A multicentre audit of single-use surgical instruments (SUSI) for tonsillectomy and adenoidectomy.

Annals of the Royal College of Surgeons of England
P O'FlynnR Persaud

Abstract

Prions are resistant to conventional sterilisation procedures and, therefore, could be transmitted iatrogenically through re-usable adenoid and tonsil surgical instruments. Using disposable instruments would avoid the risk of transmission. We present the results of a complete audit loop using BBraun single-use surgical instruments (SUSI). This was a prospective multicentre audit. Surgeons were asked to fill in a standardised questionnaire recording details including postoperative complications, and evaluation of each piece of equipment compared with their own experience of conventional re-usable instruments. In the first cycle, constructive criticisms of the instruments were noted and the manufacturers modified the instruments accordingly. A second cycle of audit was subsequently undertaken. A total of 86 patients were audited in the first cycle and 97 in the second cycle. Postoperative haemorrhage rate for both cycles was well within acceptable range. In the first audit cycle, surgeons generally found the Draffin rods, Boyle-Davis gag and bipolar diathermy forceps of poor quality and difficult to use. These were redesigned and, on repeat evaluation during the second audit cycle, were found to be just as good, if not better, th...Continue Reading

References

Apr 6, 1996·Lancet·R G WillP G Smith
Apr 18, 2000·The Journal of Laryngology and Otology·A Frosh
Dec 12, 2001·Endoscopy·A T AxonUNKNOWN Guidelines Committee. European Society of Gastrointestinal Endoscopy (ESGE)
Jun 20, 2002·Clinical Otolaryngology and Allied Sciences·S MainiK Evans
Dec 10, 2003·International Journal of Pediatric Otorhinolaryngology·Mary-Louise MontagueS S Musheer Hussain
Aug 25, 2004·Lancet·D LoweUNKNOWN National Prospective Tonsillectomy Audit
Dec 20, 2005·The Journal of Pathology·David A Hilton

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Citations

Oct 24, 2013·The Journal of Laryngology and Otology·N SethiL Condon
May 24, 2013·The Annals of Otology, Rhinology, and Laryngology·David L Walner, Anatoli Karas

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Methods Mentioned

BETA
biopsy
dissector
dissection

Software Mentioned

SUSI

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