Surgical Instruments, Aseptic and LaparoscopicTechnique

Question 1

Graspers that help pick up tissues to allow for dissection and for closure

Answer 1

pick-ups

Question 2

relatively atraumatic. used for clamping large amounts of tissue in bowel resections - mesentery

Answer 2

kelly clamp

Question 3

can grab bone and other firm tissues. can damage delicate tissues. Jaws relatively long relative to the handles

Answer 3

Kocher clamp

Question 4

Short jaws relative to handles. Groove or complex tooth pattern to hold needle
Sometimes have gold handle

Answer 4

needle holders (drivers)

Question 5

Maintain exposure. Different sizes and shapes depending on the tissue/organ involved

Answer 5

retractors

Question 6

clamp for large vessels often used in cardiovascular surgery

Answer 6

Debakey clamp

Question 7

clamps to close small vessels temporarily in cardiovascular surgery

Answer 7

bulldog clamps

Question 8

Length of surgical scrub

Answer 8

5 MINUTE DURATION- WITH 2 ½ MINS OF TIME SPENT ON EACH HAND & ARM

Question 9

MUST BE REMOVED BEFORE LEAVING THE OR

Answer 9

SHOE COVERS/ HATS/ MASKS

Question 10

Parameters of a sterile gown

Answer 10

sterile from waist level to chest including sleeves to 2” above elbow

Question 11

How do you switch places with scrubbed personnel?

Answer 11

move back to back with the person with whom you’re switching

Question 12

Gas used in laparoscopic surgery

Answer 12

CO2

Question 13

Alternate gases that can be used in laparoscopic surgery.

Answer 13

helium, air, NO

Question 14

Physiologic effects of gases on abdomen as a result of the increased intra-abdominal pressure

Answer 14

decreased venous return and renal perfusion. increased intracranial pressure

Question 15

Advantages of laparoscopic surgery

Answer 15

decreased pain, attenuated stress response, early return to ambulation