Instrumentation in Cardiac Surgery Flashcards by Briana Lieberman

Q

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

A

Incise the skin

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Q

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

A

Open sternum

(Sternal saw)

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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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Q

What will this be used for?

A

Spread Sternum

“Retractor”

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Q

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

A

Take down ITA

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Q

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

A

Prepare aorta for cannulation

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Q

The surgeon has this instrument. What is next?

A

Make stab wound for arterial cannula

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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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Q

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

A

Yes.

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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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Q

What is this port used for? (Arrow)

A

Cardioplegia

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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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Q

Which cannula can be used for cardioplegia?

A

Both.

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Q

What will this be used for?

A

Anastomosing LITA to LAD

Fine needleholder- microsurgery

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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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Q

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

A

No!

Q

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

A

Yes!

Protects the tubing

Q

What handle do these fit?

A

Handle No. 3

Q

A

Fits handle No. 4

Q

A

Forceps

Q

A

Russian Forceps

Q

A

Needle Holders

Q

A

Pot scissors

Q

A

DeBakey Aortic Clamp

Octopus Beating Heart Retractor Minimizes movement of the beating heart

Suction cup on the LV Allows surgeno to work on the back side of the heat

Hand retractor

Rake retractor

Roberts Clamp

Bulldog clamp Small, fine teeth, open coronary artery

Coronary Retractor Better exposure to the vessel

Coronary dilators probes, distal to where stenosis is to make sure it's patent

Snare

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

X-ray with sternal wires and clips