Operation Theatre & Anesthesia Technology

  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

  The abdominal aorta in a nutshell The abdominal aorta is a continuation of the descending thoracic aorta . It supplies all of the abdominal organs , and its terminal branches go on to supply the  pelvis and lower limbs . It also supplies the undersurface of the diaphragm and parts of the abdominal wall . It begins at T12 and ends at L4 , where it divides into the right and left common iliac arteries . It enters the abdomen through the aortic opening of the diaphragm , which is located beneath the median arcuate ligament between the crura of the diaphragm   at T12 . It is accompanied through the aortic opening by the azygos vein and the thoracic duct . It is located on th e posterior abdominal wall in the retroperitoneal space of the abdomen. It descends on the left of the inferior vena cava  (IVC) over the anterior surface of the bodies of the lumbar vertebrae and follows the curvature of the lower spin

 OPERATION THEATER        Operation theater i.e. ot is a particular place where all surgeries including new born care unit takes place .  It is a sterile area . OT compound is maintaining under ot technologist . It is a area including various type of OT and blood bank , ITU , ICU , PACU , doctors room , sisters room , technologist room , sisters room  and a massive storage area for all instrument used in the OT .      Advantages    1 Better ot allocation   2  Minimize infection  3 better maintenence TYPES  OF OT  1 based of sterility  1 . ultra sterility ( CTVS , ITU ) 2 . Sterile and 3  septic ,( where all emergency surgery takes place )  2 Based on construction . i.e modular which is construct during moder technologies and based ot ( which is a normal ot )  3 Based on timing 1  scudule ot 2 emergency ot       Zones in operation theater       protective zones   pre and post operative room  ,  IUC and PACU           Clean zone           Aseptic zones            Disposal zones