Base de dados : MEDLINE
Pesquisa : E07.858 [Categoria DeCS]
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[PMID]:28469709
[Au] Autor:Causby RS; McDonnell MN; Reed L; Fryer CE; Hillier SL
[Ad] Endereço:Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, SA 5001 Australia.
[Ti] Título:A qualitative evaluation of scalpel skill teaching of podiatry students.
[So] Source:J Foot Ankle Res;10:21, 2017.
[Is] ISSN:1757-1146
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Degrees in health disciplines need a balance of theoretical knowledge and sufficient clinical practice to meet registration requirements, in particular those requiring specialist skills such as the use of scalpels and other small instruments, such as podiatry. However, despite this requirement there is a scarcity of literature and research to inform teaching of these particular manual clinical skills. Therefore, the aims of this study were to determine the current approaches being used to teach manual skills, in particular scalpel skills, in university podiatry programs in Australia and New Zealand, and to explore what issues, challenges and innovations exist. METHODS: A qualitative study, consisting of semi-structured interviews with staff at eight university podiatry programs in Australia and New Zealand was undertaken to determine how these skills are taught and evaluated, and how poor performers are managed. A conventional content analysis technique was used to analyse and code interview data, with the resultant categories reported. RESULTS: Approaches to teaching manual clinical skills, in particular scalpel skills, appear to be consistent between university programs in Australia and New Zealand in utilising didactic-style content, demonstration, physical practice on inanimate objects and real skin, and often the use of supplementary audio-visual material. The main reported differences between programs were in methods and processes of practice, with controversy regarding the use of inanimate objects versus real skin for practice. CONCLUSIONS: Despite a lack of research and literature surrounding this topic, the approach to teaching is relatively consistent between programs with greatest disparity being the structure and duration of practice. Key issues for teaching staff in teaching manual skills were students' clinical exposure, motivation, levels of anxiety and dexterity.
[Mh] Termos MeSH primário: Competência Clínica/normas
Educação Médica/métodos
Podiatria/educação
Ensino
[Mh] Termos MeSH secundário: Austrália
Avaliação Educacional/métodos
Seres Humanos
Nova Zelândia
Treinamento por Simulação/métodos
Equipamentos Cirúrgicos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1186/s13047-017-0202-9


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[PMID]:27778059
[Au] Autor:Kenngott HG; Wagner M; Preukschas AA; Müller-Stich BP
[Ad] Endereço:Abteilung für Allgemein-, Viszeral- und Transplantationschirurgie, Klinikum der Universität Heidelberg, Chirurgische Universitätsklinik, Universität Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.
[Ti] Título:[Intelligent operating room suite : From passive medical devices to the self-thinking cognitive surgical assistant].
[Ti] Título:Der intelligente Operationssaal : Vom passiven Gerätepark zum mitdenkenden, kognitiven Assistenten..
[So] Source:Chirurg;87(12):1033-1038, 2016 Dec.
[Is] ISSN:1433-0385
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Modern operating room (OR) suites are mostly digitally connected but until now the primary focus was on the presentation, transfer and distribution of images. Device information and processes within the operating theaters are barely considered. Cognitive assistance systems have triggered a fundamental rethinking in the automotive industry as well as in logistics. In principle, tasks in the OR, some of which are highly repetitive, also have great potential to be supported by automated cognitive assistance via a self-thinking system. This includes the coordination of the entire workflow in the perioperative process in both the operating theater and the whole hospital. With corresponding data from hospital information systems, medical devices and appropriate models of the surgical process, intelligent systems could optimize the workflow in the operating theater in the near future and support the surgeon. Preliminary results on the use of device information and automatically controlled OR suites are already available. Such systems include, for example the guidance of laparoscopic camera systems. Nevertheless, cognitive assistance systems that make use of knowledge about patients, processes and other pieces of information to improve surgical treatment are not yet available in the clinical routine but are urgently needed in order to automatically assist the surgeon in situation-related activities and thus substantially improve patient care.
[Mh] Termos MeSH primário: Salas Cirúrgicas/métodos
Salas Cirúrgicas/organização & administração
[Mh] Termos MeSH secundário: Processamento Automatizado de Dados/métodos
Processamento Automatizado de Dados/organização & administração
Seres Humanos
Laparoscopia/instrumentação
Laparoscopia/métodos
Monitorização Intraoperatória/instrumentação
Monitorização Intraoperatória/métodos
Sistemas de Informação em Salas Cirúrgicas/organização & administração
Software
Cirurgia Assistida por Computador/instrumentação
Cirurgia Assistida por Computador/métodos
Equipamentos Cirúrgicos/normas
Fluxo de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180201
[Lr] Data última revisão:
180201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:28602930
[Au] Autor:Wilbers E; Ewelt C; Schipmann S; Stummer W; Klingenhöfer M
[Ad] Endereço:Department of Neurosurgery, University Hospital of Muenster, Muenster, Germany.
[Ti] Título:Illumination in Spinal Surgery Depending on Different Approaches and Light Sources.
[So] Source:World Neurosurg;105:585-590, 2017 Sep.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sufficient visualization of the operating field is crucial for success in surgery and is important especially concerning minimally invasive and deep approaches in spine surgery. METHODS: The spinal microsurgical approach was imitated using an isolated box that was accessed with different devices. Different light sources and auxiliary devices were analyzed and compared. Light sources used were a microscope, a standard operating room lamp, and a headlamp. The auxiliary devices included different tubes with and without optical light fibers, different retractors, and an endoscope. RESULTS: We demonstrated that different combinations of light sources and auxiliary devices provide significantly different illumination in the artificial operating field. A tube with optical fibers seems to be superior for nonmicroscopic approaches. The smaller these tubes are in diameter, the higher the illuminance on the surgical focus. CONCLUSIONS: The combination of tube and microscope seems to be the best choice for deep approaches in microsurgical spinal surgery. An endoscope supplies illuminance comparable to a surgical microscope.
[Mh] Termos MeSH primário: Iluminação/métodos
Microcirurgia/métodos
Procedimentos Neurocirúrgicos/métodos
Equipamentos Cirúrgicos
[Mh] Termos MeSH secundário: Seres Humanos
Iluminação/instrumentação
Microcirurgia/instrumentação
Modelos Neurológicos
Procedimentos Neurocirúrgicos/instrumentação
Doenças da Coluna Vertebral/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170613
[St] Status:MEDLINE


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[PMID]:28572044
[Au] Autor:Gillis JA; Williams JG
[Ad] Endereço:Division of Plastic and Reconstructive Surgery, Dalhousie University, Halifax, Nova Scotia, Canada. Electronic address: jgillis@dal.ca.
[Ti] Título:Cost analysis of percutaneous fixation of hand fractures in the main operating room versus the ambulatory setting.
[So] Source:J Plast Reconstr Aesthet Surg;70(8):1044-1050, 2017 Aug.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To date, there have been no studies identifying the cost differential for performing closed reduction internal fixation (CRIF) of hand fractures in the operating room (OR) versus an ambulatory setting. Our goal was to analyse the cost and efficiency of performing CRIF in these two settings and to investigate current practice trends in Canada. METHODS: A detailed analysis of the costs involved both directly and indirectly in the CRIF of a hand fracture was conducted. Hospital records were used to calculate efficiency. A survey was distributed to practicing plastic surgeons across Canada regarding their current practice of managing hand fractures. RESULTS: In an eight-hour surgical block we are able to perform five CRIF in the OR versus eight in an ambulatory setting. The costs of performing a CRIF in the OR under local anaesthetic, not including surgeon compensation, is $461.27 Canadian (CAD) compared to $115.59 CAD in the ambulatory setting, a 299% increase. The use of a regional block increases the cost to $665.49 CAD, a 476% increase. The main barrier to performing CRIFs in an outpatient setting is the absence of equipment necessary to perform these cases effectively, based on survey results. CONCLUSION: The use of the OR for CRIF of hand fractures is associated with a significant increase in cost and hospital resources with decreased efficiency. For appropriately selected hand fractures, CRIF in an ambulatory setting is less costly and more efficient compared to the OR and resources should be allocated to facilitate CRIF in this setting.
[Mh] Termos MeSH primário: Instituições de Assistência Ambulatorial/economia
Redução Fechada/economia
Fixação Interna de Fraturas/economia
Fraturas Ósseas/economia
Traumatismos da Mão/cirurgia
Custos de Cuidados de Saúde
Salas Cirúrgicas/economia
[Mh] Termos MeSH secundário: Anestesia Local/economia
Canadá
Custos e Análise de Custo
Eficiência
Falanges dos Dedos da Mão/lesões
Falanges dos Dedos da Mão/cirurgia
Traumatismos da Mão/economia
Seres Humanos
Ossos Metacarpais/lesões
Ossos Metacarpais/cirurgia
Bloqueio Nervoso/economia
Equipamentos Cirúrgicos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170603
[St] Status:MEDLINE


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[PMID]:28525513
[Au] Autor:Baxter LS; Ravelojaona VA; Rakotoarison HN; Herbert A; Bruno E; Close KL; Andean V; Andriamanjato HH; Shrime MG; White MC
[Ad] Endereço:From the *Mercy Ships, Port of Toamasina, Madagascar; †College of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee; ‡Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts; §Department of Anesthesia, The Austin Hospital, Melbourne, Australia; ‖Ministère de la Santé Publique, Madagascar; ¶Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts; and #Office of Global Surgery and Health, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.
[Ti] Título:An Observational Assessment of Anesthesia Capacity in Madagascar as a Prerequisite to the Development of a National Surgical Plan.
[So] Source:Anesth Analg;124(6):2001-2007, 2017 Jun.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The global lack of anesthesia capacity is well described, but country-specific data are needed to provide country-specific solutions. We aimed to assess anesthesia capacity in Madagascar as part of the development of a Ministry of Health national surgical plan. METHODS: As part of a nationwide surgical safety quality improvement project, we surveyed 19 of 22 regional hospitals, representing surgical facilities caring for 75% of the total population. The assessment was divided into 3 areas: anesthesia workforce density, infrastructure and equipment, and medications. Data were obtained by semistructured interviews with Ministry of Health officials, hospital directors, technical directors, statisticians, pharmacists, and anesthesia providers and through on-site observations. Interview questions were adapted from the World Health Organization Situational Analysis Tool and the World Federation of Societies of Anaesthesiologists International Standards for Safe Practice of Anaesthesia. Additional data on workforce density were collected from the 3 remaining regions so that workforce density data are representative of all 22 regions. RESULTS: Anesthesia physician workforce density is 0.26 per 100,000 population and 0.19 per 100,000 outside of the capital region. Less than 50% of hospitals surveyed reported having a reliable electricity and oxygen supply. The majority of anesthesia providers work without pulse oximetry (52%) or a functioning vaporizer (52%). All the hospitals surveyed had very basic pediatric supplies, and none had a pediatric pulse oximetry probe. Ketamine is universally available but more than 50% of hospitals lack access to opioids. None of the 19 regional hospitals surveyed was able to completely meet the World Federation of Societies of Anaesthesiologists' standards for monitoring. CONCLUSIONS: Improving anesthesia care is complex. Capacity assessment is a first step that would enable progress to be tracked against specific targets. In Madagascar, scale-up of the anesthesia workforce, investment in infrastructure and equipment, and improvement in medication supply-chain management are needed to attain minimal international standards. Data from this study were presented to the Ministry of Health for inclusion in the development of a national surgical plan, together with recommendations for the needed improvements in the delivery of anesthesia.
[Mh] Termos MeSH primário: Anestesia
Anestesiologia/organização & administração
Assistência à Saúde/organização & administração
Países em Desenvolvimento
Recursos em Saúde/provisão & distribuição
Necessidades e Demandas de Serviços de Saúde/organização & administração
Programas Nacionais de Saúde/organização & administração
Determinação de Necessidades de Cuidados de Saúde/organização & administração
Procedimentos Cirúrgicos Operatórios
[Mh] Termos MeSH secundário: Anestésicos/provisão & distribuição
Pesquisas sobre Serviços de Saúde
Recursos Humanos em Saúde/organização & administração
Seres Humanos
Madagáscar
Melhoria de Qualidade/organização & administração
Indicadores de Qualidade em Assistência à Saúde
Equipamentos Cirúrgicos/provisão & distribuição
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Anesthetics)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170520
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000002049


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[PMID]:28421583
[Au] Autor:Jaworski R; Naumiuk L; Paczkowski K; Haponiuk I
[Ad] Endereço:Department of Paediatric Cardiac Surgery, Copernicus Hospital, Gdansk, Poland. radicis@go2.pl.
[Ti] Título:Heater-cooler unit contamination with Mycobacterium chimaera - potential harmful risks for cardiac surgery patients.
[So] Source:Kardiol Pol;75(4):412-413, 2017.
[Is] ISSN:1897-4279
[Cp] País de publicação:Poland
[La] Idioma:eng
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardíacos/efeitos adversos
Infecção Hospitalar/etiologia
Infecções por Mycobacterium/microbiologia
Mycobacterium/isolamento & purificação
Equipamentos Cirúrgicos/microbiologia
Infecção da Ferida Cirúrgica/microbiologia
[Mh] Termos MeSH secundário: Procedimentos Cirúrgicos Cardíacos/instrumentação
Contaminação de Equipamentos
Seres Humanos
Miocardite/microbiologia
Microbiologia da Água
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE
[do] DOI:10.5603/KP.2017.0067


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[PMID]:28390768
[Au] Autor:Etkin Y; Kanchwala SK; Low DW; Foley PJ; Jackson OA; Jackson BM
[Ad] Endereço:Division of Vascular and Endovascular Surgery, Northwell Health System, Manhasset, NY. Electronic address: yetkin@northwell.edu.
[Ti] Título:Creation of spliced vein conduit using microvascular anastomotic coupler.
[So] Source:J Vasc Surg;65(6):1845-1847, 2017 Jun.
[Is] ISSN:1097-6809
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The single-segment great saphenous vein continues to be a conduit of choice for lower extremity arterial bypass. In patients without an adequate continuous segment of great saphenous vein, a spliced vein graft may be used as an alternative. Creating a spliced vein conduit can be technically challenging and time consuming. We present a technique of creating a spliced vein conduit by using a microvascular anastomotic coupler.
[Mh] Termos MeSH primário: Extremidade Inferior/irrigação sanguínea
Microcirurgia/instrumentação
Doença Arterial Periférica/cirurgia
Veia Safena/transplante
Equipamentos Cirúrgicos
Extremidade Superior/irrigação sanguínea
Enxerto Vascular/instrumentação
[Mh] Termos MeSH secundário: Anastomose Cirúrgica
Reutilização de Equipamento
Seres Humanos
Microcirurgia/métodos
Doença Arterial Periférica/diagnóstico por imagem
Resultado do Tratamento
Enxerto Vascular/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170410
[St] Status:MEDLINE


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[PMID]:28381720
[Au] Autor:Niimi S
[Ad] Endereço:Division of Medical Devices, National Institute of Health Sciences.
[Ti] Título:Practice of Regulatory Science (Development of Medical Devices).
[So] Source:Yakugaku Zasshi;137(4):431-437, 2017.
[Is] ISSN:1347-5231
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:Prototypes of medical devices are made in accordance with the needs of clinical practice, and for systems required during the initial process of medical device development for new surgical practices. Verification of whether these prototypes produce the intended performance specifications is conducted using basic tests such as mechanical and animal tests. The prototypes are then improved and modified until satisfactory results are obtained. After a prototype passes through a clinical trial process similar to that for new drugs, application for approval is made. In the approval application process, medical devices are divided into new, improved, and generic types. Reviewers judge the validity of intended use, indications, operation procedures, and precautions, and in addition evaluate the balance between risk and benefit in terms of efficacy and safety. Other characteristics of medical devices are the need for the user to attain proficiency in usage techniques to ensure efficacy and safety, and the existence of a variety of medical devices for which assessment strategies differ, including differences in impact on the body in cases in which a physical burden to the body or failure of a medical device develops. Regulatory science of medical devices involves prediction, judgment, and evaluation of efficacy, safety, and quality, from which data result which can become indices in the development stages from design to application for approval. A reduction in the number of animals used for testing, improvement in efficiency, reduction of the necessity for clinical trials, etc. are expected through rational setting of evaluation items.
[Mh] Termos MeSH primário: Desenho de Equipamento
Legislação de Dispositivos Médicos
Medição de Risco
Gestão de Riscos
Ciência
[Mh] Termos MeSH secundário: Experimentação Animal/estatística & dados numéricos
Animais
Ensaios Clínicos como Assunto/estatística & dados numéricos
Aprovação de Equipamentos
Segurança de Equipamentos
Equipamentos e Provisões/classificação
Seres Humanos
Equipamentos Cirúrgicos
Instrumentos Cirúrgicos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170407
[St] Status:MEDLINE
[do] DOI:10.1248/yakushi.16-00244-3


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[PMID]:28343699
[Au] Autor:Demehri FR
[Ad] Endereço:Department of Surgery, University of Michigan, Ann Arbor, MI. Electronic address: fdemehri@umich.edu.
[Ti] Título:Operative innovation and device development: A trainee's perspective.
[So] Source:Surgery;161(4):887-891, 2017 Apr.
[Is] ISSN:1532-7361
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Farokh R. Demehri, MD, is a chief resident in general surgery and Pediatric Innovation Fellow at the University of Michigan. As a trainee, he has worked on device development in pediatric enteral access with James D. Geiger, MD, and device solutions for short bowel syndrome under the mentorship of Daniel H. Teitelbaum, MD.
[Mh] Termos MeSH primário: Competência Clínica
Educação de Pós-Graduação em Medicina/métodos
Internato e Residência/organização & administração
Invenções
Especialidades Cirúrgicas/educação
[Mh] Termos MeSH secundário: Desenho de Equipamento
Seres Humanos
Mentores
Modelos Educacionais
Equipamentos Cirúrgicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170328
[St] Status:MEDLINE


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[PMID]:28249829
[Au] Autor:Jost GF; Walti J; Mariani L; Schaeren S; Cattin P
[Ad] Endereço:Department of Spine Surgery, University Hospital Basel, Basel, Switzerland. Electronic address: gregory.jost@icloud.com.
[Ti] Título:Inertial Measurement Unit-Assisted Implantation of Thoracic, Lumbar, and Sacral Pedicle Screws Improves Precision of a Freehand Technique.
[So] Source:World Neurosurg;103:11-18, 2017 Jul.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: A method applying inertial measurement units (IMUs) was developed to implant pedicle screws in the thoracic and lumbosacral spine. This was compared with a freehand technique. METHODS: The study was done on 9 human cadavers. For each cadaver, a preoperative computed tomography (CT) scan was performed to measure the axial and sagittal tilt angles of the screw trajectories from T1 to S1. After the entry points were defined on the exposed spine, the IMU-equipped pedicle finder and screwdriver were used to reproduce these tilt angles and implant half of the screws. The other half was implanted with a freehand technique. Fluoroscopy was not used. The screw trajectories were analyzed on postoperative CTs. RESULTS: A hundred and sixty-two screws were placed with use of the IMUs and 162 screws were implanted by freehand. The IMU-guided technique matched the planned trajectories significantly better than the freehand technique (axial tilt P < 0.001, sagittal tilt P < 0.001). With IMU assistance, the mean offsets between the planned and postoperatively measured tilt angles of the screws were 3.3 degrees ± 3.5 degrees for the axial plane (median 2 degrees, range 0-23 degrees) and 3.4 degrees ± 3 degrees for the sagittal plane (median 3 degrees, range 0-13 degrees). For the freehand technique, the mean offsets between the planned and postoperatively measured tilt angles of the screws were 5.6 degrees ± 4.5 degrees for the axial plane (median 5 degrees, range 0-31 degrees) and 6.7 degrees ± 5.4 degrees for the sagittal plane (median 6 degrees, range 0-33 degrees). CONCLUSIONS: IMU-assisted implantation of pedicle screws may enhance the performance of a freehand technique in the thoracic and lumbosacral spine.
[Mh] Termos MeSH primário: Vértebras Lombares/cirurgia
Parafusos Pediculares
Sacro/cirurgia
Equipamentos Cirúrgicos
Vértebras Torácicas/cirurgia
[Mh] Termos MeSH secundário: Aceleração
Acelerometria/instrumentação
Idoso
Idoso de 80 Anos ou mais
Cadáver
Feminino
Seres Humanos
Imagem Tridimensional
Vértebras Lombares/diagnóstico por imagem
Magnetometria/instrumentação
Masculino
Meia-Idade
Rotação
Sacro/diagnóstico por imagem
Vértebras Torácicas/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170303
[St] Status:MEDLINE



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