3rd Quarter Embalming 2 Test 2 Flashcards
Factors governing selection of artery
- Age: Infant vs. adult2. Weight (corpulence)3. Disfiguration - scar tissue, arthritis, etc.4. Disease - cancer, goes hand in hand with disfiguration, etc.5. Edema - excessive fluids6. Obstruction - vascular or extravascular7. Trauma - any type of wound or injury8. Medico - legal requirements9. Cause and manner of death
Proper technique for raising vessels
- Shave area if necessary2. Select instruments and prepare ligature or necessary instruments.3. Locate place of incision using linear guide.4. Make incision through skin, superficial fascia and deep fascia.5. Use blunt dissection through superficial fascia and deep fascia, and adipose tissue.6. Locate vessels by use of anatomical guide.7. Clean vessels by blunt dissection and ligate vessels.8. Make incision in vessel.
TYPES OF INCISIONS
Transverse incision Diagonal incision “T” incisionDouble “T” incisionWedge incision
Most common method employed to open the artery or vein. Cut is made from the edge of the vessel to the center of the vessel.
Transverse incision
Cutting at an angle.
Diagonal incision (obliquely)
Incision that does not go along completely of both edges of the artery vein. Most commonly used in insertion for drainage on neck
“T” incision
wedge incision is also called ….
triangular
commonly made on a scarotic artery, because it does the least amount of damage to the walls of this vessel that are already diseased.
Wedge incision (triangular)
Types of Sutures for closure
A. Baseball Stitch B. Intradermal C. Lock stitch D. Whip or roll stitchE. Draw stitch
Most popular and common type of suture
baseball stitch
The most common use of this suture is on parts of the body that will be seen in an open casket.This is a hidden stitch, within the skin.Used on lesions or cuts on the face or parts of body that will be seen.
intradermal
this is the LEAST leak proof of any suture, BUT it does form the least prominent ridge.
intradermal
Type of suture that uses one needle
Single intradermal suture
type of suture that uses two needles.
double intradermal suture
most leak proof suture (most commonly used on the back or areas of the body you are concerned about leakage)
lock stitch
DETERMINING WHICH VESSELS TO RAISE FOR INJECTION IS DONE_____________________
DURING THE CASE ANALYSIS
considerations and precautions when selecting arteries is based upon…
accessibilityarterial occlusion
hardening of the arteries
arterial occlusion
Superficial or deepSurrounding structuresSize (diameter)Proximity to aortaAccessibility for drainage from corresponding veinThese are examples of….
Accessibility as a consideration in selecting an artery
weight is also called
corpulence
obstructions can be…
vascular or extravascular
?????? look up definition of this
double T incision
????? see textbook
whip or roll stitchdraw stitch
other methods of closing the incision
adhesivessurgical staples
4 terms discussed that are associated with vascular injection
- One point injection2. Split injection/drainage3. Mulit-point injection4. Restricted cervical
type of injection when one location is used for both injection and drainage
one point injection
most common sites for “one point injection”
common carotid artery/internal jugular veinfemoral artery/femoral vein
type of injection from one location and drainage from a separate location.
split injection/drainage
most common site of injection using split injection
right femoral artery
most common site of drainage using split drainage
right internal jugular vein
type of injection when you inject from two or more arteries.
multi-point injection
this injection ensures better distribution throughout the body
multi-point injection
type of injection where both common carotid arteries are raised.Allows the head to be injected separately
restricted cervical
this injection is used if the embalmer is concerned about distention or swelling of the facial features during the embalming process, or if there is a major RA project. ex: car accidents or head trauma
restricted cervical
what would you call an incision on a vessel that visually looks like the capital letter that follows S?
T incision