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Intro to Perfusion Environment > Instrumentation in Cardiac Surgery > Flashcards

Instrumentation in Cardiac Surgery Flashcards

1
Q

The scrub nurse hands the surgeon this instrument… what will he do next?

A

Incise the skin

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2
Q

The surgeon has this device in hand… What’s coming next?

A

Open sternum

(Sternal saw)

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3
Q

PA is holding this instrument. What is he going to do next?

A

Harvest saphenous vein

2 distal anastomoses (ITA/SVG)

1 proximal anastomosis (ITA)

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4
Q

What will this be used for?

A

Spread Sternum

“Retractor”

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5
Q

The surgeon positions this retractor. What is he going to do next?

A

Take down ITA

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6
Q

The surgeon says “purse string…” What is he going to do?

A

Prepare aorta for cannulation

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7
Q

The surgeon has this instrument. What is next?

A

Make stab wound for arterial cannula

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8
Q

What is this instrument called and what is it used for?

A

Allis or babcock forcep

Prepare atrial appendage for cannulation

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9
Q

The surgeon is preparing atrial appendage for cannulation. Scrub should hand surgeon this cannula?

A

Yes.

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10
Q

The surgeon is preparing for atrial appendage for cannulation. Should scrub hand surgeon this cannula?

A

Aortic root cannula

Yes, this is appropriate.

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11
Q

What is this port used for? (Arrow)

A

Cardioplegia

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12
Q

What will this be used for?

A

Cross clamp the aorta

Flow comes down: 1 L/min (some all the way off)

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13
Q

Which cannula can be used for cardioplegia?

A

Both.

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14
Q

What will this be used for?

A

Anastomosing LITA to LAD

Fine needleholder- microsurgery

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15
Q

The surgeon completed distal anastomoses of LITA graft. He is handed this instrument. What will he be doing?

A

Preparing aorta for proximal anastomosis

Medtronic Aortic Punch- “Handcock” punch a hold in the aorta

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16
Q

Cross clamp is off, patient warm, heart is NSR, should the perfusionist use these?

A

No!

17
Q

Cross clamp is off, patient warm, heart is NSR, should the perfusionist use these?

A

Yes!

Protects the tubing

18
Q

What handle do these fit?

A

Handle No. 3

19
Q
A

Fits handle No. 4

20
Q
A

Forceps

21
Q
A

Russian Forceps

22
Q
A

Needle Holders

23
Q
A

Pot scissors

24
Q
A

DeBakey Aortic Clamp

25
Q
A

Octopus Beating Heart Retractor

Minimizes movement of the beating heart

26
Q
A

Suction cup on the LV

Allows surgeno to work on the back side of the heat

27
Q
A

Hand retractor

28
Q
A

Rake retractor

29
Q
A

Roberts Clamp

30
Q
A

Bulldog clamp

Small, fine teeth, open coronary artery

31
Q
A

Coronary Retractor

Better exposure to the vessel

32
Q
A

Coronary dilators

probes, distal to where stenosis is to make sure it’s patent

33
Q
A

Snare

34
Q
A

Clip Applier

Clipping little vessels on chest wall instead of tying each one off; side vessels of saphenous vein prevent from bleeding

Clips are titanium

35
Q
A

X-ray with sternal wires and clips

Intro to Perfusion Environment (2 decks)

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