Final Practicum Oral Board Flashcards
Monocryl Plus (Braided or Monafilament)
Synthetic Absorbable
Monofilament
Monocryl Absorption Rate
91-119 days
Monocryl Breaking Strength Retention:
Undyed= 50-60% at week 1, 20-30% at week 2
Dyed= 60-70% at week 1, 30-40% at week 2
Monocryl Indications for use
(LUVPBS)
Ligation
Uterus
Vaginal Cuff
Peritoneum
Bowel
Skin Repairs
Vicryl Plus (Braided or Monofilament)
Synthetic Absorbable- Braided
Vicryl Plus Absorption rate:
56-70 days
Vicryl Breaking strength retention
75% at 2 weeks, 50% at 3 weeks, 25% at 4 weeks
Vicryl Indications for use:
LGOB
Ligation
General Closure
Orthopedic Surgery
Bowel
PDS Plus (Braided or Monofilament)
Synthetic absorbable Monofilament
PDS Absorption rate:
182-238 Days
PDS breaking strength retention
4-0 & smaller- 60% at 2 weeks, 40% at 4 weeks, 35% at 6 weeks
3-0 & Larger- 80% at 2 weeks, 70% at 4 weeks, 60% at 6 weeks
PDS indications for use
FBPOP
Fascial Closure
Blood vessel anastomosis
Pediatric cardiovascular and Ophthalmic procedures except for in contact with the cornea or sclera
Orthopedic
Patients with compromised wound healing conditions
Bacteria for Monocryl, Vicryl, PDS
Monocryl and PDS: Staph A, Staph E, MRSA, MRSE, E. Coli, K. Pneumoniae, E. Cloacae
Vicryl: Staph A, Staph E, MRSA, MRSE
Describe Qualities of Prolene Suture, and types of procedures?
Qualities: Synthetic, Monofilament, Non-Absorbable
Procedures- Cardiovascular (CABG), Ophthalmic, Neurological
Describe Key features of everpoint:
Made of unique tungsten-rhenium coating that allows that for more penetration, durability, strength, and stiffness
Compared to traditional steel needles:
70% Sharper
38% Stronger
121% more bend resistant
Non magnetic
What are the Key Features and benefits of Dermabond PRINEO?
Microbial barrier: proven to be 99% effective through 72 hours in vitro against most commonly associated with SSI, including: pseudomonas aeurginosa, esherichia coli, enterococcus faecium, staph A, staph E
Dermabond PRINEO is 40% stronger than a 4-0 Monocryl suture, and 33% stronger than skin staples
At the time of removal, PRINEO is associated with less pain than other wound closure devices
Define the value proposition for STRATAFIX
Security: provides strength and security of an interrupted closure without the knots
Efficiency: no knots, no need for an assistant following the suture, no need to hold/maintain tension after each pass, and potentially less time under anesthesia
Consistency- allows for easier management of tension and gives the ability to control approximation providing for a more consistent closure
Describe the key differences between STRATAFIX symmetric and VLOC 180?
Superior tissue holding strength
Antibacterial properties
Appropriate for use in fascia
Superior needle performance
Extended tensile wound healing strength
Surgicel Bleeding Situation
Continuous oozing is a situation that will not stop with compression or single packing, and it is more time consuming than it is difficult
Surgicel Mechanism of action
Biologic: once moistened, the cellulose breaks down, releasing glucuronic acid which has a pH of 2.5, when it comes to contact with blood which has a pH of 7.4 decreases the blood’s to 4.4 which aids in vasoconstriction, the acidity of pH also gives bactericidal properties
Mechanic- as the blood continues to be absorbed, it swells into a gelatinous mass which serves as a matrix for platelet adhesion and aggregation
Surgicel Indication
Indicated for use adjunctively to control or assist with capillary, venous, or small arterial hemorrhages when ligation or conventional methods are ineffective or impractical
Describe why SURGICEL is bactericidal against the pathogens most commonly associated with SSI’s:
The normal condition of blood will start with a blood pH of 7.4, which is a pH level that allows bacteria to proliferate
Once the moisture reaches SURGICEL the cellulose begins to break down and that initiates the release of glucoronic acid
With the release of glucuronic acid and the interaction with the blood pH, it drops the pH to 4.4 which gives it bactericidal properties so that bacteria can’t proliferate
What selling points does SURGICEL powder have over ARISTA AH?
89% faster to hemostasis
Induces vasoconstriction, which provides matrix sites to aid in platelet adhesion and aggregation
Surgicel powder penetrates the source of the bleed by having large particles sink to the source of the bleed, whereas ARISTA floats on the surface of the blood
Surgicel powder forms a more durable clot that maintains hemostasis even after being irrigated
Powder is the #1 most trusted adjunctive hemostat
Demonstrated bactericidal against MRSA, MRSE, PRSP, VRE, E. COLI
SURGIFLO Mechanism of action
Mechanical: provides a matrix for platelet adherence, accelerating the formation of the platelet plug
Biological: when used with thrombin, thrombin converts fibrinogen into fibrin, aiding in fibrin clot formation
