Weeks 1-3 Flashcards
Originally, what was the main aim for plastic surgeons
return function as best they could.
what is the halo effect?
When we make a slit second judgement based on physical looks
What is Cephalopmetry?
The study and measurement of the skull and associated structures.
What is Anthropometry?
The study of measurements and relationships between anatomical structures.
What does the “Golden ratio” or “Divine proportion” refer to?
The Phi measurement.
What is the role of a circulating nurse?
coordinating activities before, during & after surgery. Also control the physical and emotional atmosphere in the OR.
Who is the “patients advocate” during the surgery and will provide family members with updates?
The circulating nurse
What is the First assistant?
A person working under the direction of the surgeon to ensure the site is visible at all times, controls bleeding, assists wound closure & dressing application.
What is the scrub nurse responsible for?
surgical asepsis during procedure, passing instruments & supplies to the surgeon.
What temp should the surgical site be kept at?
18-22 deg
What are surgical instruments made of?
stainless steel, titanium or vitallium
How long does a surgical hand wash take?
5 mins, then 3 mins for any following washes
Who is responsible for alerting sterile members of a break in asepsis?
The scrub nurse.
What order is the gowning procedure?
Face mask & hair cap, hand scrub, sterile gown (with help of circulating nurse), gloves.
briefly describe closed gloving…
having your hands inside the grown to put gloves on
describe open gloving…
hands outside the gown.
When was anesthesiology first used?
mid 1800’s
What is local anaestheic?
infiltration of the localized site, to remove the sensation of pain.
Where do you inject local anesthetic?
the nerve plexus or singular nerve
What is MAC?
Monitored anesthesia care
Explain MAC…
Patient is given sedation through IV & local to the area being treated. Only deep pain stimulus will elicit a response.
What is general anesthesia?
A drug induced loss of consciousness.
What are the four components to general anesthesia?
amnesia, analgesia, muscle relaxation & reduced sympathetic nerve system response.
What are the 3 stages involved in general anesthesia?
Induction, maintenance & emergence.
How is general anesthesia maintained?
through Iv, ventilation or a combo of both.
what is the prefix pexy?
fixation.
what is the prefix plasty?
surgical repair, reform
what is the prefix ectomy?
cutting out, removal… (lumpectomy)
What does a prefix mean?
add meaning to a stem word (EG color, size, location)
What is the difference between a graft and a flap?
A flap as its own blood supply, where a graft needs to revascularize
What is a isograft?
twin to twin graft.
what is a allograft?
same species, cadarvars
Do FTSG or STSGrafts have a higher chance of immediate contracture
full thickness, due to the higher amounts of elastin in the graft.
when does plasmatic imbibition (diffusion of nutrients to the wound bed) occur?
24-48 hours.
What causes graft failure?
fluid accumulation, shear forces, infection.
Can your graft grow hair?
full thickness can.
Where will you usually use FTSG?
Where function is needed. Face & hands.
what is a free flap?
Where a flap is completely removed and reattached with micro surgical techniques.
What are some important characteristics for surgical tools?
non glare, non magnetic, ergonomical & have a good feel to them,
What can wounds be closed with? (4)
sutures, steri strips, glue or staples
