Exam 7 - Surgical Instruments

Question 1

Bull dog clamp

Answer 1

• clamp small branches to get clear field

Question 2

Snare

Answer 2

• used in bi-caval

- holds bi-caval tape or purse string for control

Question 3

Clip applier

Answer 3

• used when taking down ITA to prevent bleeding

- prevents bleeding of side branches

Question 4

Order of CABG

Answer 4

• Patient in room (IV, art line, SWAN, cath, prep, drape)
• sternotomy
• take down LITA / harvest vein
• Heparin
• hand lines
• place art cannula then venous cannula
• on CPB
• flush cardioplegia
• cool patient
• down on flow / x-clamp on
• antegrade cardioplegia
• retrograde after each anastomosis
• distal anastomosis
• warm patient
• proximal anastomosis
• antegrade hot shot
• down on flow / x-clamp off
• heart recover
• off CPB

Question 5

Allis / Babcock forcep

Answer 5

• hold atrial appendage for cannulation