Trocar Guides - stuff

Question 1

A hole is made with a sharpened trocar two inches to the left and two inches above the umbilicus.

Answer 1

Point of Entry- Trocar

Question 2

• If the trocar cannot penetrate the abdomen, then it is too dull to use inside the body cavities.
• If the hole is made by an instrument other than a trocar, then the trocar will not fit snugly into the hole, thus a decrease in the vacuum and a decrease in suction power.

Answer 2

Considerations when using the trocar

Question 3

Direct trocar point toward the intersection of the fifth intercostal space and the left mid-axillary line.
- Continue until the trocar enters the stomach.

Answer 3

Locating the Stomach- trocar

Question 4

Brown coffee ground consistency with acrid odor- sour smell.

Answer 4

Stomach Aspiration contents

Question 5

Direct the trocar point toward a point one-fourth of the distance from the right anterior- superior iliac spine to the pubic synthesis.

• Keep point of trocar well up near abdominal wall until within four inches of right anterior- superior iliac spine.
• Then dip the point two inches and insert it forward into colon.

Answer 5

Locating the Cecum- trocar

Question 6

Yellow fecal matter.

Answer 6

Cecum Aspiration Contents

Question 7

Direct the trocar toward intersection of median line and pubic bone (the synthesis pubis), keeping it well up toward abdominal wall until it touches the bone.

• Then withdraw about one-half inch
• Then dip the point slightly and insert it.

Answer 7

Locating the Bladder- trocar

Question 8

The fibrocartilage that joints the two pubic bones in the median plane.

Answer 8

Pubic Symphysis

Question 9

Direct the trocar along a line from the left anterior-superior iliac spine to the lobe of the right ear.

• Keep the point up against the cavity wall until it has pierced the diaphragm.
• Then dip it downward and insert it into the heart.

Answer 9

Locating The Right Atrium (right side of the heart) - Trocar

Question 10

Dark venous blood.

Answer 10

Right side of the heart - Aspiration contents

Question 11

A bony protuberance, that can be palpated topographically, found in the ilium, the superior, broad portion of the hipbone; the origin of the inguinal ligament and the sartorius muscle.

Answer 11

Anterior Superior Iliac Spine

Question 12

Direct the trocar point along an imaginary line first high and then low toward the center of both the right and left clavicle bones.

Answer 12

Locating the Right and Left Lung- Trocar

Question 13

Clear or red foam or frothy white; no odor

Answer 13

Right and Left Lung Aspiration Contents

Question 14

Yellow Bubbles.

Answer 14

Bladder Aspiration Contents

Question 15

Enter cranial trocar, well lubricated, into the left nostril until it touches the cribriform plate of the ethmoid bone.
- Exert pressure until trocar penetrates the cranial cavity and enters the brain.

Answer 15

Locating the Brain- Trocar

Question 16

Clear fluid; may contain small specks of tissue with no odor. May be creamy white.

Answer 16

Brain Aspiration Contents

Question 17

Why use the left anterior hair for brain aspiration?

Answer 17

Viewing is on the right side of the body.

Question 18

Deep red colored fluid. (from blood cells).

Answer 18

Liver Aspiration Contents