Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ICMS > Halsted's Principles & Asepsis > Flashcards

Halsted's Principles & Asepsis Flashcards

1
Q

What are the surgical principles attributed to Halsted?

A

Haemostasis
Aseptic Technique
Light touch (atraumatic Sx)
Supply of blood preserved
Tension-free closure
Even tissue apposition
Dead space obliterated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In order to implement Halsted’s principles, what must we have comprehensive knowledge of?

A

instrument handling
tissue dissection and manipulation
suturing
knot tying
haemostasis
wound closure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When handling and using instruments, what do we want to avoid?

A

Crushing, drying, heat loss, haemorrhage, loss of vascular supply

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the two ways to hold a scalpel?

A

fingertip grip
pencil grip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the goal when cutting with a scalpel?

A

to make a full thickness skin incision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are some practical tips when working with scalpels?

A

Larger blades for long, straight skin incisions
Smaller blades for thinner skin, curing incisions, those needed to follow contours
Small pointed blades for stab incisions or sharp dissection in restricted areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What grip is most commonly used to hold scissors?

A

thumb-ring finger (tripod) grip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are three commonly used scissors?

A

Curved Mayo
Curved Metzenbaum
Operating (utility) scissors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the various ways to hold needle holders?

A

Tripod Grip
Thenar Grip
Palmed Grip
Modified Grip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What crushing forceps are these and what are they used for?

A

Allis (top) - saw-toothed edge designed for grasping & retracting collagen-rich tissues
Babcock (bottom) - non-crushing tip for delicate tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are these three types of Non-Crushing Forceps?

A

A. Doyen
B. DeBakey
C. Satinsky

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are these three types of haemostatic forceps?

A

A. Halsted Mosquito
B. Kelly
C. Crile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the purpose of hemostatic forceps?

A

To stop bleeding
To promote hemostasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are these different types of forceps?

A

A. Brown-Adson
B. DeBakey
C. Dressing
D. Adson

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What type of manual retractors are these?

A

A. Senn
B. Army-Navy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are these types of manual retractors?

A

A. Malleable
B. Hohmann Retractors
C. Spay (Snook) Hooks

17
Q

These are the same kind of retractor. What kind is it?

A

Balfour Retractors

18
Q

What kind of retractor is this?

A

Finochietto rib retractor

19
Q

What are these self-retaining retractors?

A

A. Gelpi
B. Weitlaner
C. Ring retractor

20
Q

What are the names of these suction tips?

A

A. Poole
B. Frazier
C. Yankauer

21
Q

What are important things to remember about Tissue dissection and manipulation?

A
  • Deliberate & cautious dissection
  • Respect the tissue planes & important anatomical structures
  • Blunt dissection is more effective when plane of lest strength is identified
  • Do the Necessary!
  • Use stay sutures
22
Q

What is the purpose of suturing?

A
  • Maintain tensile strength throughout healing
  • Allows precise wound edge approximation & prevents strangulation of ligatures
23
Q

The healing process is influenced by…

A

tension on the suture & the technique used

Accurate suture placement & minimal tension = optimal scar tissue and healing

24
Q

knot security is related to the …

A

coefficient of friction of the suture

25
Q

What is the rule of thumb for suturing?

A

4-5 throws for conventional Sx + 2-3 additional throws when starting & finishing a continuous pattern

26
Q

What are acceptable basic suturing knots to know?

A

Simple, square, Surgeon’s

27
Q

What are bad suture knots?

A

Granny, Half-hitch

28
Q

What are three types of suture needles?

A

Taper, conventional cutting, reverse cutting

29
Q

What suture materials are absorbable?

A

Polydioxanone (PDS II)
Poliglecaprone (Monocryl)

30
Q

What suture materials are non-absorbable?

A

Braided or monofilament Nylon

31
Q

What is the Three Clamp Technique?

A

Placement of a ligature with one clamp above the intended ligature, one clamp below the intended ligature, and one to stabilize the tissue?

32
Q

What is the purpose of surgical haemostasis?

A

To promote haemostasis
Allows maximum visibility in Sx field
Reduces post-op oedema, infection risk, perioperative complications of blood loss or hypotension
Allows reduction of important surgical time.

33
Q

What suture material is ideal for wound closure?

A

suture size 3/0 or 4/0 non-absorbable monofilament nylon

Monocryl can be used for intradermal & SQ suture

ICMS (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions