surgery techniques Flashcards
hand prep methods 3
- furbringer
- alfred
- spasokukotski kochergin
percentage of alcohol for each hand method
furbringer - 70%
alfred - 70-96%
spasok- 96%
furbringer
scrub hands soap and water for 10-15 mins
then scrub with alcholgo solution 70% for 3 mins
scrub with sublimate (causes eczema)
treat fingers with diluted iodine solution
provides very good asepsis
alfred
substitutes the sulblimate with 70-96% alcohol solution
spasok…
use and alkaline solution (extraction of skin fats _ microrgnasims) - hands are soaked in warm ammonia for 3 min
let dry
wash with alcohol sol for 5 min 96%
what percentage of alchold do we use on the skin for disinfection in surgery
70%
broad spectrum antibiotics
tetracycline
chloramphenicol
cephalosporins
vancomycin (sepsis)
narrow
penicillin
amoxicillin
clostridium difficile
its due to the patient being on antibiotics for time - clindamycin and cephalosporins
lumbar puncture location
lumbar cistern- the area where the spinal nerves haveended l3 and l4
Where do we usually do arterial puncture
radial and femoral
Caesarean section incision
transverse pfannenstiel incision
done below umbilicus and above pubic symphysis
mc burney incision
A bleak incision made in the right lower quadrant classically for appendicectomy
kocher incision
Subcostal incision used to gain access for gallbladder and biliary tree operations
gastroduodenostomy
A new connection is made between the stomach and the duodenum due to different conditions to stomach cancer