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The article presents the discussion on introduction of a new Sterile Barrier System (SBS) constituting a significant change to the instrumentation circuit. Topics include decision having implications for the entire workflow patterns of the nursing personnel in the operating room (OR); and risk of perforation while using sheet packaging being reduced by fitting edge protection aids.

The article offers information on the 24th Congress of the German Society of Sterile Supply (DGSV) held on October 4-5, 2021 in Fulda, Germany and only the members of the board of directors and the speakers attended in person. It discusses that Kathrin Mann gave the first talk on the topic of "Costs of reprocessing medical devices in the outpatient operating room; and gave an overview of the surgical centre and its various areas, explaining in detail the items that had to be included.

Introduction: The need for surgery in the context of the current COVID-19 pandemic may be a risk for health professionals. For urgent diseases requiring surgical interventions, appropriate decisions should be made according to international recommendations on management of the SARS-CoV2 virus. The study aims to describe and analyze the different recommendations for managing suspected COVID-19 patients in surgical settings. Materials and Methods: An integrative descriptive literature review was conducted on articles published between November 2019 and April 2020 in PubMed, Medline, Science-Direct, Google Scholar, and Scopus databases. Results: 12 studies related to measures and recommendations for the management of suspected COVID-19 patients met the inclusion criteria and were selected. During preoperative care, aspects such as the preparation of the operating room, the use of personal protection equipment, and patient transfer to the operating room were highlighted. During intraoperative care, measures for anesthesia, airway management, cleaning and disinfection of operating rooms, and specific recommendations for postoperative care are highlighted. Discussion: Personal protective equipment and techniques to minimize the risk of cross-infection are reviewed. Conclusions: The surgical team should maintain standard measures for the management of surgical suspected COVID-19 patients to prevent the spread and possible infection with SARS-CoV-2 virus and ensure safe surgical care. [ABSTRACT FROM AUTHOR]

Fire in the surgical field during eyelid surgery is an intra-operative complication that is dramatic for both the patient and the medical staff. It’s being reported a case of surgical accident during eyelid surgery where the patient suffered a brow burn. There was interaction between the oxygen used for sedation (open mask) and a source of ignition represented by monopolar cautery. Although the patient presented good clinical evolution with complete recovery of the cutaneous lesion, this case is an alert to avoid such type of occurrence. This work highlights the conditions involved and the way of prevention. [ABSTRACT FROM AUTHOR]

Objectives: to analyze adverse outcomes in teaching maternity hospitals in Maceió, Alagoas, Brazil. Methods: a cross-sectional, retrospective and analytical study was carried out with a random sample of 480 medical records of postpartum women in 2016 using the Adverse Outcome Index: in-hospital maternal death, neonatal in-hospital death> 2500g and> 37 weeks, uterine rupture, unplanned maternal admission to intensive care unit, delivery trauma to the newborn, return to the operating room, admission to an intensive neonatal unit with >2500g and > 37 weeks for more than one day, Apgar <7 at the fifth minute, maternal hemotransfusion and fourth-degree perineal laceration. The data were analyzed using the Statistical Package for Social Sciences software version 22.0. Results: the results showed a 21% rate of adverse outcomes, at a rate of 26.4 for every 1,000 births, with a greater occurrence of neonatal intensive care admission with>2500g and>37 weeks for more than one day (52. 5%), maternal blood transfusion (20.8%) and unplanned maternal admission in intensive care (17.8%). Conclusions: the evaluation of adverse outcomes evidenced a high proportion of births with undesirable results, which allowed the analysis of the outlook of unfavorable outcomes related to safety in maternity wards through the use of indicators. [ABSTRACT FROM AUTHOR]

In a cardiac procedure room, ventilated by a ventilation and air-conditioning system with turbulent mixed airflow, a protection zone in the operating area could be defined through visualization of airflows. Within this protection zone, no turbulence was detectable in the room air. Under the given conditions, disinfection of all surfaces including all furniture and equipment after the last operation and subsequent draping of furniture and all equipment that could not be removed from the room with sterile surgical drapes improved the indoor room air quality from cleanroom class C to cleanroom class B. This also allows procedures with elevated requirements to be performed in room class 1b. [ABSTRACT FROM AUTHOR]

The author reflects on the barriers to surgical innovation and also reveals that innovation is not seen in operating rooms. Topics discussed include investment of business enterprises in Canada more than the investment of the federal government, technology investment and expansion to a product line, and administration not interested in new technology.