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首页> 外文期刊>Bangladesh Journal of Medical Science >Incidence of Instrument Fall During Caesarean Section: An Enigma
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Incidence of Instrument Fall During Caesarean Section: An Enigma

机译：剖宫产期间器械跌落的发生率：一个谜

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Objective: The aim of the study was to analyse and compare statistically the incidence of accidental fall of instruments during elective and emergency caesarean section. Material and Methods: A prospective study was carried out at (V. C. S. G. G. Medical Sciences and Research Institute) Srinagar, Pauri Garhwal, India over a period of 24 months. The instrument fall during elective and emergency caesarean sections was observed. The observer counted the number of times an instrument fell during surgery. The personnel responsible were identified. A note of the nature of instrument falling was made. Results: We observed 362 surgeries which included 242 emergency caesarean sections and 120 elective caesarean sections. There were a total of 159 falls. Falls were classified as major and minor. There were 22 falls (18.33%) during elective caesarean sections and 137 falls (56.61%) during emergency caesarean sections. There were 53 major and 106 minor falls. Two or more falls were noted in 31 surgeries. In 96 instances (60.37%) the operating surgeon was responsible for the fall. In 37 cases (23.27%) assisting surgeon and in 17 cases (10.69%) the scrub nurse was responsible for the fall of the instruments. Nine falls (5.66%) were unaccountable. Most falls in elective caesarean section were in later half of the surgery while in emergency caesarean section, they were before and during the extraction of the baby. The surgeries were delayed, on an average by 5.7 minutes after a major fall of an instrument. Conclusions: Falling of instruments in the theatre is a common problem all over the world. This leads to increase in operating time, more resources and quality compromise. The operating surgeon was mainly responsible for the fall. Ashort training programme in instrument handling should be conducted for operating surgeons which may be helpful in preventing such avoidable falls. DOI: http://dx.doi.org/10.3329/bjms.v11i2.8957 Bangladesh Journal of Medical Science Vol. 11 No. 02 April 2012: 87-90
机译：目的：本研究的目的是分析和统计比较选择性和紧急剖宫产术中器械意外跌倒的发生率。材料和方法：前瞻性研究在印度Pauri Garhwal的Srinagar的（V. C. S. G. G. G.医学科学研究院）进行，为期24个月。观察到在选择性和紧急剖腹产过程中仪器坠落。观察者计算了器械在手术过程中掉落的次数。确定了负责人员。记录了仪器掉落的性质。结果：我们观察了362例手术，其中包括242例紧急剖腹产和120例选择性剖腹产。总共有159次跌倒。瀑布分为主要和次要。选择性剖腹产有22例跌倒（18.33％），紧急剖腹产有137例跌倒（56.61％）。有53次大瀑布和106次小瀑布。在31个手术中发现两次或两次以上跌倒。在96个案例中（60.37％），手术的外科医生是造成跌倒的原因。在37例（23.27％）协助外科医生中，在17例（10.69％）的情况下，擦洗护士负责仪器的掉落。九次跌（5.66％）不负责任。择期剖腹产的大多数跌倒是在手术的后半部分，而紧急剖腹产的跌倒是在抽取婴儿之前和期间。仪器大跌后，手术平均延迟了5.7分钟。结论：剧院里的乐器掉落是全世界的普遍问题。这导致工作时间增加，更多的资源和质量下降。手术外科医生是造成跌倒的主要原因。应为手术外科医生进行简短的器械操作培训计划，这可能有助于防止此类可避免的跌倒。 DOI：http://dx.doi.org/10.3329/bjms.v11i2.8957孟加拉国医学杂志第一卷2012年4月2日11日：87-90

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