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Contents


THE CLINICAL SERVICES JOURNAL


OPERATING THEATRES


Inside this issue


5 Editor’s Comment Promises, promises, promises…


6 Cover Story - Versatile and reliable range of operating tables


With hospitals facing a backlog, operating theatres cannot afford to have operating tables out of action. A range of tables, available from Brandon Medical, is ensuring high levels of reliability, with “fail-safe” backup systems.


9 News 13 Optimising greener surgery: clinical considerations


Kate Woodhead highlights the need for every health board to enable their operating theatre teams to examine their practice so they can reduce their carbon footprint.


18 Why civility must be part of the future of surgery


‘Incivility can be contagious’ and ‘rudeness can prove deadly’ were among the take-home messages of the day, at NPAG 2024.


23 Prioritising wellbeing in operating theatres


The foundation of efficient and safe working in operating theatres is effective team working. Dora Bilan highlights the need to support each other to achieve success – focusing on staff wellbeing and mental health.


27 Advancing prostate cancer surgery


The Stokes Centre of Urology team at the Royal Surrey NHS Foundation Trust is breaking records and breaking new ground in prostate cancer surgery.


33 Tackling the barriers to day surgery


Dr. Rachel Tibble and Dr. Lindsay Hudman discuss the barriers to day surgery and the key strategies to overcome them.


www.clinicalservicesjournal.com l July 2024 THE CLINICAL SERVICES JOURNAL


OPERATING THEATRES


38 Essential insights into glove use in theatres


Susana de Almeida provides an insight into safe glove use within the operating theatre – addressing critical issues such as proper donning and doffing techniques, sustainability, contamination prevention, and staff protection.


44 Tackling SSI: enhancing the skin’s barrier


Tackling SSI: enhancing the skin’s barrier


Why civility must be a part of the future of surgery Optimising greener surgery: clinical considerations


Caterina Galani highlights the importance of following NICE guidelines and to adhering to care bundles for SSI prevention. She looks at the potential to enhance the skin’s barrier before, during and after surgery, to ensure effective SSI protection.


48 The value of data-driven insight and AI for surgery


Dr. Nadine Hachach-Haram provides an insight into how data-driven insights in operating rooms can have the capacity to improve surgical productivity, reduce variability, and enhance training opportunities.


52 New Royal Eye Infirmary expands surgery capacity


A striking new Royal Eye Infirmary (REI) created off site by Modern Methods of Construction specialist, MTX, is helping to meet increasing demand for eye surgery from across Devon and Cornwall. Jonathan Baillie reports.


56 Ensuring sustainable patient warming


When maintaining normothermia in surgical patients, it is important to find the right balance of different modalities across the patient warming workflow to improve patient outcomes and achieve sustainability goals.


60 Managing patients with ‘difficult airways’


The HSSIB’s latest report shows improvement is needed at a national level in the communication, preparation and planning for patients who may have ‘a difficult airway’.


62 Opinion: The importance of airway training


Victoria Docherty highlights the risks around dislodged tubes and the need for further training in theatres.


July 2024


Clinical Services Journal Follow us:


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July 2024 I www.clinicalservicesjournal.com 3





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