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Related Concept Videos

Hand hygiene01:23

Hand hygiene

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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Standard Precaution01:26

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
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Handwashing II: Pre-procedure and Initial Procedure Steps01:19

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The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
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Updated: Nov 18, 2025

Nasal Brushing Sampling and Processing Using Digital High Speed Ciliary Videomicroscopy – Adaptation for the COVID-19 Pandemic
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Optimising Hand Surgery during COVID-19 Pandemic.

Shivangi Saha1, Suvashis Dash1, Mohammed Tahir Ansari2

  • 1Department of Plastic Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, India.

The Journal of Hand Surgery Asian-Pacific Volume
|February 9, 2021
PubMed
Summary

During the COVID-19 pandemic, essential hand trauma care was maintained by optimizing resource use and adapting surgical practices. This involved prioritizing non-operative management and regional anesthesia for injured patients.

Keywords:
Brachial plexus blockHand traumaLocal anaesthesiaTeleconsultationTelemedicine

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Area of Science:

  • Plastic Surgery
  • Trauma Care
  • Pandemic Response

Background:

  • COVID-19 pandemic redirected healthcare resources, potentially impacting critical care.
  • Limited access to operating rooms and anesthesia necessitated a new strategy for hand trauma management.
  • Level 1 trauma center adapted services for pandemic preparedness.

Purpose of the Study:

  • To summarize the clinical profile and management of hand trauma patients during the pandemic.
  • To highlight practice modifications implemented to optimize care.
  • To ensure essential trauma care continuity amidst resource constraints.

Main Methods:

  • Retrospective observational study of hand injuries from March 22 to May 31, 2020.
  • Analysis of patient demographics, management strategies, and outcomes.
  • Review of procedures performed under local anesthesia, regional blocks, and general anesthesia.

Main Results:

  • 102 hand injuries treated; 5 patients were COVID-19 positive.
  • Non-operative management used for 74.2% of fractures/dislocations.
  • 73.5% of patients managed with local anesthesia, discharged same day; others discharged within 24 hours or 4 days for complex cases.

Conclusions:

  • Essential trauma care must continue, balancing resource rationalization with patient and staff safety.
  • Flexible and dynamic approaches, including teleconsultation, non-operative care, and regional anesthesia, are crucial.
  • Modified practices ensured effective hand trauma management during the pandemic.