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Drug Study Tranexamic Acid
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13 Principles of Sterile Technique 1. Only sterile items are used within the sterile field. 2. Sterile persons are gowned and gloved. 3. Tables are sterile only at table level. 4. Sterile persons touch only sterile items or areas. Unsterile persons touch only unsterile items or areas.
5. Unsterile persons avoid reaching over sterile field. Sterile persons avoid leaning ov unsterile areas. 6. Edges of anything that encloses sterile content are considered unsterile. 7. Unsterile persons avoid sterile areas. 8. Sterile field is created as close as possible to the time of use. 9. Sterile areas are continuously kept in view.
Master your semester with Scribd 11. Sterile persons keep contact with sterile areas toRead a minimum. Free Foron 30this Days Sign up to vote title Microorganisms & The New12.York Timesmust be kept to irreducible minimum. Useful Not useful 10. Sterile persons keep well within sterile area.
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Surgical instruments exist in vast numbers and varieties. The following are examples of basic instruments that should learned by every beginning surgeon.
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SCISSORS
Classification by type of points
All types of scissors can have blunt or sharp blades (A: Sharp:Sh B: Blunt:Blunt).
All types can have either straight or curved blades.
Mayo and Metzenbaum
You're Reading a Preview UnlockMayo full access with a free scissors (B) trial. are used for
cutting heavy fascia
sutures.
Download With Free Trial (A) are more delicate than M Metzenbaum scissors scissors.
Metzenbaum scissors are used to cut delicate tissu
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FORCEPS DRESSING AND TISSUE FORCEPS
Forceps: consist of two tines held together at one end with a spring device that holds the ti open. Forceps can be either tissue or dressing forceps.
Dressing forceps have smooth or smoothly serrated tips.
Tissue forceps have teeth to grip tissue. Many forceps bear the name of the originator of th design, such as Adson tissue forceps. Rat Tooth: A Tissue Forceps
Interdigitating teeth hold tissue without slippi Used to hold skin/dense tissue.
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Adson Tissue Forceps
Download With Free Trial Small serrated teeth on edge of tips.
The Adsons tissue forceps has delicate serrate tips designed for light, careful handling of tissue.
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Babcock: An Intestinal Tissue Forceps
More delicate that Allis, less directly traumatic. Broad, flared ends with smooth tips. Used to atraumatically hold viscera (bowel and bladder).
Sponge Forceps
Sponge forceps can be straight or curved.
Sponge forceps can have smooth or serrated jaws Used to atraumatically hold viscera (bowel and bladder).
You're Reading a Preview HEMOSTATS
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Hemostatic forceps: Hinged (locking) Forceps.With Many hemostatic forceps bear the name of t Download Free Trial designer (Kelly, Holstead, Crile). They are used to clamp and hold blood vessels. Classification by size and shape and size of tips
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Comparison of Kelly and Mosquito tips
Mosquito hemostats (A) have a smaller, finer tip.
Carmalt
Heavier than Kelly.
Preferred for clamping of ovarian pedicals during a ovariohysterectomy surgery because the serrations ru longitudinally.
INTESTINAL FORCEPS
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Doyen Intestinal Forceps
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Download Free Trial DoyenWith intestinal forceps are non-crushing intestina occluding forceps with longitudinal serrations. Used to temporarily occlude lumen of bowel.
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NEEDLE HOLDER
Needle holder: Hinged (locking) instrument used to hold the needle while suturing tissue. Good quality is ensured with tungsten carbide inserts at the tip of the needle holder. Mayo-Hegar
Heavy, with mildly tapered jaws. No cutting blades.
Olsen-Hegar
You're Reading a Preview Unlock fullIncludes access withboth a free needle trial. holding jaw and scissors
blades. Download With Free Trial The disadvantage to having blades within the ne holder is the suture material may be accidentall cut.
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RETRACTORS HAND HELD RETRACTORS
Senn
Blades at each end. Blades can be blunt (delicate) or sharp (more traumatic, used for fascia).
Hohman
Levers tissue away from bone during orthopedic procedures.
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Download With Free Trial SELF RETAINING RETRACTORS
Weitlaner
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Ratchet to hold tissue apart.
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SCAPELS AND BLADES
Handles
#3 Handle #4 Handle
Handles and Blades
Blades #10, 11, 12, 15 fit the #3 handle.
Blades #22, #23 fit the #4 handle and are commonly used f large animals.
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TOWEL CLAMP
Towel clamps secure drapes to a patient's skin. They may also be used to hold tissue. Backhaus Towel Clamp
Locking forceps with curved, pointed tips
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INSTRUMENT HANDLING
Scissors and Hemostats:
The thumb and ring finger are inserted into the rings of the
scissors while the index and middle finger are used to guid the instrument.
The instrument should remain at the tips of the fingers for maximum control.
This is the wrong way to hold the scissors. The ring finger should be inserted into the ring.
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Download With Free Trial This is also the wrong way to hold the scissors. The tips of the scissors should be pointing upwards.
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Thumb Forceps:
Thumb forceps are held like a pencil.
Thumb Forceps are not called 'tweezers'. Thumb Forceps are not held like a knife.
Scalpels:
The scalpel is held with thumb, middle and ring finger while index finger is placed on the upper edge to help guide the You're Reading a Preview scalpel. Unlock full access with a free trial.
Long gentle cutting strokes are less traumatic to tissue than short choppingWith motions. Download Free Trial The scalpel should never be used in a "stabbing" motion.
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