Surgical Hemostasis, Chapter20 P128-130

Question 1

What motto is associated with surgical hemostasis?

P128

Answer 1

“All bleeding stops”

Question 2

What is the most immediate method to obtain hemostasis?

P128

Answer 2

Pressure (finger)

Question 3

What is the “Bovie”?

P129

Answer 3

Electrocautery (designed by Bovie with Cushing for neurosurgery in the 1920s)

Question 4

What is the CUT mode on the Bovie?

P129

Answer 4

Continuous electrical current (20,000 Hz); cuts well with a decreased ability to coagulate

Question 5

What is the COAG mode on the Bovie?

P129

Answer 5

Intermittent electrical current (20,000 Hz); results in excellent vessel coagulation with decreased ability to cut

Question 6

Where should a Bovie be applied to a clamp or pickup to coagulate a vessel?
P129 (picture)

Answer 6

Anywhere on the clamp/pick-up

Question 7

Should you ever “blindly” place a clamp in a wound to stop bleeding?
P129

Answer 7

No, you may injure surrounding tissues such as nerves

Question 8

Define the following terms:
Figure-of-eight suture
P129 (picture)

Answer 8

Suture ligature placed twice in the tissue prior to being tied

Question 9

Define the following terms:
Vessel “tied in continuity”
P130 (picture)

Answer 9

Tie, tie, cut in between

Question 10

Define the following terms:
Surgicel®
P130

Answer 10

Cellulose sheets—act as a framework for clotting factors/platelets to adhere to
(Think: SurgiCEL = CELlulose)

Question 11

Define the following terms:
Fibrin glue
P130

Answer 11

Fibrinogen and thrombin sprayed simultaneously and mixed to produce a fibrin “glue”

Question 12

Define the following terms:
Harmonic scalpel
P130

Answer 12

Ultrasonic scalpel that vibrates >50,000 times per second; seals vessels and cuts tissue

Question 13

Define the following terms:
Clips
P130

Answer 13

Metallic clips for clipping vessels