XDXDXDXD
Playdough Surgery 🔪- Colectomy (colon removal) and Colostomy Creation - aka Hartmann Procedure
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“Do all people only poop out of their butt? Can the poop come out from anywhere else?” - my 3yo wondered aloud one day.
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I had to take this opportunity to tell him about the lifesaving surgeries that result in the creation of an opening in the abdomen (called a stoma) to release waste products. Did you know? More than 1 million people in North America live with a permanent ostomy, and some 100,000 new ostomy surgeries are being performed each year.
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Thankfully, most colon surgeries can be completed without needing an ostomy. But our patient had an advanced, perforated colon cancer that required emergent removal (sometimes these are reversed later and reconnected when the patient is feeling better). My little guy couldn’t wait to stick his hand 👋🏻 into the abdomen and pull out the sigmoid colon like the surgeons in the videos we watched.
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Last thought: it is sobering that colorectal cancer is the third most common cancer in both men and women in the United States and the second most common cause of cancer-related death. African Americans have the highest incidence of colorectal cancer, >20% higher than in whites, and an even larger difference in mortality - they are more often diagnosed at an earlier age and with more advanced disease. [Am J Pathol. 2018 Feb; 188(2): 291–303]
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Disclaimer: The following video is intended for entertainment/educational purposes only and is not a substitute for professional medical advice.
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#coloncancer #coloncancerawareness #colorectalcancerawareness #ostomy
#ostomyawareness #colorectalsurgery #surgeon #medicalstudent #medicine #medicalschool #playdough #playdoughfun #playdoughsurgery #playdoh #kidsactivities #doctormom #learnthroughplay #thebreakfasteur
「emergent surgery」的推薦目錄:
emergent surgery 在 國家衛生研究院-論壇 Facebook 的最佳解答
➥【重點摘要】:
■ 執行機械血栓切除術(mechanism thrombectomy)的條件:
執行機械血栓切除術與否不應因COVID-19而改變。
➜ COVID-19陰性患者:
依醫院規定採取標準個人防護預防措施(如,手術帽、護目鏡、防護衣、手套、鞋套,並遵守適當的穿脫原則。
➜ COVID-19陽性患者:
氣管插管,拔管,抽吸和主動心肺復蘇可能導致呼吸道分泌物噴出,從而增加接觸人員的風險。插管的通氣是通過密閉迴路控制的,因此對操作人員的傳染風險較小。
但是,迴路中斷(例如滲漏,抽吸,氣管插管操作)時會釋放出更多的分泌物;因此,建議在中風血栓切除術COVID-19陽性患者的氣管插管仍應採取標準預防措施,然後最好是在負壓環境中,運送至血管造影單位。
一旦插管患者轉移過去之後,在資源許可下,所有醫療人員都應穿戴加強式的個人防護裝備,並建議治療醫師及放射科技術人員皆應穿鞋套,以減少污染。理想狀況下,每次遇到COVID-19陽性患者時,醫護人員皆應使用新的N95口罩或電動空氣淨化呼吸器。為節省N95口罩,可在N95口罩外佩戴外科口罩,並最盡量減少參與治療的工作人員數量。
➜無COVID-19感染狀況:
依COVID-19陽性患者做準備。
➜其他術後護理:
➜初期護理:
病患拔管之後,建議盡速將無併發症之患者轉出加護病房,並在其住院病房進行中風因子及預防的評估。
➜ COVID-19檢測:
如果資源足夠,建議所有患者在住院期間均接受COVID-19檢測,以分離COVID-19陽性病患,減少院內感染機會。
➜血管造影設備及輪替:
建議將選擇性和非緊急腦血管病例推遲到大流行高峰減少之後。對有套血管造影設備的醫院,建議將一套設備指定為“ COVID-19病房”,並儲備加強型的個人防護裝備和無障礙介入設備的治療,以盡量減少手術人員。
➜人員編組及個人防護裝備的使用:
依個人技術進行編組。所有醫療人員均要會使用N95口罩,熟悉穿脫個人防護裝備的原則,包括護目鏡。(「財團法人國家衛生研究院」莊淑鈞博士 摘要整理)
📋 Society of NeuroInterventional Surgery recommendations for the care of emergent neurointerventional patients in the setting of COVID-19(2020/04/15)+中文摘要轉譯
➥Author:Justin F Fraser, Adam S Arthur, Michael Chen, et al.
➥Link: (BMJ)
https://jnis.bmj.com/content/early/2020/04/15/neurintsurg-2020-016098
#2019COVID19Academic
衛生福利部
疾病管制署 - 1922防疫達人
疾病管制署
國家衛生研究院-論壇