Chapter 31 - book notes - Preoperative Preparation Flashcards
What does fenestrated mean?
having a window or one created in a surgical drape
What does impervious mean?
does not allow water to penetrate
What does ingesta mean?
food material in the intestinal tract
What is a Laparotomy?
a surgical incision into the abdominal cavity
What does Orthopedic mean?
relating to surgery on the skeleton
What does swaged mean?
“Squeezed on” as with a suture needle onto suture
What is the role of the veterinary operating room tech?
prepares instruments tables with all the instruments, tool, materials needed for surgery
What is the role of the surgical assistant?
collaborates with surgeon to make sure that…
- patient is properly clipped
- patent properly positioned
- confirm all equipment is nearby
- assess clipped area for proper dimensions &
thoroughness of hair removal
The surgical position of the patient is based on several factors, what are they?
- the surgical approach
- particular surgery to be performed
- draping technique for that procedure
- the number of surgeries to be performed on the patient
T or F
Assess the location of the warming blanket and the electrocautery plate after draping.
F Assess the location of the warming blanket and the electrocautery plate before draping.
What is an electrocautery plate?
It is a plate that is located beneath the patient
What has to be between the patient and the electrocautery plate?
a damp surgical towel is placed between the patient and the plate or use electrocautery gel
What is electrocautery?
it limits bleeding from a surgical cut by passing a high-frequency alternating electrical current through the tissue from the handpiece to the electrical ground plate
What are some ways in which a patient can be maintained in a desired position?
- Tape (passed over a patient and secured to the table
- sand bags
- vacuum bags
Use of ___ ___ is the most common way of generating a sterile surgical field.
quarter towels
Each drape is laid down and secured with _____ _____ clamps.
Backhaus towel
For most abdominal surgery, what position should the animal be in?
dorsal recumbency with the ventrum oriented to the ceiling
What is the ventrum?
abdomen (stomach)
For most surgeries to the thorax, what position should the animal be in?
dorsal (i.e. median sternotomy) or lateral recumbency (i.e. intercostal thoracotomy)
For surgeries to the spine, what position should the animal be in?
dorsally or ventrally
What is a perineal stand?
allows patient to be in a raised position and prevents the hindlimbs from interfering with the surgery.
When a patient is positioned in a perineal stand, it is essential that the _____ _____ be cushioned.
ventral abdomen (placing padding or several soft towels under the abdomen)
For certain surgical procedures (i.e. anual sacculectomy, etc) patients may be placed in _____ recumbency on a perineal stand.
ventral
For oral surgeries, patients can be in ____, ____, or ____ recumbency. It depends on the type of surgery
dorsal, ventral or lateral
In the operating room, what items are the surgeon and the surgical assistant responsible to maintain its sterility?
gowns, gloves, drapes and instruments
In the operating room, what are the circulating OR technicians responsible for to maintain its sterility?
the surgeon and the surgical assistant as well as the anesthesia team
“What is a “pick sheet?”
a paper that contains a list of instruments needed for a particular surgery
What are the most commonly used instruments in a surgery?
thumb forceps, scissors, needle holders
Why should instruments that have been used be organized when placing them back onto the table?
replacing an instrument to a predetermined location prevents delays in accessing that instrument when needed
What would a magnetic box be used for in a surgery?
to hold sharp instruments - decreasing the likelihood that someone might get poked
When should an instrument be removed from instrument table?
when it is contaminated by a dirty wound or tumor cells
What is the surgical assistant’s job when an instrument is contaminated?
to make sure that the contaminated instrument is not used again
What else must be changed if it has touch a contaminated instrument?
surgical gloves
What would be a reason for gauze to contain radiopaque strips?
so that the gauze can be seen on a radiograph should it be left inside a patient
