The Experts below are selected from a list of 285 Experts worldwide ranked by ideXlab platform

Sze Ying Thong - One of the best experts on this subject based on the ideXlab platform.

  • Surgical fire caused by electrocautery in ambient air
    Proceedings of Singapore Healthcare, 2015
    Co-Authors: Zihui Tan, Sze Ying Thong
    Abstract:

    Introduction:The fire triangle comprises the ignition source, fuel and oxidizer which is necessary for the initiation of fire. Most surgical fires occur in an oxygen-enriched environment. We report a case of surgical fire in ambient air where an alcohol-based antiseptic was involved.Case report:A 20-year-old male diagnosed with left pleural empyema and respiratory failure, requiring emergent intubation and respiratory support, was brought into the operating theatre for decortication of the left lung. Shortly after induction, the patient desaturated despite 100% oxygen and lung recruitment manoeuvres. The surgical team decided to insert a chest tube emergently to drain the empyema to improve respiratory function. A non-functioning drainage catheter that was in situ was removed and placed on the operating table beside the patient. Skin was prepared using chlorhexidine gluconate 0.5% w/v in Methylated Spirit solution and iodine. Soon after, cotton drapes were used to cover the patient. After the initial inci...

  • Surgical fire caused by electrocautery in ambient air
    SAGE Publishing, 2015
    Co-Authors: Zihui Tan, Sze Ying Thong
    Abstract:

    Introduction: The fire triangle comprises the ignition source, fuel and oxidizer which is necessary for the initiation of fire. Most surgical fires occur in an oxygen-enriched environment. We report a case of surgical fire in ambient air where an alcohol-based antiseptic was involved. Case report: A 20-year-old male diagnosed with left pleural empyema and respiratory failure, requiring emergent intubation and respiratory support, was brought into the operating theatre for decortication of the left lung. Shortly after induction, the patient desaturated despite 100% oxygen and lung recruitment manoeuvres. The surgical team decided to insert a chest tube emergently to drain the empyema to improve respiratory function. A non-functioning drainage catheter that was in situ was removed and placed on the operating table beside the patient. Skin was prepared using chlorhexidine gluconate 0.5% w/v in Methylated Spirit solution and iodine. Soon after, cotton drapes were used to cover the patient. After the initial incision for chest tube insertion, electrocautery was introduced. Smoke and a smell of something burning was immediately noted by the surgical team. The drapes were removed and the drainage catheter with a burnt tip was discovered beside the patient. The patient suffered second degree burns to his chest wall. Conclusion: Although it is more common for surgical fires to occur in an oxygen-enriched environment, this case highlights that without adequate precautions they can also occur in ambient air. Recognition that standard anaesthetic and surgical equipment can act as sources of fuel and vigilance for the circumstances that complete the fire triangle are key to the prevention of surgical fires

Pius Iorapuu Damkor - One of the best experts on this subject based on the ideXlab platform.

  • Survey of umbilical cord care practices and separation time in healthy new-born in Maiduguri, Nigeria
    Clinical nursing studies, 2018
    Co-Authors: Dathini Hamina, Robert Teryila Kever, Markus Njida Uba, Lola Nelson, Habu Haruna, Gagare A. Ayuba, Ishaya E. Friday, Pius Iorapuu Damkor
    Abstract:

    This study aimed at assessing the umbilical cord care practices and separation time in healthy new-born in Maiduguri, Borno State, Nigeria. A descriptive survey design was adopted for the study. A total of 365 women attending child welfare clinic were selected through systematic random sampling technique from three health care facilities in Maiduguri Metropolis. A self-developed and validated questionnaire was used to collect information from the women on common cord care practices and knowledge of standard umbilical cord care practices. The questionnaire was pretested in State Specialist Hospital Maiduguri, Borno State and the correlation coefficient of 0.87 determined. The result of the study revealed that common cord care practices among women in Maiduguri include the use of Methylated Spirit, hot compress, charcoal, Vaseline and table salt. Others were mixture of Methylated Spirit with traditional concoctions, toothpaste and cow dung were also found to be commonly used by the mothers. The mean umbilical cord separation time of 3.5 days (± 0.397) was observed with the unorthodox treatment of the cord. Although there was a good knowledge among the respondents with regards to standard umbilical cord care practice, there was however no commensurate practice. Therefore, there is an urgent need for cultural re-orientation most especially of women with regard and unhygienic traditional cord care practices on the new born.

Chizoma M Ndikom - One of the best experts on this subject based on the ideXlab platform.

  • Umbilical cord separation time: chlorhexidine vs Methylated-Spirit
    African journal of midwifery and women's health, 2019
    Co-Authors: Miriam-hilda Okpaleke, Chizoma M Ndikom
    Abstract:

    Abstract Background Use of topical antiseptics could reduce the incidence of infection; however, studies have suggested that some antiseptics prolong the time for cord separation when compared with...

  • Incidence of umbilical cord infection in neonates receiving 7.1% chlorhexidine gel and Methylated-Spirit in ibadan
    Journal of Neonatal Nursing, 2019
    Co-Authors: Miriam-hilda Okpaleke, Chizoma M Ndikom, Kellu Umar Bulama
    Abstract:

    Abstract Background The optimal method of umbilical cord care after birth is still a controversial issue, as umbilical stump has remained a focus of infection in newborns. Use of topical antiseptics is one intervention that could reduce the incidence of infection by preventing or reducing the bacterial colonization of the umbilical cord in neonates. Aim To compare the incidence of umbilical cord infection between neonates receiving 7.1% chlorhexidine gel (CHG) and Methylated-Spirit (MTS) in Ibadan. Method and subjects This study was a prospective-comparative study. The study settings were selected by a multistage sampling technique from the 11 local governments in Ibadan. A total of 179 newborns (93 in the Chlorhexidine group and 86 in the Methylated Spirit group) were enrolled into the study from three primary health centers (PHC) in Ibadan and analyzed for the incidence of umbilical cord infection. Results There was no statistical significant difference in the incidence of umbilical cord infection between the two groups [p = 0.447). There was a higher non compliance rate in the CHG group (21.1%) than in the MTS group (9.6%) [p = 0.001] Conclusion: There is no difference in incidence of umbilical cord infection with the use of Chlorhexidine or methylathed Spirit in newborns.

Miriam-hilda Okpaleke - One of the best experts on this subject based on the ideXlab platform.

  • Umbilical cord separation time: chlorhexidine vs Methylated-Spirit
    African journal of midwifery and women's health, 2019
    Co-Authors: Miriam-hilda Okpaleke, Chizoma M Ndikom
    Abstract:

    Abstract Background Use of topical antiseptics could reduce the incidence of infection; however, studies have suggested that some antiseptics prolong the time for cord separation when compared with...

  • Incidence of umbilical cord infection in neonates receiving 7.1% chlorhexidine gel and Methylated-Spirit in ibadan
    Journal of Neonatal Nursing, 2019
    Co-Authors: Miriam-hilda Okpaleke, Chizoma M Ndikom, Kellu Umar Bulama
    Abstract:

    Abstract Background The optimal method of umbilical cord care after birth is still a controversial issue, as umbilical stump has remained a focus of infection in newborns. Use of topical antiseptics is one intervention that could reduce the incidence of infection by preventing or reducing the bacterial colonization of the umbilical cord in neonates. Aim To compare the incidence of umbilical cord infection between neonates receiving 7.1% chlorhexidine gel (CHG) and Methylated-Spirit (MTS) in Ibadan. Method and subjects This study was a prospective-comparative study. The study settings were selected by a multistage sampling technique from the 11 local governments in Ibadan. A total of 179 newborns (93 in the Chlorhexidine group and 86 in the Methylated Spirit group) were enrolled into the study from three primary health centers (PHC) in Ibadan and analyzed for the incidence of umbilical cord infection. Results There was no statistical significant difference in the incidence of umbilical cord infection between the two groups [p = 0.447). There was a higher non compliance rate in the CHG group (21.1%) than in the MTS group (9.6%) [p = 0.001] Conclusion: There is no difference in incidence of umbilical cord infection with the use of Chlorhexidine or methylathed Spirit in newborns.

Sherring Hannah - One of the best experts on this subject based on the ideXlab platform.

  • Reducing Surgical Site Infections: A Comparison of Surgical Skin Preparations
    Digital Commons @ Plymouth State, 2018
    Co-Authors: Sherring Hannah
    Abstract:

    Surgical site infections are one of the most common healthcare-associated infections among surgical patients. The use of surgical site preparations can prevent this problem. A literature review was conducted to examine the existing studies in an attempt to determine which surgical site preparation yielded the lowest surgical site infection rate postoperatively. The preparations examined in these studies were parachoroxylenol (PCMX), povidone-iodine, combination povidone-iodine and isopropyl alcohol, chlorhexidine gluconate (CHG), chlorhexidine-alcohol, combination povidone-iodine and CHG, and povidone-iodine with industrial Methylated Spirit. It was concluded that none of these preparations proved to be superior in all surgeries or facilities. Patient allergies, comorbidities, surgical site, surgeon preference, and availability are some factors that affect the types of preparations used. In order to determine which surgical site skin preparation is superior in reducing infection, more studies on these preparations will need to be conducted