Titre : Instruments chirurgicaux

Instruments chirurgicaux : Questions médicales fréquentes

Termes MeSH sélectionnés :

Controlled Substances
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gérer une rupture d'instrument pendant une opération ?\nQuels effets secondaires des instruments à usage unique ?\nComment prévenir les complications liées aux instruments ?", "url": "https://questionsmedicales.fr/mesh/D013525?mesh_terms=Controlled+Substances&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Instruments chirurgicaux", "description": "Quels facteurs augmentent le risque d'infection chirurgicale ?\nComment l'âge influence-t-il les risques liés aux instruments ?\nQuels comportements augmentent les risques d'allergie ?\nComment le type d'intervention influence-t-il les risques ?\nQuels antécédents médicaux augmentent les risques ?", "url": "https://questionsmedicales.fr/mesh/D013525?mesh_terms=Controlled+Substances&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Quels sont les types d'instruments chirurgicaux ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Les types incluent scalpels, ciseaux, pinces, et écarteurs." } }, { "@type": "Question", "name": "Comment évaluer la qualité d'un instrument chirurgical ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "La qualité se mesure par la précision, la durabilité et la facilité d'utilisation." } }, { "@type": "Question", "name": "Quels matériaux sont utilisés pour les instruments chirurgicaux ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Ils sont souvent fabriqués en acier inoxydable, en titane ou en plastique médical." } }, { "@type": "Question", "name": "Comment stériliser les instruments chirurgicaux ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "La stérilisation se fait par autoclave, chaleur sèche ou produits chimiques." } }, { "@type": "Question", "name": "Quels sont les critères de sécurité pour les instruments ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les critères incluent l'absence de bords tranchants, la solidité et la facilité de nettoyage." } }, { "@type": "Question", "name": "Quels symptômes indiquent un instrument chirurgical défectueux ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes incluent des coupures inégales, des défaillances de mécanisme ou des rouilles." } }, { "@type": "Question", "name": "Comment reconnaître une infection liée à un instrument ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent rougeur, gonflement, douleur et écoulement au site chirurgical." } }, { "@type": "Question", "name": "Quels signes d'allergie aux matériaux des instruments ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent éruptions cutanées, démangeaisons ou réactions anaphylactiques." } }, { "@type": "Question", "name": "Quels symptômes d'une mauvaise manipulation d'instruments ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes peuvent être des douleurs, des lésions tissulaires ou des saignements." } }, { "@type": "Question", "name": "Comment identifier une mauvaise stérilisation ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Des signes incluent des infections postopératoires ou des complications inattendues." } }, { "@type": "Question", "name": "Comment prévenir les infections chirurgicales ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention passe par une stérilisation adéquate et des techniques chirurgicales aseptiques." } }, { "@type": "Question", "name": "Quelles sont les bonnes pratiques d'utilisation des instruments ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Les bonnes pratiques incluent la formation, l'inspection régulière et le respect des protocoles." } }, { "@type": "Question", "name": "Comment choisir des instruments de qualité ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Choisissez des instruments certifiés, de marques reconnues et adaptés à l'intervention." } }, { "@type": "Question", "name": "Quelles sont les normes de sécurité pour les instruments ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Les normes incluent des tests de résistance, des contrôles de qualité et des certifications." } }, { "@type": "Question", "name": "Comment former le personnel à l'utilisation des instruments ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "La formation doit inclure des sessions pratiques, des démonstrations et des évaluations régulières." } }, { "@type": "Question", "name": "Quels traitements pour les infections liées aux instruments ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent antibiotiques et, si nécessaire, drainage chirurgical." } }, { "@type": "Question", "name": "Comment traiter une allergie aux matériaux chirurgicaux ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement consiste en l'évitement des matériaux et l'utilisation d'antihistaminiques." } }, { "@type": "Question", "name": "Quelles sont les alternatives aux instruments chirurgicaux traditionnels ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Les alternatives incluent les instruments à usage unique et les technologies laser." } }, { "@type": "Question", "name": "Comment gérer les complications chirurgicales ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "La gestion inclut une surveillance étroite, des traitements médicaux et parfois une réintervention." } }, { "@type": "Question", "name": "Quels soins postopératoires pour éviter les infections ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Les soins incluent le nettoyage régulier, le changement de pansements et l'observation des signes d'infection." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir avec des instruments mal stérilisés ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des infections, des septicémies et des retards de guérison." } }, { "@type": "Question", "name": "Quels risques d'allergie aux instruments chirurgicaux ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Les risques incluent des réactions cutanées, des chocs anaphylactiques et des complications respiratoires." } }, { "@type": "Question", "name": "Comment gérer une rupture d'instrument pendant une opération ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Il faut évaluer la situation, retirer les morceaux et continuer l'opération avec prudence." } }, { "@type": "Question", "name": "Quels effets secondaires des instruments à usage unique ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les effets incluent des coûts élevés et des déchets médicaux accrus, mais moins d'infections." } }, { "@type": "Question", "name": "Comment prévenir les complications liées aux instruments ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "La prévention passe par une formation adéquate, une stérilisation rigoureuse et des contrôles réguliers." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque d'infection chirurgicale ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'obésité, le diabète, et une mauvaise hygiène préopératoire." } }, { "@type": "Question", "name": "Comment l'âge influence-t-il les risques liés aux instruments ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Les personnes âgées ont un risque accru de complications en raison de la fragilité des tissus." } }, { "@type": "Question", "name": "Quels comportements augmentent les risques d'allergie ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Les comportements incluent l'exposition répétée à des matériaux allergènes et des antécédents familiaux." } }, { "@type": "Question", "name": "Comment le type d'intervention influence-t-il les risques ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Les interventions complexes présentent un risque plus élevé de complications liées aux instruments." } }, { "@type": "Question", "name": "Quels antécédents médicaux augmentent les risques ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Les antécédents de maladies auto-immunes ou d'infections récurrentes augmentent les risques." } } ] } ] }

Sources (10000 au total)

Concordance between controlled substance receipt and post-mortem toxicology in opioid-detected overdose deaths: A statewide analysis.

Opioid overdoses are a leading cause of preventable death in the United States. There is limited research linking decedents' receipt of controlled substances and presence of controlled substances on p... We linked data on opioid-detected deaths in Connecticut between May 3, 2016, and December 31, 2017 from the Office of the Chief Medical Examiner, Department of Consumer Protection, and Department of M... Our analysis included 1412 opioid-detected overdose deaths. 47 % received an opioid or benzodiazepine 90 days prior to death; 36 % received an opioid and 27 % received a benzodiazepine. Concordance be... Our results suggest medically supplied opioids and benzodiazepines potentially contributed to a substantial number, though minority, of opioid-detected deaths during the study period. Efforts to reduc...

The impact of scheduling ketamine as an internationally controlled substance on anaesthesia care in Sub-Saharan Africa: a case study and key informant interviews.

Access to anaesthesia and surgical care is a major problem for people living in Sub-Saharan Africa. In this region, ketamine is critical for the provision of anaesthesia care. However, efforts to cont... This research is a mixed-methods study, comprising of a cross-sectional survey at the hospital level in Rwanda, and key informant interviews with experts on anaesthesia care in Sub-Saharan Africa. Dat... The survey conducted in Rwanda found that availability of ketamine and propofol was comparable at around 80%, while thiopental and inhalational agents were available at only about half of the hospital... Ketamine is critical for the provision of anaesthesia care in Sub-Saharan Africa, and its scheduling would have a significantly negative impact on its availability for anaesthesia care....

Impact of mandatory COVID-19 shelter-in-place order on controlled substance use among rural versus urban communities in the United States.

Mandatory COVID-19 shelter-in-place (SIP) orders have been imposed to fight the pandemic. They may also have led to unintended consequences of increased use of controlled substances especially among r... Call counts received by the poison control centers between October 19, 2019 and July 6, 2020 due to exposure to controlled substance (methamphetamine, opioids, cocaine, benzodiazepines, and other narc... During the study period, 2,649 counties in the United States had mandatory SIP orders. The rate of calls reporting exposure to any of the aforementioned controlled substances among the rural counties ... The mandatory SIP orders may have had an unintended consequence of exacerbating the use of controlled substances at home in rural communities relative to urban communities....

Cardiopulmonary and muscular effects of different doses of high-intensity physical training in substance use disorder patients: study protocol for a block allocated controlled endurance and strength training trial in an inpatient setting.

Patients with substance use disorder (SUD) have high prevalence of lifestyle-related comorbidities. Physical exercise is known to yield substantial prophylactic impact on disease and premature mortali... This study will recruit 40 in-patients of mixed genders, aged 18-70 years. Participants will be block allocated to low-dose or high-dose training, encompassing 24 high-intensity interval and maximal s... This protocol is in accordance with the Standard Protocol Items: Recommendations for Interventional Trials statement. All participants will sign a written informed consent. The Regional Committee of M... NCT04065334....

Acute, chronic, and post-mortem toxicity: a review focused on three different classes of new psychoactive substances.

New psychoactive substances (NPS) are not controlled under the Single Convention on Narcotic Drugs of 1961 or the 1971 Convention, but they may pose a public health threat. Knowledge of the main prope... We carried out a literature review collecting information on the acute, chronic, and post-mortem toxicity of these classes of NSP. We searched info in five scientific databases considering works from ... Results have shown a general lack of studies in this field given that many NPS have not had their toxicity evaluated. We observed a significant difference in the volume of data concerning acute and ch... More in-depth information about the main threats involving NPS use are needed....

Does electronic prescribing of controlled substances deter controlled substance prescribing in emergency departments?

To examine the association between electronic prescribing of controlled substances (EPCS) and controlled substance prescription patterns in U.S. emergency departments (ED).... We conducted cross-sectional analysis at both the ED level and visit level, using the 2016-2017 National Hospital Ambulatory Medical Care Surveys.... The sample included 24,296 visits to 316 EDs, 45% of which utilized EPCS. Pain-related visits were associated with significantly higher odds of prescriptions for any controlled substances (OR = 1.52; ... While EPCS transmits prescriptions directly to pharmacies in order to reduce drug diversion problems, the results indicated no significant association between EPCS use and prescriptions for Schedule I... EPCS does not appear to deter Schedule II controlled substances prescription including opioids in an ED visit. It may facilitate any and Schedule III controlled substance prescriptions when pain was i...