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Biomedical subjects

C A Piatkowski

Publications and source records attributed to C A Piatkowski.

2 recordsLinked to original sources

A surgical services learning needs assessment.

Staff development educators are challenged to meet the learning needs of a variety of subspecialties within surgical services departments. A formal learning needs assessment survey, based on the individual self-fulfillment model, provides a means to identify the educational needs of staff members. Using questionnaires constructed for various types of staff members within a surgical services department, the author assessed staff members' clinical, interpersonal, and sociopolitical learning needs. The response rate was 56%, and the identified needs were legal issues, research, equipment (eg, ultrasonic aspirators, pressure monitors), and procedures (eg, cerebral aneurysm repairs, arteriovenous malformation corrections). Limitations included self-identification of needs and a low response rate from one subspecialty; however, the author concludes that the survey format provides an effective means of identifying staff members' learning needs.

Attitude of Health Personnel↗

Emergency abdominal aortic aneurysm: maintaining normovolemia.

1. Aortic aneurysms occur when atherosclerosis, medionecrosis, or (in rare cases) syphilis leads to a weakening of the arterial wall. Atherosclerosis is the leading cause of abdominal aortic aneurysm (AAA); syphilis and medionecrosis most often involve the thoracic aorta. 2. The patient requiring emergency AAA resection represents a true challenge for the surgical team. Mortality rates range from 50% for acute dissection to 70% for rupture. 3. Salvage and processing of intraoperatively shed blood is an important nursing intervention in maintaining normovolemia in the emergency AAA patient; intraoperative autotransfusion offers several advantages.

Aortic Aneurysm, Abdominal↗