Dynamic Hip Screw or DHS ACCOURDING TO ORTHO SURGICAL ASSISTANT PERSPECTIVE

AT FIRST WE NEED A SCRUB TROLLY , AND THEN WE COVER THE UPPER PART WITH STERILE RUBBER SHEET , THEN AGAIN WE WOULD LIKE TO COVER IT WITH STERILE SHEET PROPERLY ,

AFTER FIXING IT PROPERLY , BELOW MENTION INSTRUMENT PROVIDED

INSTRUMENT

DRAPPING PART

BOWL + SWAB HOLDING FORCEP + GAUZE

FOR PROPER DISINFECTENT THE AREA

THEN STERILE RUBBER SHEET AND THEN STERILE NORMAL COTTON SHEET

FOR PROPER COVERING THE OTHER BODY PART RATHER THAN THE DRAPPING SITE ONE

SURGICAL PART

AT FIRST WE NEED USUALLY 4 NO BARD PARKER HANDLE AND 24 NO BLADE FOR INCISION AND THEN WE NEED A ARTERY FORCEP , A RETRACTOR AND ALSO A DIATHERMY TO COAGULATE THE ARTERY AND VEIN ONE OF THE PARTICULAR OPERATION SITE

AND THEN WE WOULD LIKE TO USE HOMANS FORCEP AND BONE LIVER TO EXPOSE THE BONE AND THEN WE TAKE THE C- ARM SHOT TO SEE THE POSITION OF THE FRACTURE SITE AND THE DISPLACED BONE WE WOULD LIKE TO USE A STAINMANN PIN TO RELOCATE THE FRACTURE SITE BONE .

AND FIX THE GUIDE WIRE TO LOCATE THE FRACTURE DIRECTION WITH THE HELP OF C- ARM

THEN WE USE THE HIP SCREW NAIL TO FIX THE HIP SCREW AND THEN FIX THE DHS PLATE WITH THE HELP OF DRILLING MECHINE AND THEN THE TOP SCREW

IF NEEDED WE WOULD COLLECT NEEDED BONE GRAFTING FROM ANOTHER PART OF BODY AND AFTER RESIZING ACCOURDING TO THE FRACTURE PLACE , HAVE TO FIX IT

AND THEN AT FIRST WE CLOSED THE BONE TAKEN SITE AND THEN ,, AFTER WASHJING THE OPERATION SITE PROPERLY , WOULD HAVE TO CLOSED THE OPERATION SITE

FOR CLOSING WE LIKE TO USE VICRYL 1 USUALLY FOR SUB CUTUNAS LYRE AND NON ABSORBABLE SUTURE METERIAL FOR SKIN FOR BOTH THE SITE .

DRESSING

FOR DRESSING AT FIRST WE CLEAND THE OT SITE WITH DISINFECTANT SOLUABLE AND THEN PUT GAUZE THEN ROLLING THE COTTON ROLE ACCOURDING TO THE LEG THEN BANDAGE THE AREA PROPERLY

AFTER THAT AGAIN WE USE BENGINE AROUND THE DRESSING

SAME AS DONG FOR THE BONE GRAFTING PLACE

THANK YOU ..................................................................

GOURAB DAS

Comments

GallBladder ot ?? what is it ?

We all know about gallbladder operation and it is very common to heard from old aged person and gallbladder stone . but some it comes to our mind how it is formed ? and all something about that . gallbladder is a very vital part of our body which secrets some engyme helps to digest compound and complex food which we take . one end comes from it , called cystic duct which later collabed with common bile duct . and jointly conduct in duodenum . We comes to know a little bit of anatomy in the above passage . But here the main points comes where and why stone which formed of CaCo3 and Na+ , Ca+ , k+ ion .

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...

Cardiopulmonary Resuscitation ( part 2 \ cpr procedure )

Rules Rate at least 100-120 \mi Compression defth at least 2 inches Allow complete chest recoil after each compression Avoid execessive ventilation Procedure No response (i.e only gasping and no breathing or suffocating ) Active emergency response system . ( Get AED \ Defribellator ) or send rescuer to this . Cheak pulse and define it within 10 seconds if yes then give 1breath every 5 – 6 sec and recheak pulse if no then begin cycle of 30 compression and 2 breath At that time AED\defribellator must be arrived . Cheak rhythm if shockable then activated AED and give shock if not then resume CPR immediately for next 2 min and recheak again until ALS provider provide takes over . Rescue Breathing

Operation Theatre & Anesthesia Technology

Search This Blog