4- Surgical Instruments Flashcards

1
Q

What are the different types of needle drivers?

A

Mayo, Webster

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2
Q

What size scalpel blade is used for skin incisions?

A

10 blade

(20 blade is similar but larger)

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3
Q

What size scalpel blade is used to open vessels and make stab incisions?

A

11 blade

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4
Q

What size scalpel blade is used for small, precise incisions?

A

15 blade

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5
Q

What type of scissors are multi-purpose, have blunt rounded tips, and can be straight or curved?

A

Mayo scissors

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6
Q

What is the use of straight Mayo scissors?

A

“Suture scissors”

Cut suture, superficial tissues, fascia

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7
Q

What is the use of curved Mayo scissors?

A

Tendons, ligaments, muscle, heavy tissue

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8
Q

What is the use for Metzenbaum (“Metz”) scissors?

A

Blunt dissection or cutting delicate tissues

NOT suture

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9
Q

What is the use for bandage scissors/ trauma shears?

A

Cut heavy non-tissue materials

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10
Q

What is the use for forceps and what are the different types?

A

Grasp, hold firmly, or exert traction upon tissue/ material

Types: thumb forceps/ pickups, locking forceps/ clamps

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11
Q

What is the use for DeBakey forceps? (3)

(can be angled or straight)

A

Atraumatic

Grasp fine tissue/ blood vessels

Soft tissue dissection

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12
Q

How are Adson forceps differentiated/ what is their use?

A

Differentiated by inner tips

Adson w/ teeth- grasp skin edges when suturing/ stapling

Adson w/o teeth- grasp delicate tissues

Adson-Brown- grasp delicate tissues, skin closure

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13
Q

What is the use for tissue forceps w/ teeth aka “rat tooth forceps”?

A

Grasp heavier tissue for manipulation/ retraction

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14
Q

What is the use for Russian forceps? (2)

A

Grasp dense tissue

Hold tissue during wound debridement/ closure

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15
Q

What forceps have the smallest to largest tips? (3)

A
  1. Mosquito = smallest
  2. Hemostat (Crile forceps)
  3. Kelly = largest
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16
Q

What is the use for Mosquito forceps? (3)

A

Clamp vessels

Grasp bleeding tissue

Suture- ligate vessel

17
Q

What is the use for a hemostat (Crile forceps)? (3)

(aka “stat”, “snap”, “tag”)

A

Clamp vessels

Grasp bleeding tissue

Suture-ligate vessel

18
Q

What is the use for Kelly forceps? (3)

A

Clamping large blood vessels

Manipulating heavy tissue

Soft tissue dissection

19
Q

What are the uses for tonsil forceps? (3)

(have small curve)

A

Passing ties

As a dissector when adding sponge ball to tips

Tunneling for drain placement

20
Q

What is the use for right angle forceps? (2)

A

Clamp hard-to-reach vessels/ place sutures behind/ around a vessel

“Tie on a passer”- right angle w/ tie clamped in tip

21
Q

What are the uses for ring forceps? (2)

(aka sponge forceps, sponge stick)

A

Folded sponge in jaws to retract tissue and absorb fluids

Tissue removal

22
Q

What is the use for Babcock forceps? (2)

(aka tissue holding forceps)

A

Hold tubular organs

Hold stomach, bladder, appendix

23
Q

What is the use for Kocher forceps? (3)

A

Traumatic

  • Hemostasis
  • Hold tough cartilage
  • Hold ribs during rib resection
24
Q

What is the use for Rochester Peon Clamp (aka large Kelly)? (2)

A

Traumatic

  • Mesenteric hemostasis
  • Chest tube insertion
25
Q

What is the use for Allis forceps? (2)

A

Traumatic

  • Hold tough structures
  • Grasp tissue that will be removed
26
Q

What is the use of penetrating towel clips? (2)

A

Traumatic

  • Clamp towels together
  • Clamp tissue for manipulation and removal
27
Q

What is the caution with penetrating towel clips?

A

Will pierce drapes, gloves, fingers

28
Q

What is the use for non-penetrating towel clips? (2)

A

Clamp drapes/ towels together

Clamp items to drape

29
Q

What is the difference between the Weitlaner and Gelpi self-retaining retractors?

A

Weitlaner- sharp or dull tips, multiple tines

Gelpi- sharp tips, single tine

30
Q

What type of retractors can be used for shallow, superficial retraction?

A

Army navy retractor

Goulet retractor

31
Q

What type of retractor is common is most specialties, used to retract various tissues, and comes in small or large?

A

Richardson retractor

(aka “big rich” or “baby rich”)

32
Q

What type of retractors bend in shape, are often used in abdomen and chest, and have many widths available?

A

Malleable/ ribbon retractors

33
Q

What type of retractor is used in deep incicions, has a variety of widths, and does not bend?

A

Dever

34
Q

What is the use for rakes?

A

Elevating subcutaneous tissue, broad surfaces, and edges?

35
Q

What is the use for electrosurgery (“Bovie”)?

(monopolar and bipolar)

A

Cut, coagulate, desiccate, destroy tissue

36
Q

Irrigation is usually saline, and can be warm, room temp, cold, or icy. What is the use for a bulb syringe vs a pitcher pour?

A

Bulb syringe- irrigate wounds, wet hands for suture tying

Pitcher pour- “washout”

37
Q

What is the difference between Yankauer, Poole, and Frazier suction?

A

Yankauer- general multi-purpose suction tip

Poole- good for large volume

Frazier- very fine suction tip

38
Q

What instrument allows for both suction and irrigation?

A

Suction-irrigator

39
Q

What is important to know about sponges (aka Laps, RayTecs)?

A

Radiopaque material woven in

COUNTED