10th EORNA Congress Stavanger, Norway | 12 - 15 May 2022 ePosters 54 eP11 Novel otoplasty technique: advantages and applications A. Stefaniotou1, M. Villanueva1, I. Koutelekos2, S. Katsira1, D. Giannaki1, S. Papanastasiou1, C. Tsikarli3, E. Tsikarli3, N. Poniros1 1Paediatric Hospital “Agia Sofia”, Plastic Surgery Department, Athens, Greece, 2University of West Attica, Athens, Greece, 3University of Thessaly, Thessaly, Greece The goal of this study is to present the advantages of a novel otoplasty technique that can be used to correct most of the ear auricular deformities. Material-methods: In this specific technique, after infiltrating the skin surrounding the pinna with a Xylocaine 1% with Adrenaline (Epinephrine) 1:200,000 solution, we design the necessary elliptical skin excision from the posterior surface of the auricle. Afterwards a small incision of 5-6 mm is made in the anterior surface of the pinna, in the upper part of the helical arch furrow, from where, with the help of a Freer Septum Elevator 4.5mm, we detach all the anterior perichondrium and with a special abrasive scratcher we perform the scoring along the entire antihelix, extinguishing in this way the memory of the cartilage. Finally, 4-5 absorbable stitches are placed along the posterior surface of the antihelix to secure the folding of the ear cartilage and maintain the new position of the whole pinna (upper pole, medium portion and lobule of the ear). Results: This novel otoplasty method has been applied on a large number of children and both the operation times and postoperative results were very satisfactory, as presented in detail with the help of visual material. Conclusions: This novel otoplasty technique offers us the possibility of a very precise surgical moulding of the ear auricle, as well as of handling in detail any specific ear shape, in the shortest possible surgical time. eP12 Nursing teamwork: different skills to achieve the best outcome for patients during mitraclip procedure M. D’Acunto1, M. Fioretti1, I. Franconi2, L. Gatti2 1Sala Operatoria Cardio-Chirurgica Lancisi, AOU Ospedali Riuniti Ancona, Ancona, Italy, 2Sala Operatoria OstetricoGinecologica e Pediatrica, Presidio Ospedaliero Materno-Infantile Salesi, AOU Ospedali Riuniti Ancona, Ancona, Italy Introduction: Patients with severe mitral regurgitation, old age or comorbidities are exposed to high risks during surgery. Mitraclip procedure (a percutaneous edge-to-edge mitral valve repair procedure) has proved to be safe for them. Objectives: This study aims to emphasise the OR Nurses’ skills during Mitraclip procedure. Methods: A review of the literature was conducted in PubMed. Articles about OR Nurses’ skills during Mitraclip procedure and articles with comparisons between Mitraclip procedures and open-heart surgery procedures were selected. Results: 9 out of 15 retrieved studies were selected; only one focuses on nurses. Discussion: Nurses support patients and families during their therapeutic diagnostic path. The Nurse Anaesthetist receives the patient. They prepare and check for the correct operation of the anaesthetic devices and they insert the PVC. Nurse assists Anaesthetist in radial artery cannulation, intubation procedure and insertion of CVC. During Mitraclip procedures, AN controls heart rate, blood pressures, oxygen saturation, FloTrac and electrocardiogram, and they get emogasanalisys and ACT results. They warn the Anaesthetists of any significant change. The Surgical Nurse prepares and preserves a sterile field in which the operation takes place. They prepare the instruments, the equipment needed for the surgery and the Mitraclip delivery. The Scrub Nurse must have all the necessary materials for an emergency sternotomy. The Circulating Nurse prepares the operating room, checks for the correct operation of surgical devices, the correct preparation of the patient and applies all the devices needed. Surgeon and Nurse get the patient in position and the nurse prepares the “stabiliser” where the device will be laid on. Each nurse with his own skills and abilities collaborates with the entire team to achieve the best outcome for the patient. Conclusions: The professional evolution of the Nurses has to keep up with the introduction of new technologies related to innovative surgical processes.
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