Aspiration at anaesthetic
A colleague shared his recent experience with a rather unusual and difficult case last week during the Australian College Scientific Meeting.A sixty-something year old patient deteriorated a few hours after...
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Posted in aspiration, anaesthesia; Posted 11 years ago
Blissfully unaware?
Last week I attended a marvellous presentation by Professor Gerald Hickson from Vanderbilt University in Nashville, TN. In brief, he talked about us doctors being accountable for our outcomes and actions.
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Tagged SurgicalPerformance, complaints, Complications; Posted 11 years ago
Do checklists work?
In 1934 the US Army evaluated 3 different aircrafts for testing, including the Boeing model 299. The Boeing plane seemed to be superior to any of the other two aircraft.
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Tagged Checklist, Complications; Comments 2 ; Posted 11 years ago
Preoperative Guidelines for Surgery on Elderly
Most gynaecologists see patients at 6 weeks from surgery. By contrast, most postoperative issues actually arise in the early postoperative period.
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Tagged Follow up; Comments 1 ; Posted 11 years ago
Surgical Smoke
In laparoscopic surgery diathermy-generated fume annoyes not only me but a lot of surgeons. It affects the visibility in surgery, requires to clean the scope repeatedly.
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Tagged laparoscopy, insufflator; Comments 1 ; Posted 11 years ago
Comfort Zone
One of my surgical mentors made a point of saying “Son, you gotta get out of your comfort zone to excel”.
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Tagged Complications, comfort zone; Comments 1 ; Posted 11 years ago
No urinary jet – what now?
For an increasing number of major gynaecological operations guidelines suggest performing a cystoscopy to confirm the intactness of the bladder and the patency of the ureters.
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Posted 11 years ago
Loop excision of the cervix and the risk of preterm delivery
When asked by my patients whether a LLETZ or cone bipopsy impacted on the risk of a preterm delivery on a subsequent pregnancy, often I became a bit vague in...
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Posted 11 years ago
Registries don’t work for doctors
In order to measure and improve the quality of health care, professional societies and Colleges (on behalf of government organisations) feel a strong need to collect data.
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Tagged registry, SurgicalPerformance, Audit, quality; Posted 11 years ago
The ureter is my friend
Our gynaecological anatomy puts a heavy focus on the female reproductive organs. Though, most of the genital tract is developed out of the Mullerian duct and comprises mostly a vagina,...
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Posted 11 years ago by Andreas Hackethal
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