ABSTRACT
The review is devoted to mostly international data on patient safety during surgical procedures. The author emphasizes surgical safety checklist for surgical interventions as a tool developed by the WHO team. The principal objective of this document is protection of patients from harm following unintended misses and casual circumstances. The author tried to explain the basic principles and ideas underlying the checklist procedure. An importance of understanding the process by administration and surgical team is emphasized because its absence deprives this non-complicated and helpful procedure of necessary sense. The problems of patient safety in hospitals of the Russian Federation are also discussed.
Subject(s)
Checklist , Surgical Procedures, Operative , Humans , Checklist/methods , Hospitals , Patient Safety , Russia , Surgical Procedures, Operative/adverse effects , World Health OrganizationABSTRACT
Based on studying venous trunks and their syntopia, previously performed on a total of 160 cadavers we elaborated" methods of "cross" shunting. Clinical application thereof in ten patients presenting with severe arterial hypertension accompanied by type 2 diabetes mellitus made it possible to decrease both mortality and complication rates.
Subject(s)
Atherosclerosis/surgery , Diabetes Mellitus, Type 2/complications , Hypertension/surgery , Portal Vein/surgery , Vena Cava, Inferior/surgery , Adult , Aged , Aldosterone/blood , Atherosclerosis/blood , Atherosclerosis/complications , Cadaver , Diabetes Mellitus, Type 2/blood , Female , Follow-Up Studies , Humans , Hypertension/blood , Hypertension/complications , Hypertension/mortality , Male , Meta-Analysis as Topic , Middle Aged , Patient Selection , Rheology , Time FactorsABSTRACT
The efficiency of treatment of ventricular tachycardias and fibrillation in cardiologic and cardiac surgical practice was examined in 154 patients by employing new unique means and facilities for automatic cardioversion-defibrillation of the heart. A comparative analysis was made of the efficiency of prevention of ventricular fibrillation and arrest of ventricular tachycardias by using various electric cardiac stimulation. The investigations indicated ventricular arrhythmia deaths might be significantly reduced by applying various methods of electric pulse therapy. The differential use of ++anti-tachycardia cardiac pacing and automatic low-energy cardioversion-defibrillation decreases the number of complications and enhances the efficiency of therapy in this contingent of patients.
