Podcast
Questions and Answers
What is the maximum recommended inflation time for a tourniquet in limb-specific procedures?
What is the maximum recommended inflation time for a tourniquet in limb-specific procedures?
- 45 minutes
- 60 minutes (correct)
- 30 minutes
- 90 minutes
Which of the following instruments is specifically used for microsurgery and nerve repairs?
Which of the following instruments is specifically used for microsurgery and nerve repairs?
- Tenotomy scissors
- Freer elevator
- Loupes (correct)
- Pneumatic-powered instruments
What are the primary goals of dressings in plastic surgery?
What are the primary goals of dressings in plastic surgery?
- Immobilize, apply pressure, collect drainage, ensure comfort, and protect the wound (correct)
- Prevent infection and facilitate graft adhesion
- Control bleeding and provide a cosmetic result
- Minimize scarring and expedite recovery
What type of surgical position is most commonly used for patients undergoing plastic surgery?
What type of surgical position is most commonly used for patients undergoing plastic surgery?
What is the purpose of using a skin mesher in plastic surgery?
What is the purpose of using a skin mesher in plastic surgery?
Which type of sutures would be most appropriate for internal closure after plastic surgery procedures?
Which type of sutures would be most appropriate for internal closure after plastic surgery procedures?
In plastic surgery, what role do drains serve in the healing process?
In plastic surgery, what role do drains serve in the healing process?
What type of equipment is used to minimize the risk of hypothermia during extensive skin surgeries?
What type of equipment is used to minimize the risk of hypothermia during extensive skin surgeries?
Which of the following choices describes the range of sutures available in plastic surgery?
Which of the following choices describes the range of sutures available in plastic surgery?
Which procedure would involve the use of a dermatome?
Which procedure would involve the use of a dermatome?
What is the primary focus of aesthetic (cosmetic) surgery?
What is the primary focus of aesthetic (cosmetic) surgery?
Which layer of the skin is responsible for protecting the immune system?
Which layer of the skin is responsible for protecting the immune system?
Which of the following statements about flaps in plastic surgery is incorrect?
Which of the following statements about flaps in plastic surgery is incorrect?
What is a significant psychosocial consideration when comparing aesthetic and reconstructive plastic surgeries?
What is a significant psychosocial consideration when comparing aesthetic and reconstructive plastic surgeries?
Which of the following is NOT a component of the skin relevant to plastic surgery?
Which of the following is NOT a component of the skin relevant to plastic surgery?
What should be verified by the entire surgical team prior to performing a procedure?
What should be verified by the entire surgical team prior to performing a procedure?
What type of surgery aims to treat anatomical abnormalities caused by birth defects or injuries?
What type of surgery aims to treat anatomical abnormalities caused by birth defects or injuries?
Which statement accurately describes the safety precautions in plastic surgery?
Which statement accurately describes the safety precautions in plastic surgery?
Which anatomy aspects are included in basic aesthetic and reconstructive surgeries?
Which anatomy aspects are included in basic aesthetic and reconstructive surgeries?
What is included in the subcutaneous tissue layer of the skin?
What is included in the subcutaneous tissue layer of the skin?
Which anesthesia method is commonly used alongside local anesthetic in plastic surgery?
Which anesthesia method is commonly used alongside local anesthetic in plastic surgery?
What is the primary purpose of draping in surgical procedures?
What is the primary purpose of draping in surgical procedures?
Which type of surgical instruments is primarily used for cutting in plastic surgery?
Which type of surgical instruments is primarily used for cutting in plastic surgery?
What is the role of pneumatic-powered instruments in plastic surgery?
What is the role of pneumatic-powered instruments in plastic surgery?
What is the maximum allowable time for a tourniquet's inflation during limb-specific surgery?
What is the maximum allowable time for a tourniquet's inflation during limb-specific surgery?
What is a key function of drains placed during plastic surgery?
What is a key function of drains placed during plastic surgery?
What dictates the positioning of a patient during plastic surgery?
What dictates the positioning of a patient during plastic surgery?
What is the significance of the basic plastic instrument tray in surgery?
What is the significance of the basic plastic instrument tray in surgery?
What is the purpose of using skin meshers in burn surgery?
What is the purpose of using skin meshers in burn surgery?
What is an essential characteristic of sutures used in plastic surgery?
What is an essential characteristic of sutures used in plastic surgery?
What is the primary difference between aesthetic and reconstructive plastic surgery?
What is the primary difference between aesthetic and reconstructive plastic surgery?
Which of the following best describes the contributions of flaps in plastic surgery?
Which of the following best describes the contributions of flaps in plastic surgery?
Which layer of the skin is primarily responsible for containing nerve endings and glands?
Which layer of the skin is primarily responsible for containing nerve endings and glands?
What should be emphasized during the nursing assessment prior to a plastic surgery procedure?
What should be emphasized during the nursing assessment prior to a plastic surgery procedure?
What is a significant psychosocial consideration related to aesthetic plastic surgery?
What is a significant psychosocial consideration related to aesthetic plastic surgery?
In terms of safety precautions, which of the following is critical in plastic surgery?
In terms of safety precautions, which of the following is critical in plastic surgery?
What is characterized by reconstructive surgery?
What is characterized by reconstructive surgery?
What type of procedures are not typically associated with plastic surgery?
What type of procedures are not typically associated with plastic surgery?
Which of the following is true regarding anesthesia in plastic surgery?
Which of the following is true regarding anesthesia in plastic surgery?
Which aspect is NOT a consideration in the use of implants during plastic surgery?
Which aspect is NOT a consideration in the use of implants during plastic surgery?
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Study Notes
Overview of Plastic Surgery
- Plastic surgery consists of two main subspecialties: aesthetic (cosmetic) surgery and reconstructive surgery.
- Aesthetic surgery modifies normal body structures to enhance appearance.
- Reconstructive surgery addresses abnormal structures from birth defects, diseases, or injuries to restore function.
Anatomy in Plastic Surgery
- Plastic surgery is multidisciplinary, involving various anatomical and biological systems.
- Techniques may involve complex, staged procedures for optimal results.
- Tissues can be transplanted, reconstructed, or re-anastomosed using various techniques, including flaps that preserve blood supply.
- No specific anatomy applies universally; key areas include orthopedic, microvascular, ophthalmologic, and reconstructive principles.
Skin Layers
- Epidermis: Outermost layer, responsible for pigment production and immune protection.
- Dermis: Houses nerve endings, oil and sweat glands, and hair follicles.
- Subcutaneous Tissue: Composed of fat, connective tissue, and blood cells.
Perioperative Nursing Considerations
- Conduct a visual assessment of the patient's physical condition, skin integrity, and limitations.
- Confirm surgical site marking verified by the surgical team to prevent errors.
Anesthesia in Plastic Surgery
- Anesthetic options include IV sedation, local anesthetics, or general anesthesia, chosen based on patient and procedure needs.
Patient Positioning
- The patient's positioning during surgery is determined by the procedure type, generally supine or lateral.
- Adhere to ORNAC Standards and positioning checklists for best practices.
Draping Techniques
- Draping varies based on the procedure, surgeon preferences, and available resources, especially in burn surgeries for donor and recipient sites.
Surgical Instrumentation
- Basic Plastic Instrument Tray: Essential for procedures.
- Freer Elevator, Tenotomy/Stevens Scissors: Commonly utilized instruments.
- Micro Instruments, Bipolar Cautery, Fine Sutures: Specialized tools for precise work.
- A minor count of instruments is mandatory for all plastic surgeries.
Essential Equipment
- Forced-Air Warming Blankets: Mitigate hypothermia risk during prolonged surgeries.
- Dermatomes: For harvesting split thickness skin grafts (STSG) from donor areas, accompanied by mineral oil.
- Skin Meshers: Create slits in skin grafts for increased coverage.
- Pneumatic-Powered Instruments: Used in specific surgical procedures to enhance efficiency.
- Tourniquet: An inflatable cuff providing a bloodless surgical field; inflate no longer than 60 minutes based on patient’s systolic blood pressure.
- Loupes & Microscope: Provide magnification for detailed procedures like microsurgery and nerve repair.
Sutures and Dressings
- Sutures range from permanent to absorbable; sizes vary from micro (10-0) to larger gauges (3).
- Dressings serve five functions: immobilization, pressure application, drainage collection, patient comfort, and wound protection.
Drainage Systems
- Drains utilize negative pressure to remove serous and blood clots, promoting healing.
- Often connected to closed-suction devices like Jackson-Pratt or Hemovac, enhancing recovery outcomes.
Overview of Plastic Surgery
- Plastic surgery consists of two main subspecialties: aesthetic (cosmetic) surgery and reconstructive surgery.
- Aesthetic surgery modifies normal body structures to enhance appearance.
- Reconstructive surgery addresses abnormal structures from birth defects, diseases, or injuries to restore function.
Anatomy in Plastic Surgery
- Plastic surgery is multidisciplinary, involving various anatomical and biological systems.
- Techniques may involve complex, staged procedures for optimal results.
- Tissues can be transplanted, reconstructed, or re-anastomosed using various techniques, including flaps that preserve blood supply.
- No specific anatomy applies universally; key areas include orthopedic, microvascular, ophthalmologic, and reconstructive principles.
Skin Layers
- Epidermis: Outermost layer, responsible for pigment production and immune protection.
- Dermis: Houses nerve endings, oil and sweat glands, and hair follicles.
- Subcutaneous Tissue: Composed of fat, connective tissue, and blood cells.
Perioperative Nursing Considerations
- Conduct a visual assessment of the patient's physical condition, skin integrity, and limitations.
- Confirm surgical site marking verified by the surgical team to prevent errors.
Anesthesia in Plastic Surgery
- Anesthetic options include IV sedation, local anesthetics, or general anesthesia, chosen based on patient and procedure needs.
Patient Positioning
- The patient's positioning during surgery is determined by the procedure type, generally supine or lateral.
- Adhere to ORNAC Standards and positioning checklists for best practices.
Draping Techniques
- Draping varies based on the procedure, surgeon preferences, and available resources, especially in burn surgeries for donor and recipient sites.
Surgical Instrumentation
- Basic Plastic Instrument Tray: Essential for procedures.
- Freer Elevator, Tenotomy/Stevens Scissors: Commonly utilized instruments.
- Micro Instruments, Bipolar Cautery, Fine Sutures: Specialized tools for precise work.
- A minor count of instruments is mandatory for all plastic surgeries.
Essential Equipment
- Forced-Air Warming Blankets: Mitigate hypothermia risk during prolonged surgeries.
- Dermatomes: For harvesting split thickness skin grafts (STSG) from donor areas, accompanied by mineral oil.
- Skin Meshers: Create slits in skin grafts for increased coverage.
- Pneumatic-Powered Instruments: Used in specific surgical procedures to enhance efficiency.
- Tourniquet: An inflatable cuff providing a bloodless surgical field; inflate no longer than 60 minutes based on patient’s systolic blood pressure.
- Loupes & Microscope: Provide magnification for detailed procedures like microsurgery and nerve repair.
Sutures and Dressings
- Sutures range from permanent to absorbable; sizes vary from micro (10-0) to larger gauges (3).
- Dressings serve five functions: immobilization, pressure application, drainage collection, patient comfort, and wound protection.
Drainage Systems
- Drains utilize negative pressure to remove serous and blood clots, promoting healing.
- Often connected to closed-suction devices like Jackson-Pratt or Hemovac, enhancing recovery outcomes.
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