Operating theatre practice Flashcards

1
Q

Aims of the Operating Theatre

A

To provide an area that is
free from infectious
organisms

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2
Q

Operating Theatre Design Principles

A

End room
Sufficient size
Ease of movement without contamination
Easily Cleaned
One way movement of personnel
Separation between clean
and contaminated areas
Designated for specific
types of surgery

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3
Q

Patient Preparation Area

A
  • Induce anaesthesia
  • Preoperative preparation of
    surgical site
  • Placement of intravenous
    catheter
  • Catheterisation of bladder
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4
Q

Mobile overhead theatre lights bulb types

A

Halogen bulbs - prevent shadows

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5
Q

Theatre Ambient temperature

A

15-20 degrees

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6
Q

Operating Theatre Ventilation

A

Positive pressure ventilation

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7
Q

Changes in air ventilation hourly (operating theatre)

A

20 air changes per hour

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8
Q

Surgery classification ‘Clean surgery’

A

Does not enter any contaminated viscus
No break in sterile technique

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9
Q

Surgery classification Clean- contaminated

A

Enters the oropharynx, respiratory, alimentary or urogenital tracts.
No other source of contamination

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10
Q

Contaminated surgery

A

Major spill of contaminated material at surgery, or a
break in sterile technique, or entry into a viscus with a
high bacterial load e.g. colon

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11
Q

Infected surgery

A

Surgical site is known to be already infected

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12
Q

Dirty procedure

A

Removal of ulcerated mammary strip
Enema
Pyometra
Aural surgery
Abscesses, Old wounds
Removal of necrotic
tissue

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13
Q

Clean contaminated surgery

A

Bitch spay
Lung lobectomy
Gastrotomy
Tracheotomy

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14
Q

Clean

A

Neutering
Uncomplicated hernias
Tibial fracture fixation
Lipoma removal
Spinal surgery

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15
Q

Diathermy

A

Used for blood vessels coagulation
or cutting tissues

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16
Q

Two types of Diathermy

A
  • Monopolar- needs earthing plate
  • Bipolar
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17
Q

Tourniquets length of use

A

15min

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18
Q

What is an Esmarch bandage?

A

Drains the limb of blood first

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19
Q

Types of Suction Tip

A

Frazier-Used for fine delicate
suction
Yankauer- Bulb at the end
(reduce trauma/maximum visibility)
Poole- removed pooled blood

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20
Q

Charcoal adsorbers
should be weighed

A

every morning

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21
Q

Cryosurgery?

A

Kills living tissue by freezing them
* Liquid nitrogen
* N2O

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22
Q

Stainless Steel facts

A

Material of choice
Resistant
Strong

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23
Q

Stainless Steel
* Martensitic
* Austenitic

A

Martensitic
* ‘Cutlery Stainless Steel’
* High carbon steel with chromium
Austenitic
* ‘Marine Grade Steel’
* With chromium, nickel and molybdenum

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24
Q

Stainless steel can have
the following finishes

A
  • Satin
  • Mirror
  • Ebony
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25
Q

Tungsten Carbide identification

A

Gold handles

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26
Q

Chromium-Plated Carbon Steel

A

highly polished surface

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27
Q

Titanium

A

Orthodpaedic plates/implants
Ophthalmic instruments (Less glare)

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28
Q

Vitallium

A

Mostly used in dentistry

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29
Q

Stainless steel bone plate should not be held in place with

A

Vitallium screws due to electrolytic and chemical reactions

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30
Q

Unused packs of instruments should be repacked
and re-sterilised after

A

12 weeks

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31
Q

Unused double packed instruments should be repacked and re-sterilised

A

6 months

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32
Q

Decontamination Cycle

A

Cleaning
Disinfection
Inspection
Lubrication
Packing
Sterilisation
Storage
Use

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33
Q

Types of forceps

A

Dressing
Tissue
Artery

34
Q

Artery Forceps examples

A
  • Spencer wells
  • Kelly
  • Rochester
  • Cairns
  • Halsted mosquito (smallest)
35
Q

Tissue Forceps examples

A
  • Allis
  • Babcock
  • Sponge holding
  • Duval
36
Q

Dissecting Forceps examples

A
  • Standard
  • Adsons
  • Emmett
  • Debakey
37
Q

Rat-tooth Forceps examples

A
  • Standard
  • Treves
  • Lane
38
Q

Scissors

A
  • Standard
  • Treves
  • Lane
39
Q

Visceral Clamps

A
  • Doyen
  • Parker-Kerr
  • Mayo-Robson
40
Q

Towel Clips examples

A
  • Cross action
  • Jones cross action
  • Backhaus
41
Q

Blade holders Size 3 handle:

A

10, 11, 12, 15 blade

42
Q

Blade holders Size 4 handle

A

20, 21, 22 blade

43
Q

Beaver handle?

A

very small blade, ophthalmic work

44
Q

Handheld Retractors examples

A
  • Langenbeck
  • Hohmann
  • Volkmann
  • Czerny
  • Senn
45
Q

Self-retaining Retractors examples

A
  • Gelpi
  • Wests
  • Travers
  • Gossett
  • Balfour
46
Q

Needle Holders

A
  • Gillies
  • Mayo Hegar
  • McPhail
  • Olsen Hegar
  • Bruce Clarke
47
Q

Speculums examples

A
  • Eyelid
  • Vaginal
48
Q

Rongeurs are used for

A

For bone nibbling
procedures

49
Q

Bone Curette are used for

A

Remove loose of degenerate tissue
and Cancellous bone (grafts)

50
Q

Venables Plate holes

A

round

51
Q

Sherman Plate

A

squiggly plate

52
Q

Dynamic compression plate holes

A

oval shaped

53
Q

Self-tapping Screws identification

A

Slotted heads
Two notches at the screw
tip

54
Q

Pre-tapped Screws (AO type)

A

Hexagonal head

55
Q

The A/O ASIF System

A

methods of fracture repair

56
Q

Tensile Strength

A
57
Q

Knot Security

A
58
Q

Stiffness and Elongation

A
59
Q

Memory

A
60
Q

Chatter

A
61
Q

Tissue Drag

A
62
Q

Capillarity

A
63
Q

Autoclaving is satisfactory for which suture materials
(no more than 3 x )

A

Nylon
Polypropylene
Polyester

64
Q

Steam sterilisation should not be used on…?

A

absorbable suture materials

65
Q

sterilisation method safe for all sutures

A

Ethylene Oxide

66
Q

Natural absorbables are broken down by?

A

Phagocytosis

67
Q

Synthetic absorbables are broken down by…?

A

hydrolysis

68
Q

How many days can it take absorbable suture material to lose tensile strength

A

60 days

69
Q

What does half life refer to?????

A

Tensile strength

70
Q

Where is non Non-Absorbable
sutures usually used

A

skin

71
Q

Metric - smallest to largest

A

0.2 - 8

72
Q

USP smallest to largest

A

10/0 - 6

73
Q

Catgut smallest to largest

A

8/0 - 4

74
Q

atraumatic needles AKA

A

swagged

75
Q

Round bodies needles are best for

A

Slide through body tissues, dilates
rather than cutting them

76
Q

Cutting needles are best for

A

cuts rather than
dilate: skin and tough tissues

77
Q

Taper-cutting needles are best for

A

Ideal for tough or calcified tissues:
Cardiac and vascular procedures

78
Q

Reverse cutting needles are best for

A

skin

79
Q

Suture Patterns Apposing

A

Sutures bring the tissues in
direct apposition

80
Q

Suture Patterns Everting

A

Sutures turn wound edges
outwards

81
Q

Suture Patterns Inverting

A

Sutures turn tissue inwards