Facilitating safer surgery and anesthesia in a disaster zone

First among them was infection control. Because there was no running water in the hospital, we used hand-scrub solutions, primarily chlorhexidine and alcohol-based solutions.4 Surgical equipment was cleaned and then disinfected with bleach, ortho-phthalaldehyde, or 2% hydrogen peroxide solution.4 A...

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Bibliographic Details
Published in:The American journal of surgery 2012-09, Vol.204 (3), p.406-409
Main Authors: Jawa, Randeep S., M.D, Zakrison, Tanya L., M.D, Richards, Alan T., M.D, Young, David H., M.D, Heir, Jagtar S., D.O
Format: Article
Language:English
Subjects:
Amputation
Anesthesia
Anesthesia, Conduction - utilization
Anesthesia, General - adverse effects
Anesthesia, General - methods
Anesthesia, General - standards
Anesthesia, General - utilization
Antibiotic Prophylaxis - standards
Delivery of Health Care - methods
Delivery of Health Care - standards
Disasters
Earthquakes
Equipment and Supplies, Hospital - standards
Equipment and Supplies, Hospital - supply & distribution
Haiti
Hospitals
Hospitals - standards
Hospitals - supply & distribution
Humans
Infection Control - standards
Interdisciplinary Communication
International Cooperation
Medical Records
Patient Safety
Quality Improvement
Surgery
Surgical Procedures, Operative - adverse effects
Surgical Procedures, Operative - methods
Surgical Procedures, Operative - standards
Tetanus Toxoid - administration & dosage
Wound healing
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Summary:First among them was infection control. Because there was no running water in the hospital, we used hand-scrub solutions, primarily chlorhexidine and alcohol-based solutions.4 Surgical equipment was cleaned and then disinfected with bleach, ortho-phthalaldehyde, or 2% hydrogen peroxide solution.4 A small steam autoclave that became available was used for sterilization. [...]the preferential use of regional anesthesia techniques was conducive to liberalization of NPO guidelines, creating a safer operating environment in a disaster zone. [...]alternative energy sources, such as solar power, batteries, and generators, are necessary in environments without a central electricity supply.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2011.09.033