Surgical Positions and Instruments Quiz

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Questions and Answers

Which post-operative complication is characterized by hypotension and tachycardia?

  • Intestinal obstruction
  • Urinary retention
  • Pulmonary embolism
  • Hemorrhage (correct)

What is the consequence of atelectasis squeezing the lungs?

  • Pulmonary edema
  • Pneumonia (correct)
  • Hiccups
  • Pulmonary embolism

Which post-operative phase involves the time from the PACU to follow-up evaluation?

  • Intraoperative phase
  • Anesthesia maintenance phase
  • Induction phase
  • Post-operative phase (correct)

Which parameter is critical for the patient's ward transfer post-surgery?

<p>Return of sensation (A)</p> Signup and view all the answers

What is a potential wound complication post-surgery that involves the separation of wound layers?

<p>Dehiscence (B)</p> Signup and view all the answers

What is the purpose of a Babcock Forceps?

<p>To hold viscera like bowel and bladder (A)</p> Signup and view all the answers

Which surgical position is particularly suitable for rectal and sigmoidoscopy procedures?

<p>Jacknife (A)</p> Signup and view all the answers

What is the main function of Hemostatic Forceps?

<p>To control bleeding (D)</p> Signup and view all the answers

Which surgical position is commonly used for surgeries involving the head and neck?

<p>Supine (C)</p> Signup and view all the answers

What is the main difference between Allis Forceps and Babcock Forceps?

<p>Allis Forceps automatically hold viscera, while Babcock Forceps are used for providing traction. (D)</p> Signup and view all the answers

Which surgical instrument is used specifically for cutting dense tissue?

<p>Carmalt hemostatic Forceps (B)</p> Signup and view all the answers

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Study Notes

Surgical Positions

  • Supine: used for surgeries on the lower abdomen, pelvic organs, and upper abdomen
  • Prone: used for surgeries on the spine, neck, and buttocks
  • Jacknife/Kraske: used for rectal, sigmoidoscopy, and colonoscopy surgeries
  • Lithotomy: used for perineal, vaginal, and rectal surgeries
  • Fowler's: used for otorhinology and neurosurgery
  • Right/Left Thurg: used for surgeries on the lateral rat abds, extremity, vascular, chest, neck, face, ear, and breast
  • Scalpel: used for skin incision, attaches to #3 handle

Surgical Instruments

  • Blade: used for skin incision, attaches to #3 handle
  • Pang: tooth (thumb) Forcep used for grasping
  • Brown Adson Forcep: used for delicate tissue handling
  • Allis Forceps: used for traction on the skin, but not on the tissue beneath the skin
  • Babcock Forceps: more delicate than Allis, less traumatic
  • Sponge Forceps: can be straight or curved, used to automatically hold viscera (bowel + bladder)
  • Hemostatic Forceps: hinged (locking) mechanism, aka Kelly, halstead, Chile
  • Mosquito Hemostats: more delicate, smaller and finer tips than Kelly
  • Carmalt Hemostatic Forceps: used for hemostasis
  • Curved Mayo Scissors: used for cutting dense tissue
  • Suture Scissors (blunt-blunt): used for cutting sutures
  • Farabeuf Retractor: used to expose operating site
  • Army-Navy Retractor: used for general surgery, has blunt edges with different lengths
  • Zenn-Weitlaner Retractor: used for general surgery
  • Gelpi Retractor: used for general surgery
  • Curettes: used for scraping and removing tissue
  • Periosteal Elevator: used for elevating periosteum
  • Towel Clamps: used for securing towels in place

Post-Operative Phase

  • Starts from the time patient is in PACU to follow-up evaluation
  • Parameters for ward transfer:
    • Patient is stable
    • No signs of bleeding
    • Patient has returned sensation

Post-Operative Complications

  • Shock: hypotension, tachypnea, tachycardia
  • Hemorrhage: bleeding
  • DVT (Deep Vein Thrombosis)
  • Pulmonary complications:
    • Pulmonary embolism
    • Atelectasis (collapsing lungs) => leads to pneumonia
    • Intestinal obstruction
  • Other complications:
    • Wound complications (infection, hypertrophied scar, contractures, hemorrhage, dehiscence, evisceration)
    • Urinary retention
    • Intestinal obstruction
    • Hiccups
    • Depression

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