Trolly layout for open-cholesyestectomy

today we are discussing about trolly layout of gallblader operation . we all know it is the common operation among middle aged man and elder person . for that reason we have to manage this instrument trolly for many times . lets see what are the instrument used here .

one very improtant thing that is the trolly must be sterile for the instrument should be kept there .

first of all we need towel clip for fixing the towel .

then we need bard parker handle and insicion blade

then we use allise and artery

ALLISE
ARTERY

Then we use diathermy

that after morrise retractor

morrise retractor

and then deverse retractor

hence we are like to use succesion

to remove the blood and internal fluid

then we use use special instrument for gb holding and decting like

moynihans forcep

right angle forcep and desgerdin forcep

moynihans forcep

rightangle forcep

desgerdin forcep

after that we use mersilk suture without needle to fix the duct and artery respectively

then we use suture like vicrele and ethycon to fix body mussle and skin respectively .

Comments

Choosing the option between fibula plate and nail

Fibula is the secondary bone of our leg which connects knee to ankle along aside tibia as a secondary part . It usually broke along aside tibia as an evidence of major accident There is two option to fix it . Firstly we are choosing about fibula nail as a simple procedure . Surgeon needs only a pliers and nail after creating a port according to its position to fix it under the guidance of c arm . If Surgeon go for here need to open the fracture to fix plate on the area . And needs for clam k wire and other nessary things to fix the fracture. Why the options? Surgeon choose the options according to the fracture , if the fracture line goes vertically ways or the both part of fibula resting perfectly and doesn't dislocated from its own position , surgeon goes for nail fixation. If the fracture is not showing properly in x ray and both end of the bone misplaced after the injury or fracture line...

Patient shifting from operation theatre to post operative care unit (Part 1 )

T he safe care of transporting patients to the operating room and recognizing the possible hazards, in order to prevent injuries to the patient and surgery department personnel. The recommended practices aid in ensuring the transfer and transportation of the patient without tissue injury; avoiding undue physical or emotional discomfort. Standard of Practice I It is the responsibility of the HCWs to ensure the safe patient transfer of a patient from a bed to a transportation device. The specific needs of the patient should be considered when selecting the method of transport. This includes: A. Need for IV pole(s) B. Need to transport oxygen tank C. Mobility of the patient D. Conscious, semi-conscious or unconscious patient E. Size of patient F. Age of patient G. Determining the physical abilities and state of health of the patient. Knowing the patient’s state of health and abilities will help in the choice of mode of transportation,...

Patient Shifting from O.T to Post Operative Care ( Part 2)

Standard of Practice II It is the responsibility of the HCWs to safely transport a patient to the preoperative holding area or operating room. Confirm IV lines, indwelling catheters, monitoring system lines and drains, and any other lines are secure and patent, and IV bag and collection containers are hanging away from the patient’s head.. Ensure head, arms and legs are protected, adequately padded, and patient is comfortable as possible. . The patient should be transported feet first; rapid movements, particularly when going around a corner should be avoided. Rapid movements, especially if the patient has received preoperative medications, can cause the patient to become disoriented, dizzy, and nauseated, and induce vomiting .. The staff person moving the transportation device should be positioned at the patient’s head in order to look forward for potential hazards. This also allows immediate access to the patient’s airway in case of respiratory distress or vomiting...

Operation Theatre & Anesthesia Technology

Search This Blog