Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Prions and disposable surgical instruments.

P Nix1

  • 1Department of Otolaryngology, Hull Royal Infirmary, Hull, UK.

International Journal of Clinical Practice
|November 25, 2003
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

HOW I DO IT: Cushing's disease-selective adenomectomy via an endoscopic transsphenoidal approach.

Acta neurochirurgica·2024
Same author

Post-operative volumes following endoscopic surgery for non-functioning pituitary macroadenomas are predictive of further intervention, but not endocrine outcomes.

BMC endocrine disorders·2021
Same author

Precision silver nitrate cautery of the posterior nasal cavity.

The Journal of laryngology and otology·2021
Same author

How I do it - endoscopic endonasal approach for pituitary tumour.

Acta neurochirurgica·2016
Same author

Microbial causes of complicated acute bacterial rhinosinusitis and implications for empirical antimicrobial therapy.

The Journal of laryngology and otology·2015
Same author

Evolution of a UK endoscopic anterior skull base pituitary service - the first one hundred and twenty-three patients: Our Experience.

Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·2015

Single-use surgical instruments in UK ENT departments led to increased postoperative hemorrhage in children undergoing tonsillectomy. Guidelines now permit reusable instruments due to higher patient risk from disposable ones.

Area of Science:

  • Otolaryngology
  • Infectious Disease Prevention
  • Surgical Safety

Background:

  • UK ENT departments adopted single-use surgical instruments following guidelines to prevent variant Creutzfeldt-Jakob disease (vCJD) transmission.
  • Initial implementation targeted routine adenotonsillectomy in pediatric patients.

Purpose of the Study:

  • To evaluate the safety and efficacy of single-use surgical instruments compared to traditional reusable kits.
  • To assess the impact of single-use instruments on postoperative complication rates, specifically hemorrhage, in pediatric tonsillectomies.

Main Methods:

  • A comparative analysis was conducted within one UK institution.
  • Postoperative hemorrhage rates before and after the introduction of single-use instruments were tracked and statistically analyzed.

Related Experiment Videos

Main Results:

  • Single-use instruments were found to be inferior to standard kits.
  • Postoperative hemorrhage rates following pediatric tonsillectomy increased significantly from 1.7% to 7.8% (p<0.01).

Conclusions:

  • The increased risk of postoperative hemorrhage associated with single-use instruments outweighs the theoretical risk of prion infection.
  • UK ENT departments are no longer mandated to use disposable instruments for adenotonsillectomies, prioritizing patient safety.