Theatre Imaging Flashcards
Essential Features for a c-arm
Robust - will be used regularly in a variety of locations around the hospital & driven by a number of people (not all will be good drivers!!)
Reliable – need to be sure that it will work when you arrive in theatre
Versatile – used in a variety of locations around the hospital
Easy to transport, controllable & manoeuvrable – need to be able to move around theatre tables and anaesthetic equipment
Easy to clean – a dirty image intensifier would be an infection control hazard
Orthopaedic case examples
Hip fixation
DHS
Screws
Intramedullary nail
Femoral
Tibial
Humeral
MUA
K-Wires
ORIF
Non-Orthopaedic case examples
Spinal
Laminectomy
Microdiscectomy
Vertebroplasty
ACDF
PLIF
Pain Management
Facet Joint Injections
Rhizotomy
Epidural
Anterior Cervical Decompression and Fusion
Posterior Lumbar Body Fusion
Rhizotomy – sever of nerve roots to provide relief from chronic back pain (chemically or with radiofrequency)
Non-Orthopaedic angio case examples
Urology
Ureteroscopy (+/- Stent)
PCNL
Other
Vascular procedures
Liver
Brachytherapy
Safety for theatre imaging
Radiation Protection
IR(ME)R 2017
Staff compliance(?)
Remove the key
Electrical
Plug
Trailing leads
Where’s the drill?
Infection Control
Cover the II
Sterile area
Physical Hazards
Other machines
Staff(?)
The patient(?)
How to minimise Errors? for theatre imaging
Knowing the equipment – the more familiar you become with the kit the easier it is to move it
Training – appropriate training and if a new technique is introduced making sure you have the training for it (CPD!)
Personal Prep – even just knowing what the case before going in can be helpful (gives you a few minutes to google what the case is); the more you go theatre and are exposed to the cases the more prepared you are (even though I know many people find theatre daunting)
Team work – everyone is working for a common goal (the patient), knowing each others role, what is expected, helping each other out (getting involved in slides, re-positioning, getting that new pair of gloves etc.), ask questions if unsure (which leads on to…)
Effective communication – Give clear instructions, ask for only the Consultant to give you instructions (it’s really difficult having 3 different people give you three very different set of instructions at the same time!)
