General Flashcards
What are the different zones in OT zoning?
4 zones
1) protective zone
2) clean zone
3) aseptic zone
4) disposal zone
What all things are there in protective zone?
1)changing rooms
2)icu and nicu
3)pre and post operative rooms
And transfer bay
Things included in clean zone?
It’s a zone connecting the protective to the aseptic zone
includes
1) equipment store rooms
2)maintenance and workshop
What is aseptic zone
OT
Surgeries performed in supine position
Majority of abdominal surgery
Breast surgery
Surgeries performed in lithotomy position
Gynaecological positions
Fissures
TURP
urological procedure
Name the surgeries done in jack knife position
Fissure and haemorrhoids
Surgeries done in lateral position aka kidney position
Thoracotomy
Nephrectomy
Pilolithotomy
What position will u keep a patient for spine surgeries
Prone
What are the advantages of Fowler’s position
Relatively bloodless fields
Better exposure
Which position would you prefer for brain surgeries especially post cranial fossa sx
Fowler’s position
What is the position for thyroid surgery
How will you prepare it
Barking dog 🐕 or rose 🌹 position
It’s supine with towel roll placed below the shoulder blade
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Neck extension and head is supported by head ring
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30 degrees head elavation
What is the most common complication of lap cholecystectomy?
Right shoulder tip pain
Pelvic surgeries are performed in which position
Trendelenberg position (foot end up )
Which number blade is used to drain incision
No 11 aka stab blade
What number of blade is used to remove sutures
No 12
What part of bLade is used to make incision and how is it made
The belly of the blade is used
The blade should be perpendicular if tilted leads to bevelled edges
The incision should Be made from away to near
True / false
The edges for skin should be everted while for bowel should be inverted
True
What type of suture has got the least cut through rate
Horizontal mattress suture
Which kind of suture helps in eversion of edges
Vertical mattress suture
If the depth of the wound is x cms at what distance should a bite be placed on either side of the wound ?
X cms
The distance between the 2 sutures =2X
What is the best suture material for subcuticular sutures what is the specialty of subcuticular sutures
Monocryl 3-0
They are cosmetically superior
What is an ideal place to hold a needle ?
1/3rd from the swaged end and 2/3rd from pointed end
Round body is used for which all structures
Round body is used for delicate structures Like Bowel and bladder CBD Ureter