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92 | The Journal of One Day Surgery |   VOL 18   |   No 4                                                                                                                                                                         The Journal of One Day Surgery | 93




  Tried and tested                                                                                                                                                                                           Arthroscopic Bea Chair
                                                                                                                                                                                                                          Beach
                                                                                                                                                                                                                       operating table
                                                                                                                                                                                                                       operati

              Merivaara Practico
              Operating Table with
              ‘Beach Chair’ Backrest
                 ANIL CHAKRABARTI, NICHOLAS DENNY & STEPHEN LAMBERT

                We have been using the Practico in both day           • There is excellent access for both the surgeon
                surgery and inpatient operating theatres for more       and image intensifier to the shoulders, including
                than two years. The Practico with ‘Beach Chair’         posteriorly.
                electrically operated backrest is specifically        • We carry out most of our arthroscopic shoulder
                designed for shoulder surgery, although it can also     surgery under interscalene block and sedation.
                be used as a general-purpose table/trolley. The         The Practico, in a ‘beach chair’ position, is very
                features we would like to highlight are listed          comfortable for awake patients (Figure 2) and
                below:                                                  avoids pressure on the other shoulder, which
                                                                        can be a problem in the lateral position as many
                • It is lightweight and therefore easy to move
                                                                        patients have bilateral shoulder pain.
                  around the theatre complex. The patient can be
                  placed in the correct operating position from the                                                                        The Merivaara Practico operating table is designed to meet the everyday demands of the Operating
                  outset with the Practico used in the anaesthetic
                                                                                                                                           Theatre & Day Surgery Unit. The wide range of accessories makes it easy to adapt the table for a
                  room, as an operating table and then as a
                  recovery trolley. This virtually eliminates                                                                              wide range of specialist procedures.
                  manual handling and also saves valuable time.
                • It is electrically operated for the main part,                                                                           The Practico Beach Chair has been specifically designed for shoulder surgery but can also be
                  further reducing physical workload for staff.                                                                            used as a general purpose operating table

                                                                                                                                           • Practico Beach Chair operating table is sold as a complete package - nothing else to buy. The package
                                                                                                                                             includes the unique shoulder surgery head rest; general surgery head rest, patient support belt system and
                                                                      Figure 2                                                               multi-position arm board
                                                                                                                                           • Nothing to be mounted on the table - Practico is a complete operating table
                                                                      • To improve comfort further for awake patients,
                                                                                                                                           • Practico virtually eliminates manual handling and saves valuable time as patients are positioned for
                                                                        we have constructed a ‘drape bar’, which clamps
                                                                                                                                             surgery in the beach chair position at the touch of a button
                                                                        to the side of the Practico and holds the sterile
                                                                        drapes away from the patient’s face.                               • Patients can be transfered directly from the anaesthetic Room to Operating Theatre on the table - saves
                                                                      • The Practico’s removable foot section, unlike                        time and reduces risk of back injury
                                                                        some patient trolleys, has side rails. We have
                                                                                                                                           • Unique head rest and large removable sections in the backrest offers optimum surgical access for
                                                                        found these useful for attaching the knee
                                                                                                                                             laprascopic and open shoulder surgery and easy c-arm access
                            Figure 1                                    support and foot distractor for ankle
                                                                        arthroscopy.                                                       • Multi-position arm board and support belt system ensures correct alignement and safe positioning
                • It has a multiposition headrest (Figure 1),                                                                                during surgery
                                                                      Overall, we have been extremely pleased with the
                  adjustable in all plains, and removable shoulder
                                                                      performance of the Practico. We are very happy to
                  supports. We have found that these features
                                                                      recommend it as an easy to use and practical table
                  allow patients to be comfortably positioned for
                                                                      for arthroscopic and open shoulder surgery.                                                                                                              Europa Medical Services Ltd
                  shoulder surgery, whether awake or asleep, and
                  keep the patient appropriately positioned                                                                                                                                                                    Golds House, Catts Hill
                  throughout.                                         Authors’ Addresses
                                                                                                                                                                                                                               Crowborough, East Sussex.
                                                                      ANIL CHAKRABARTI, NICHOLAS DENNY & STEPHEN LAMBERT
                                                                      The Arthur Levin Day Surgery Centre, The Queen Elizabeth Hospital,                                                                                       TN6 3NH
               Figures reproduced with the patient’s consent.         Kings Lynn, Norfolk
                                                                                                                                                                                                                               Tel 0845 658 4328
                                                                                                                                                                                                                               Fax 0845 658 4329

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Practico Review By Bads

  • 1. 92 | The Journal of One Day Surgery | VOL 18 | No 4 The Journal of One Day Surgery | 93 Tried and tested Arthroscopic Bea Chair Beach operating table operati Merivaara Practico Operating Table with ‘Beach Chair’ Backrest ANIL CHAKRABARTI, NICHOLAS DENNY & STEPHEN LAMBERT We have been using the Practico in both day • There is excellent access for both the surgeon surgery and inpatient operating theatres for more and image intensifier to the shoulders, including than two years. The Practico with ‘Beach Chair’ posteriorly. electrically operated backrest is specifically • We carry out most of our arthroscopic shoulder designed for shoulder surgery, although it can also surgery under interscalene block and sedation. be used as a general-purpose table/trolley. The The Practico, in a ‘beach chair’ position, is very features we would like to highlight are listed comfortable for awake patients (Figure 2) and below: avoids pressure on the other shoulder, which can be a problem in the lateral position as many • It is lightweight and therefore easy to move patients have bilateral shoulder pain. around the theatre complex. The patient can be placed in the correct operating position from the The Merivaara Practico operating table is designed to meet the everyday demands of the Operating outset with the Practico used in the anaesthetic Theatre & Day Surgery Unit. The wide range of accessories makes it easy to adapt the table for a room, as an operating table and then as a recovery trolley. This virtually eliminates wide range of specialist procedures. manual handling and also saves valuable time. • It is electrically operated for the main part, The Practico Beach Chair has been specifically designed for shoulder surgery but can also be further reducing physical workload for staff. used as a general purpose operating table • Practico Beach Chair operating table is sold as a complete package - nothing else to buy. The package includes the unique shoulder surgery head rest; general surgery head rest, patient support belt system and Figure 2 multi-position arm board • Nothing to be mounted on the table - Practico is a complete operating table • To improve comfort further for awake patients, • Practico virtually eliminates manual handling and saves valuable time as patients are positioned for we have constructed a ‘drape bar’, which clamps surgery in the beach chair position at the touch of a button to the side of the Practico and holds the sterile drapes away from the patient’s face. • Patients can be transfered directly from the anaesthetic Room to Operating Theatre on the table - saves • The Practico’s removable foot section, unlike time and reduces risk of back injury some patient trolleys, has side rails. We have • Unique head rest and large removable sections in the backrest offers optimum surgical access for found these useful for attaching the knee laprascopic and open shoulder surgery and easy c-arm access Figure 1 support and foot distractor for ankle arthroscopy. • Multi-position arm board and support belt system ensures correct alignement and safe positioning • It has a multiposition headrest (Figure 1), during surgery Overall, we have been extremely pleased with the adjustable in all plains, and removable shoulder performance of the Practico. We are very happy to supports. We have found that these features recommend it as an easy to use and practical table allow patients to be comfortably positioned for for arthroscopic and open shoulder surgery. Europa Medical Services Ltd shoulder surgery, whether awake or asleep, and keep the patient appropriately positioned Golds House, Catts Hill throughout. Authors’ Addresses Crowborough, East Sussex. ANIL CHAKRABARTI, NICHOLAS DENNY & STEPHEN LAMBERT The Arthur Levin Day Surgery Centre, The Queen Elizabeth Hospital, TN6 3NH Figures reproduced with the patient’s consent. Kings Lynn, Norfolk Tel 0845 658 4328 Fax 0845 658 4329