, legal revisions, ministerial ordinances, and regulations were established, with the final step awaiting a change in the medical environment. The pressing problem of a serious shortage of physicians is now apparent. ⋯ In current surgical procedures, clinical engineers are necessary to operate various high-risk therapeutic equipment such as therapeutic surgical and life support devices. Clinical engineers work not only in the control of life support devices but also in expanded fields in perioperative care. A revision of the clinical engineer's role in perioperative care and work guidelines is needed so that their fundamental strengths can promote such goals as improved medical safety and a reduction in the burden on physicians and other medical personnel.