Most pericardial effusions in cancer patients result from obstruction of the lymphatic drainage of the heart secondary to metastases. The typical presentation is that of a patient with known cancer who is found to have a large pericardial effusion without signs of inflammation.
Surgical technologists and technicians are a critical part of surgical teams in hospitals and clinics. The surgical supply technician is a surgical technician who is specifically responsible for providing sterile instruments to the team. In some settings, a surgical supply technician is sometimes referred to as a central service technician or a sterile supply technician.
Integrated Supply Chain Management. The supply chain is a network of suppliers, factories, warehouses, distribution centres and retail-ers through which raw materials are acquired, transformed and delivered to the customer.Supplychain management is the strategic, tactical and operational level decision making that optimises supply chain performance.The strategic level defines the supply chain network, i.e., selection of suppliers, transportation routes, manufacturing facilities, production levels, warehouses, etc.upplychain management is the strategic, tactical and operational level decision making that optimises supply chain performance. The strategic level defines the supply chain network, i.e., selection of suppliers, transportation routes, manufacturing facilities, production levels, warehouses, etc.